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Reach Out and Read Implementation: A Scoping Review

  • Author Footnotes
    # Contributed equally as co-first authors.
    Nila Uthirasamy
    Footnotes
    # Contributed equally as co-first authors.
    Affiliations
    Department of Pediatrics, Rutgers Robert Wood Johnson Medical School (N Uthirasamy, KA Devine, D Cordobaa, S Pai, U Ramachandran, and ME Jimenez), Piscataway, NJ
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  • Author Footnotes
    # Contributed equally as co-first authors.
    Mayuri Reddy
    Footnotes
    # Contributed equally as co-first authors.
    Affiliations
    Rutgers New Jersey Medical School (M Reddy), Newark, NJ
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  • Jennifer R. Hemler
    Affiliations
    Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School (JR Hemler and ME Jimenez), New Brunswick, NJ
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  • Katie A. Devine
    Affiliations
    Department of Pediatrics, Rutgers Robert Wood Johnson Medical School (N Uthirasamy, KA Devine, D Cordobaa, S Pai, U Ramachandran, and ME Jimenez), Piscataway, NJ

    Rutgers Cancer Institute of New Jersey (KA Devine), New Brunswick, NJ
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  • David Cordoba
    Affiliations
    Department of Pediatrics, Rutgers Robert Wood Johnson Medical School (N Uthirasamy, KA Devine, D Cordobaa, S Pai, U Ramachandran, and ME Jimenez), Piscataway, NJ
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  • Shilpa Pai
    Affiliations
    Department of Pediatrics, Rutgers Robert Wood Johnson Medical School (N Uthirasamy, KA Devine, D Cordobaa, S Pai, U Ramachandran, and ME Jimenez), Piscataway, NJ
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  • Usha Ramachandran
    Affiliations
    Department of Pediatrics, Rutgers Robert Wood Johnson Medical School (N Uthirasamy, KA Devine, D Cordobaa, S Pai, U Ramachandran, and ME Jimenez), Piscataway, NJ
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  • Thomas I. Mackie
    Affiliations
    Department of Health Policy and Management, School of Public Health, SUNY Downstate Health Sciences University (TI Mackie), Brooklyn, NY
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  • Manuel E. Jimenez
    Correspondence
    Address correspondence to Manuel E. Jimenez, MD, MS, FAAP, Child Health Institute of New Jersey, 89 French St, New Brunswick, NJ 08901
    Affiliations
    Department of Pediatrics, Rutgers Robert Wood Johnson Medical School (N Uthirasamy, KA Devine, D Cordobaa, S Pai, U Ramachandran, and ME Jimenez), Piscataway, NJ

    Department of Family Medicine and Community Health, Research Division, Rutgers Robert Wood Johnson Medical School (JR Hemler and ME Jimenez), New Brunswick, NJ

    Children's Specialized Hospital (ME Jimenez), New Brunswick, NJ
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  • Author Footnotes
    # Contributed equally as co-first authors.
Published:December 01, 2022DOI:https://doi.org/10.1016/j.acap.2022.11.012

      Abstract

      Background

      Reach Out and Read (ROR) is an evidence-based literacy promotion intervention that leverages the near-universal access to children of primary care practices to promote optimal child development. While several studies document ROR's effectiveness, its implementation remains understudied.

      Objective

      This scoping review examines the existing literature to better understand ROR implementation.

      Data Sources

      PubMed, ERIC, Web of Science, Academic Search Premier, ProQuest Education Database, and CINAHL.

      Study Selection

      We included peer-reviewed English-language papers focusing on ROR in an ambulatory setting in North America.

      Data Extraction

      Extracted variables were informed by the Template for Intervention Description and Replication checklist and included publication year, title, author(s), clinic location, study design, study aim, ROR implementation, modifications, implementation assessment, barriers, facilitators, and outcomes.

      Results

      Seventy-one papers were included, of which 43 were research articles. We identified substantial variation in ROR implementation including differences in components delivered. A considerable number of research articles did not assess ROR implementation. The most common barriers to ROR implementation were at the system level (ie, financing and inadequate time). Modifications and enhancements to ROR are emerging; most address barriers at the clinician and family level.

      Limitations

      This review was limited to published English language papers focusing on ROR.

      Conclusions

      ROR implementation varies across studies, and many did not assess implementation. Consistent reporting and assessment of ROR implementation could create opportunities to better understand the mechanisms underlying ROR's effects and inform other early childhood interventions that seek to promote optimal development at the population level.

      Keywords

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