Digital Literacy Promotion (DLP)

Children's Hospital of Philadelphia (CHOP)

Status: Completed

Conditions: Literacy; Language Development

Treatments: Behavioral: Standard/Board Book Arm; Behavioral: Digital/E-Book Arm

Study type: Interventional

Funder types: Other

Identifiers

NCT03121365

16-013524

Details and patient eligibility

About

This study evaluates the effects of digital versus standard literacy promotion, as well as dialogic language behaviors and reading comprehension among infants when comparing the use of e-books to standard board books. Around half of the participants will receive standard board books at the 6, 9, and 12 month well visits, while the other half will receive digital e-books.

Full description

This study has three main objectives. The first is to test the effects of digital versus standard literacy promotion by way of a randomized controlled trial design. The second aim is to explore the reading behaviors and reading activities between parents and their infants when comparing the use of e-books to standard board books. The third aim is to identify themes regarding dialogical reading behaviors among parents participating in the video sub-study.

Participants will be stratified by clinic site and randomized to receive literacy promotion using 1) standard early reader board books or 2) digital electronic early reader e-books. We will recruit and consent one hundred eligible parent-infant dyads, with the infant being between 5 and 7 months of age at enrollment.

In this intervention, parent-infant dyads randomized to the digital arm will receive developmentally appropriate e-books. Those randomized to the standard arm will receive developmentally appropriate board books. Participants will receive either the e-book or board book at the time of their 6, 9 and 12 month well visits. In addition to the books, parent-infant dyads in both arms will be provided information on the importance of early parent-child reading activity by pediatric clinicians using the Reach Out and Read framework.

The main outcome will be differences in Bayley-3 Composite scores between groups. Secondary aims include differences in StimQ Reading Subscale Scores and Edinburgh Postnatal Depression Scale Scores between groups.

Enrollment: 104 patients

Sex: All

Ages: 5 to 7 months old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• English or Spanish speaking
• Parents ≥ 15 years of age at start of study
• Child born ≥ 35 weeks estimated gestational age
• Child 5 to 7 months
• Medicaid Insurance
• Access to a smart phone and/or tablet

Exclusion criteria

• Child has neurodevelopmental disabilities or congenital malformation

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

104 participants in 2 patient groups

Standard/Board Book Arm

Active Comparator group

Description:

Parent-infant dyads randomized to the standard/board book arm will receive developmentally appropriate early reader board books at the time of their infant's 6, 9, and 12 month well visits. In addition to the books, parent-infant dyads will be provided information on the importance of early parent-child reading activity by pediatric clinicians using the Reach Out and Read framework.

Treatment:

Behavioral: Standard/Board Book Arm

Digital/E-Book Arm

Experimental group

Description:

Parent-infant dyads randomized to the digital/e-book arm will receive developmentally appropriate e-books at the time of their infant's 6, 9, and 12 month well visits. In addition to the books, parent-infant dyads will be provided information on the importance of early parent-child reading activity by pediatric clinicians using the Reach Out and Read framework.

Treatment:

Behavioral: Digital/E-Book Arm