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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Article info
Publication history
Published online: December 01, 2022
Accepted:
November 19,
2022
Received:
May 6,
2022
Publication stage
In Press Journal Pre-ProofFootnotes
The authors have no conflicts of interest to disclose.
Identification
Copyright
Copyright © 2022 by Academic Pediatric Association
