NCT02713659

Brief Summary

This study is testing the effects of early literacy promotion compared to standard literacy promotion at The Children's Hospital of Philadelphia. Eligible participants and their families will be consented and randomly assigned into either a standard literacy program or an early literacy program. Standard literacy will consist of the receipt of books and reading promotion beginning at 6 months of age, while early literacy will consist of the receipt of books and reading promotion beginning in the newborn period. In both groups, participants will receive weekly text messages until the child is 6 months old (the text messages will either about reading or safety) and have follow-up study visits at 6, 12, 18, and 24 months. The study will examine the effects of the intervention on language development and reading behaviors.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
120

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Mar 2016

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2016

Completed
9 days until next milestone

First Submitted

Initial submission to the registry

March 10, 2016

Completed
11 days until next milestone

First Posted

Study publicly available on registry

March 21, 2016

Completed
2.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2018

Completed
9 months until next milestone

Results Posted

Study results publicly available

September 9, 2019

Completed
Last Updated

September 9, 2019

Status Verified

August 1, 2019

Enrollment Period

2.8 years

First QC Date

March 10, 2016

Results QC Date

February 1, 2019

Last Update Submit

August 2, 2019

Conditions

Keywords

LiteracyChild DevelopmentReading

Outcome Measures

Primary Outcomes (1)

  • Change in Preschool Language Scale-5th Edition Score

    The Preschool Language Scale-5th Edition (PLS) is a validated measure of expressive and receptive language function among children from birth through 7 years of age and is available in Spanish and English. PLS-5 provides three norm-referenced standard scores: Auditory Comprehension (AC) standard score, Expressive Communication (EC) standard score, and Total Language (TL) composite score. The scores are on a normalized standard score scale that has a mean of 100 and a standard deviation of 15 with scores ranging from 0-200. Higher scores represent better language development..

    Change in PLS scores from 6 to 24 months of age

Secondary Outcomes (2)

  • Change in StimQ Score

    Change in StimQ score from 6 to 24 months of age

  • Health Services Utilization

    Birth to 6 months of age

Study Arms (2)

Early Literacy Promotion

EXPERIMENTAL

Parents and children randomized to the Early Literacy Promotion arm.

Behavioral: Early Literacy Promotion

Standard Literacy Promotion

ACTIVE COMPARATOR

Parents and children randomized to the Standard Literacy Promotion arm.

Behavioral: Standard Literacy Promotion

Interventions

Parents will receive a book with developmentally appropriate advice about reading at each well child visit from one week through 5 months of age, as well as weekly text reminders related to reading. From 6 months of age, both groups will receive standard literacy promotion and will attend study visits every six months until age 2.

Early Literacy Promotion

Parents will receive weekly text messages about child safety, and no books before the age of 6 months from their provider. From 6 months of age, both groups will receive standard literacy promotion and will attend study visits every six months until age 2.

Standard Literacy Promotion

Eligibility Criteria

Age15 Years+
Sexfemale
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • English or Spanish speaking
  • Mothers 15 years of age or older at the start of the study
  • Child born ≥ 35 weeks estimated gestational age (EGA)
  • Child less than 4 weeks old at enrollment
  • Child with Medicaid Insurance

You may not qualify if:

  • Child born premature \< 35 weeks EGA
  • Children with neurodevelopmental disabilities or congenital malformation at increased risk of language delays

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, 19104, United States

Location

Related Publications (1)

  • Guevara JP, Erkoboni D, Gerdes M, Winston S, Sands D, Rogers K, Haecker T, Jimenez ME, Mendelsohn AL. Effects of Early Literacy Promotion on Child Language Development and Home Reading Environment: A Randomized Controlled Trial. J Pediatr X. 2020 May 11;2:100020. doi: 10.1016/j.ympdx.2020.100020. eCollection 2020 Spring.

MeSH Terms

Conditions

Literacy

Condition Hierarchy (Ancestors)

CommunicationBehavior

Limitations and Caveats

1. Study setting and demographics may not be generalizable to other sites. 2. Participating families in the SLP arm with older children may have been exposed to the ROR program already, likely initiating shared reading prior to 6 months of age.

Results Point of Contact

Title
Dr. James Guevara
Organization
The Children's Hospital of Philadelphia

Study Officials

  • James P Guevara, MD, MPH

    Children's Hospital of Philadelphia

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 10, 2016

First Posted

March 21, 2016

Study Start

March 1, 2016

Primary Completion

December 1, 2018

Study Completion

December 1, 2018

Last Updated

September 9, 2019

Results First Posted

September 9, 2019

Record last verified: 2019-08

Data Sharing

IPD Sharing
Will share

Following completion of all analyses, data will be de-identified and made available for other investigators.

Shared Documents
STUDY PROTOCOL
Time Frame
12 months after publication of all relevant papers
Access Criteria
De-identified only

Locations