The Value of Book Distribution in a Clinic-Based Literacy Intervention Program
The Value of Book Distribution in a Clinic-Based Literacy Intervention Program
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书籍分发在基于临床的扫盲干预计划中的价值
DOI：
10.1177/000992280003900905
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发表时间：
2000
影响因子：
1.6
通讯作者：
Amy Thomas
中科院分区：
文献类型：
--
作者：
V. F. Jones;S. Franco;Sharon C. Metcalf;R. Popp;Susan H Staggs;Amy Thomas
本研究的目的是确定儿童健康检查 (WCV) 中的预期指导（包括早期读写能力发展和检查医生提供书籍）是否改变了家庭读写能力实践。它是在市中心的一家儿科诊所进行的，该诊所是儿科和儿科/内科住院医师的连续性实践场所。共有 352 名 2 至 24 个月大的儿童（181 名治疗组：171 名对照组）参加了这项前瞻性对照研究。医疗保健提供者接受了扫盲以及如何在 WCV 期间纳入这些信息的培训。向所有家长提供了有关安全、发展和早期识字的预期指导。此外，治疗组在每次 WCV 时都会收到一本适合年龄的书籍。共有 1,263 人就诊（686 人接受治疗，577 人接受对照）。由家长完成关于医生帮助程度的调查问卷和由医生关于家长接受程度的调查问卷。治疗组家长对医生帮助的评分高于对照组（p<0.05）。治疗组中医生对父母接受度的评价也高于对照组（p<0.05）。入学两年后，接受指导和一本书的母子对一起阅读的乐趣是接受指导但没有书的对照组的两倍。我们得出的结论是，包括早期识字能力发展和 WCV 书籍分发在内的预期指导提高了家庭识字方向、家长的接受度以及对医生帮助的看法。
The purpose of this study was to determine whether anticipatory guidance at well-child visits (WCV) that included early literacy development and the provision of books by the examining physician changed family literacy practices. It was conducted in an inner-city pediatric clinic that serves as the continuity practice site for pediatric and pediatric/internal medicine residents. There were 352 children (181 treatment: 171 control), aged 2 to 24 months, enrolled in this prospective, controlled study. The health care providers underwent training on literacy and on how to incorporate this information during WCV. Anticipatory guidance on safety, development, and early literacy was given to all parents. Additionally, the treatment group received an age-appropriate book at each WCV. There were 1,263 visits made (686 treatment, 577 control). Questionnaires were completed by parents on physician helpfulness and by physicians on parental receptiveness. Parental ratings on physician helpfulness were higher in the treatment group than in the control group (p<0.05). Physician's rating of parental receptiveness was also higher in the treatment group than in the control group (p<0.05). Two years after enrollment, mother-child pairs who received guidance and a book were two times more likely to report enjoyment in reading together than the controls who received guidance but no book. We conclude that anticipatory guidance that included early literacy development and distribution of books at WCV resulted in increased family literacy orientation, parental receptiveness, and perception of physician helpfulness.