Feasibility of a Brief, Medical-Student Led Educational Intervention for Early Literacy in Homeless Children

Kaitlyn Petruccelli; Amy Hersh; Joshua J Davis; Tara Berman

Kaitlyn Petruccelli Sidney Kimmel Medical College at Thomas Jefferson University
Amy Hersh Nemours Children's Health System, Wilmington, DE
Joshua J Davis Sidney Kimmel Medical College at Thomas Jefferson University
Tara Berman Thomas Jefferson University, Philadelphia, PA, and Nemours Children's Health System, Wilmington, DE

Abstract

Introduction: Promoting early literacy is one of the most important ways for caregivers to set their children up for success later in life. Homeless youth are at a marked increase risk for decreased literacy compared to their peers. The goal of this project is to assess the feasibility of a medical-student based educational intervention to increase early literacy awareness among homeless mothers of young children.

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Methods: Two medical students were trained to give a brief, educational intervention to mothers in a homeless shelter at the same time as a student-run health clinic was conducted. Before and after the intervention, mothers were asked to complete a short survey on the importance of literacy to their child and their intention to read to their child. The children of these mothers were allowed to select a book to keep after the intervention.

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Results: Sixty-six mothers completed the pre and post surveys. Most of the mothers were unemployed and had been homeless less than 6 months. Mothers identified not having enough time, a quiet place, or enough money as the most common barriers to reading to their children. Before the intervention, 65% indicated reading to their child less than 1 hour per week. After the intervention, 85% indicated an intention to read more than one hour per week to their child.

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Conclusion: Our study demonstrated that a brief, medical-student based educational intervention is feasible and can improve intention to read among certain homeless mothers. Much more research is needed to confirm the efficacy of this intervention in this population.

Author Biographies

Kaitlyn Petruccelli, Sidney Kimmel Medical College at Thomas Jefferson University

Ms. Petruccelli is a third year medical student at Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA

Amy Hersh, Nemours Children's Health System, Wilmington, DE

Dr. Hersh is Chief Resident, Nemours Childrenâ€™s Health System in Wilmington, DE

Joshua J Davis, Sidney Kimmel Medical College at Thomas Jefferson University

Mr. Davis is a fourth year medical student at Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA

Tara Berman, Thomas Jefferson University, Philadelphia, PA, and Nemours Children's Health System, Wilmington, DE

Dr. Berman is Clinical Assistant Professor, Department of Pediatrics, Thomas Jefferson University, Philadelphia, PA and Attending Pediatrician, Nemours Childrenâ€™s Health System, Wilmington, DE

References

Fernald A, Marchman VA, Weisleder A. SES differences in language processing skill and vocabulary are evident at 18 months. Dev Sci. 2013;16(2):234â€“48.

Hart B, Risley TR. Meaningful differences in the everyday experience of young American children. Baltimore, MD: Brookes; 1995.

Hernandez DJ. Double jeopardy: How third-grade reading skills and poverty influence high

school graduation. Baltimore, MD: The Annie E. Casey Foundation; 2012.

Scarborough HS, Dobrich W. On the efficacy of reading to pre-schoolers. Dev Rev. 1994;14:245â€“302.

Bus AG, van IJzendoorn MH, Pellegrini AD. Joint book reading makes for success in learning to read: A meta-analysis on intergenerational transmission of literacy. Rev Educ Res. 1995;65:1â€“21.

Americaâ€™s Youngest Outcasts 2010. National Center on Family Homelessness. Available at: http://www.homelesschildrenamerica.org/reportcard.php

Henry M, Cortes A, Morris S, Khadduri J, Culhane DP. The 2015 Annual Homelessness Assessment Report (AHAR) to Congress: Part 1, Point-in-Time Estimates of Homelessness. Department of Housing and Urban Development. https://www.hudexchange.info/resources/documents/2015-AHAR-Part-1.pdf Published November 2015. Accessed September 29, 2016.

Klass P, Dreyer BP, Mendelsohn AL. Reach Out and Read: Literacy promotion in pediatric primary care. Adv in Pediatrics. 2009;56:11-27.

Silverstein M, Iverson L, Lozano P. An English-language clinic-based literacy program is effective for a multilingual population. Pediatrics. 2002;109:E76.

Weitzman CC, Roy L, Walls T, Tomlin R. More evidence for reach out and read: a home-based study. Pediatrics. 2004;113(5):1248â€“1253.

Theriot JA, Franco SM, Sisson BA, et al. The impact of early literacy guidance on language skills of 3-year-olds. Clin Pediatr. 2003;42:165â€“72.

Mendelsohn AL, Mogilner LN, Dreyer BP, et al. The impact of a clinic-based literacy intervention on language development in inner-city preschool children. Pediatrics. 2001;107(1):130â€“134.

Diener ML, Hobson-Rohrer W, Byington CL. Kindergarten readiness and performance of Latino children participating in Reach Out and Read. J Community Med Health Educ. 2012;2(3):133.

American Academy of Pediatrics Literacy Toolkit. American Academy of Pediatrics. http://littoolkit.aap.org/Pages/home.aspx. Accessed September 29, 2016.

Blok H, Fukkink RG, Gebhardt EC, Leseman PPM. The relevance of delivery mode and other programme characteristics for the effectiveness of early childhood intervention. Int J Behav Dev. 2005;29(1):35-47.

Love JM, Kisker, EE, Ross C, et al. The effectiveness of early head start for 3-year-old children and their parents: Lessons for policy and programs. Dev Psych. 2005;41(6):885-901.

Huebner CE. Promoting toddlersâ€™ language through community-based intervention. J Appl Dev Psych. 2000;21(5):513â€“535.