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.

项目概要 许多孩子进入幼儿园时并没有做好学习阅读的准备，面临着更加落后的风险。 与种族、地理和贫困相关的不平等（比率 >50%）在诸如此类的破坏期间会被放大。 当信息和资源的获取受到干扰时，熟练程度低与不利因素密切相关。 学校、职业和健康成果，估计每年花费超过 3500 亿美元，因为父母是孩子的“第一”。 和最重要的老师”，家庭阅读习惯对这些结果有很大影响。 高资源家庭和低资源家庭之间在这些方面存在巨大差异，原因是家庭压力、文化 差异、识字挑战和其他因素也常常面临边缘化家庭的获取障碍。 可靠的扫盲促进信息、计划和资源，并提供可信赖的获取途径，从而加剧差距。 当育儿习惯形成后，医疗服务提供者准备帮助减轻这些障碍，但 指导往往是笼统的、不一致的，并且可能在国内逐渐消失。 拟议项目的目标是。 增强、“本地化”和测试一款新的免费移动应用程序，旨在提供可靠的共享阅读指导 以高效、有吸引力的方式为家长提供资源（Reading Bees；RB）。 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 内容将是有用和有效的，并且是与社区的意见共同开发的。 利益相关者和来自弱势背景的家庭的核心原则是清晰、可信、灵活。 （例如，父母设定自己的目标）、响应能力（儿童年龄、家庭问题、ZIP）、吸引人的内容（提示、 视频、资源）和正强化（“LitCoin”奖励）是该项目的长期目标。 RB 帮助提高阅读和读写能力成果 为了实现这一目标，我们在 3 个文化不同的领域（OH、 西弗吉尼亚州、佛罗里达州）将在一个为期 3 年的项目中进行合作，首先将添加内容以满足每个社区的需求： 由地区利益相关者编制的当地阅读相关资源列表和 RB 的西班牙语版本。 然后，增强的“本地化”RB 将与每个地区的家长一起进行测试，首先通过焦点小组来评估 有用性和指导细化，然后在诊所就诊期间向家长（0-6 岁）提供 RB 衡量未来 2 个月的使用情况包括可行性、接受度和实用性。 中心假设是，当地利益相关者将有机会强调其资源 区域；家庭会将 RB 内容视为有用并经常使用 RB，尤其是为了获得 LitCoin 奖励和改进； 获取信息和资源将促进更好的阅读和识字成果。 创新，因为它涉及一种技术支持、以用户为中心的方法，可在现有儿科范围内扩展， 图书馆和项目基础设施，使家长能够以更互动的方式阅读并可靠地访问 预期结果是这项工作将为 RB 提供重要的增强，展示可行性和 实用性，并提供灵活的协作模型，将 RB 的使用“本地化”并扩展到其他领域。