Reading Bees: Adapting and Testing a Mobile App Designed to Empower Families to Read more Interactively with Children in Distinct Geographical and Cultural Contexts

阅读蜜蜂：调整和测试一款移动应用程序，旨在让家庭能够在不同的地理和文化背景下与孩子进行更多互动阅读

• 批准号: 10729773
• 负责人: John S. Hutton
• 金额: $ 15万
• 依托单位: CINCINNATI CHILDRENS HOSP MED CTR
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-08-04 至 2026-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10729773
• 关键词: 6 year old; Academy; Access to Information; Address; Adherence; Adult; Age; American; Android; Appalachian Region; Area; Attitude; Award; Bees; Behavior; Black race; Books; Brain; COVID-19 pandemic; Caring; Categories; Child; Child Rearing; Childhood; Clinic Visits; Code; Cognitive; Collaborations; Communities; Complement; Complex; Data; Development; Disadvantaged; Disparity; Emotional; Environment; Evaluation; Face; Family; Focus Groups; Frequencies; Geography; Gifts; Goals; Growth; Health; Health Personnel; Hispanic; Home; Household; Huntington Disease; Immigrant; Improve Access; Incentives; Inequity; Infrastructure; Journals; Knowledge; Language; Learning; Libraries; Link; Literacy Programs; Measures; Minority; Modeling; Nursery Schools; Outcome; Outcome Measure; Outcome Study; Parents; Pediatrics; Populations at Risk; Positive Reinforcements; Poverty; Process; Provider; Race; Readiness; Reading; Recommendation; Reporting; Resources; Rural; School Enrollments; Schools; Series; Services; Shapes; Stress; Surveys; Testing; Time; Translating; Trust; United States National Library of Medicine; Visit; Vocation; Work; Writing; cognitive benefits; coronavirus disease; cost; cost estimate; design; disadvantaged background; early childhood; empowerment; evidence base; experience; fall risk; financial incentive; flexibility; health literacy; impression; improved; infancy; innovation; kindergarten; literacy; marginalization; mobile application; pilot trial; programs; skills; socioeconomic disadvantage; stressor; teacher; tool; tutoring; usability; verbal

PROJECT SUMMARY Many children arrive at kindergarten unprepared to learn to read, at-risk of falling more behind, with major inequities linked to race, geography and poverty (rates >50%). These are amplified during disruptions such as COVID, when access to information and resources is perturbed. Low proficiency is strongly linked to adverse school, vocational and health outcomes, with estimated costs >$350 billion/year. As parents are a child’s “first and most important teachers,” home reading routines have a large impact on these outcomes. However, there are wide disparities in these between high- and low-resource families, fueled by household stressors, cultural differences, literacy challenges and other factors. Marginalized families also often face barriers to access of reliable literacy-promoting information, programs and resources, worsening disparities. Given trusted access to families when parenting routines are shaped, health providers are poised to help mitigate these barriers, yet guidance tends to be general, inconsistent and can fade-out at home. The objective of the proposed project is to enhance, “localize” and test a new, free mobile app designed to provide reliable shared reading guidance and resources for parents (Reading Bees; RB) in an efficient, engaging way. The rationale is that no similar approach exists, RB is free and designed to enhance existing programs, and there is evidence that its features will be useful and effective. Content is evidence-based and has been co-developed with input from community stakeholders and families from disadvantaged backgrounds. Core principles are clarity, credibility, flexibility (e.g., parents set their own goals), responsiveness (child age, family concerns, ZIP), engaging content (tips, videos, resources) and positive reinforcement (“LitCoin” awards). The long-term goal of this project is to use RB to help improve reading and literacy outcomes. To achieve this, teams in 3 culturally distinct areas (OH, WV, FL) will collaborate in a 3-year project. Content will first be added to address needs in each community: lists of local reading-related resources curated by area stakeholders and a Spanish language version of RB. Enhanced, “localized” RB will then be tested with parents in each area, first through focus groups to gauge usefulness and guide refinement, and then by providing RB to parents (ages 0-6) during clinic visits and measuring use over the next 2 months. Outcome measures involve feasibility, acceptance and useflness. The central hypothesis is that local stakeholders will be engaged by the opportunity to highlight resources in their area; families will rate RB content as useful and use RB often, especially to earn LitCoin awards; and improved access to information and resources will fuel better reading and literacy outcomes. This work is significant and innovative as it involves a tech-enabled, user-centered approach that is scalable within existing pediatric, library and program infrastructure and empowers parents to read more interactively and access reliable information. The expected outcome is that this work will provide vital enhancements to RB, show feasibility and usefulness and provide a flexible, collaborative model to “localize” and scale use of RB into other areas.

项目摘要 许多孩子到达幼儿园没有准备好学习阅读，跌落更多的危险， 与种族，地理和贫困有关的不平等现象（速率> 50％）。这些在干扰过程中被放大，例如 当访问信息和资源时，COVID会受到干扰。低水平与对手密切相关 学校，投票和健康成果，估计成本> 355亿美元/年。因为父母是孩子的“首先 和最重要的老师，”家庭阅读惯例对这些结果产生了很大的影响。但是， 在家庭压力源，文化的推动下，高资源和低资源家庭之间的分布很广 差异，识字挑战和其他因素。边缘化家庭也经常面临障碍 可靠的启动扫盲信息，程序和资源，令人担忧的分布。给予可信赖的访问 家庭育儿惯例时，健康提供者会中毒以帮助缓解这些障碍，但 指导往往是一般，不一致的，并且可能在家中消失。拟议项目的目的是 增强，“本地化”并测试一个新的免费移动应用程序，旨在提供可靠的共享阅读指南 和父母的资源（阅读蜜蜂； RB），以一种有效，引人入胜的方式。理由是没有类似的 方法存在，RB是免费的，旨在增强现有程序，并且有证据表明其功能 将是有用和有效的。内容是基于证据的，并且已与社区的意见共同开发 来自弱势背景的利益相关者和家庭。核心原则是清晰，信誉，灵活性 （例如，父母设定自己的目标），响应能力（儿童年龄，家庭关注，邮政编码），引人入胜的内容（提示， 视频，资源）和积极的加强（“ Litcoin”奖项）。该项目的长期目标是使用 RB帮助改善阅读和识字结果。为了实现这一目标，在三个文化不同领域的团队（哦， WV，FL）将在一个为期3年的项目中合作。首先将添加内容以满足每个社区的需求： 由区域利益相关者和西班牙语版本的RB策划的本地阅读相关资源列表。 然后，将首先通过焦点小组与父母进行增强的“本地化” RB进行测试 有用性和指导精致，然后通过在诊所就诊期间向父母（0-6岁）提供RB，然后 在接下来的两个月内测量使用。结果指标涉及可行性，接受和使用。这 中心假设是，当地利益相关者将有机会强调资源 区域;家庭将将RB内容评为有用，并经常使用RB，尤其是获得Litcoin奖励；并改进 获取信息和资源将推动更好的阅读和识字结果。这项工作很重要， 创新性，因为它涉及一种基于技术的，以用户为中心的方法，在现有儿科内可扩展， 图书馆和计划基础架构，并使父母能够更具交互性阅读并访问可靠 信息。预期的结果是，这项工作将为RB提供重要的增强，显示可行性和 有用性并提供灵活的协作模型，以“本地化” RB“本地化”并扩展使用RB。