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  • Quality Improvement Article
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Implementation of a pilot program of Reach Out and Read® in the neonatal intensive care unit: a quality improvement initiative

Journal of Perinatology volume 38, pages 759–766 (2018)Cite this article

Subjects

Abstract

Objective:

Language exposure is important for neurodevelopment, but is sparse in the neonatal intensive care unit (NICU).

Study design:

We introduced Reach Out and Read (ROR) in the NICU as a quality improvement initiative to increase language exposure. Measures included availability of books, accessibility of parents, and enrollment of infants, percent infants read to by their parents, and data from parental surveys.

Result:

98 infants were included (40 before, 58 after). We obtained books in the mother’s language for 95% of infants, 82% eligible infants were enrolled, and 70% read to their infants (mean of 0.45 ± 0.35 times/day). Surveyed parents enjoyed reading, noted positive effect(s), and intended to read post-discharge.

Conclusion:

We launched a well-received pilot ROR program in the NICU and reached our goal of ≥50% infants being read to by their parents. Further study is needed to assess the impact of reading in the NICU on parents and infants.

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References

  1. Caskey M, Stephens B, Tucker R, Vohr B. Importance of parent talk on the development of preterm infant vocalizations. Pediatrics. 2011;128:910–6.

    Article  PubMed  Google Scholar 

  2. Huttenlocher J. Language input and language growth. Prev Med. 1998;27:195–9.

    Article  PubMed  CAS  Google Scholar 

  3. Mayberry RI, Lock E, Kazmi H. Linguistic ability and early language exposure. Nature. 2002;417:38.

    Article  PubMed  CAS  Google Scholar 

  4. Briscoe J, Gathercole SE, Marlow N. Short-term memory and language outcomes after extreme prematurity at birth. J Speech Lang Hear Res. 1998;41:654–66.

    Article  PubMed  CAS  Google Scholar 

  5. Bohm B, Katz-Salamon M, Institute K, Smedler AC, Lagercrantz H, Forssberg H. Developmental risks and protective factors for influencing cognitive outcome at 5 1/2 years of age in very-low-birthweight children. Dev Med Child Neurol. 2002;44:508–16.

    Article  PubMed  Google Scholar 

  6. Vohr BR, Wright LL, Dusick AM, Mele L, Verter J, Steichen JJ, et al. Neurodevelopmental and functional outcomes of extremely low birth weight infants in the National Institute of Child Health and Human Development Neonatal Research Network, 1993-4. Pediatrics. 2000;105:1216–26.

    Article  PubMed  CAS  Google Scholar 

  7. Ortiz-Mantilla S, Choudhury N, Leevers H, Benasich AA. Understanding language and cognitive deficits in very low birth weight children. Dev Psychobiol. 2008;50:107–26.

    Article  PubMed  Google Scholar 

  8. Caskey M, Stephens B, Tucker R, Vohr B. Adult talk in the NICU with preterm infants and developmental outcomes. Pediatrics. 2014;133:e578–584.

    Article  PubMed  Google Scholar 

  9. Webb AR, Heller HT, Benson CB, Lahav A. Mother’s voice and heartbeat sounds elicit auditory plasticity in the human brain before full gestation. Proc Natl Acad Sci USA. 2015;112:3152–7.

    Article  PubMed  CAS  PubMed Central  Google Scholar 

  10. Pineda RG, Neil J, Dierker D, Smyser CD, Wallendorf M, Kidokoro H, et al. Alterations in brain structure and neurodevelopmental outcome in preterm infants hospitalized in different neonatal intensive care unit environments. J Pediatr. 2014;164:52–60. e52

    Article  PubMed  Google Scholar 

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

    Google Scholar 

  12. Bus A, Van Ijzendoorn M, Pellegrini A. Joint book reading makes for success in learning to read: a meta-analysis of intergenerational transmission of literacy. Rev Educ Res. 1995;65:1–21.

    Article  Google Scholar 

  13. Braid S, Bernstein J. Improved cognitive development in preterm infants with shared book reading. Neonatal Netw. 2015;34:10–17.

    Article  PubMed  Google Scholar 

  14. Yarosz D, Barnett W. Who reads to young children? Identifying predictors of family reading activities. Read Psychol. 2001;22:67–81.

    Article  Google Scholar 

  15. Lariviere J, Rennick JE. Parent picture-book reading to infants in the neonatal intensive care unit as an intervention supporting parent-infant interaction and later book reading. J Dev Behav Pediatr. 2011;32:146–52.

    Article  PubMed  Google Scholar 

  16. Zuckerman B, Khandekar A. Reach Out and Read: evidence based approach to promoting early child development. Curr Opin Pediatr. 2010;22:539–44.

    Article  PubMed  Google Scholar 

  17. Council on Early C, High PC, Klass P. Literacy promotion: an essential component of primary care pediatric practice. Pediatrics. 2014;134:404–9.

    Article  Google Scholar 

  18. Langley GL, Moen R, Nolan KM, Nolan TW, Norman CL, Provost LP. The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed. San Francisco, CA: Jossey-Bass Publishers; 2009.

    Google Scholar 

  19. Perla RJ, Provost LP, Murray SK. The run chart: a simple analytical tool for learning from variation in healthcare processes. BMJ Qual Saf. 2011;20:46–51.

    Article  PubMed  Google Scholar 

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Acknowledgements

Funding

This work was supported by grants from Reach Out and Read of Massachusetts and the Cabot Family Charitable Trust, as well as the Boston Medical Center Elaine Ullian Fund.

Author information

Authors and Affiliations

  1. Boston Medical Center, Division of Neonatology, Boston, MA, USA

    Bernadette M. Levesque

  2. Boston University School of Medicine, Boston, MA, USA

    Bernadette M. Levesque

  3. Boston University School of Public Health, Boston, MA, USA

    Anh Tran

  4. Department of Pediatrics, Boston Medical Center, Boston, MA, USA

    Emily Levesque & Hira Shrestha

  5. Department of Nursing, Boston Medical Center, Boston, MA, USA

    Ramona Silva, Marsha Adams, Marilyn Valles & Judith Burke

  6. Reach Out and Read of Massachusetts, Boston, MA, USA

    Alison Corning-Clarke & Carole Ferguson

Authors
  1. Bernadette M. Levesque
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  2. Anh Tran
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  3. Emily Levesque
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  4. Hira Shrestha
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  5. Ramona Silva
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  6. Marsha Adams
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  7. Marilyn Valles
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  8. Judith Burke
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  9. Alison Corning-Clarke
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  10. Carole Ferguson
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Corresponding author

Correspondence to Bernadette M. Levesque.

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Conflict of Interest

All authors are responsible for this reported research. Dr. Levesque currently serves as a consultant to Reach Out and Read of Massachusetts to provide training for other neonatal intensive care units in Massachusetts who are interested in introducing Reach Out and Read in their units. Alison Corning-Clarke and Carole Ferguson are both employed by Reach Out and Read of Massachusetts. The remaining authors declare that they have no conflict of interest.

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Levesque, B.M., Tran, A., Levesque, E. et al. Implementation of a pilot program of Reach Out and Read® in the neonatal intensive care unit: a quality improvement initiative. J Perinatol 38, 759–766 (2018). https://doi.org/10.1038/s41372-018-0060-8

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  • DOI: https://doi.org/10.1038/s41372-018-0060-8

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