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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
 
5020.0: Wednesday, December 14, 2005 - Board 2

Abstract #116656

Evaluation of home-visiting program to eliminate literacy disparities among children of socio-economically disadvantaged families

Shelli Panebaker, BS and Flavius R. W. Lilly, MPH. Department of Community Health Improvement, Hanover Hospital, 300 Highland Avenue, Hanover, PA 17331, (717) 633-3547, panebakers@hanoverhospital.org

OBJECTIVE: To assess the effectiveness of an early literacy home-visiting program for socio-economically disadvantaged families in a rural central Pennsylvania community (population 45,000). BACKGROUND: The Parent-Child Home Program (PCHP) helps prepare children (ages 2 to 4 years) to enter school ready to learn and succeed. Trained home visitors interact with children and their parents in the home twice a week for one year. PCHP emphasizes the power of verbal interaction through books and toys and empowers parents as their child's first teacher. METHOD: Two cohorts of families were investigated over 12 months, respectively (Cohort 1, N=18; Cohort 2, N=19). Pre- and post-testing of Early Language Development (TELD-3) assessed receptive language (understanding) and expressive (speech) language skills and the Adult/Child Interactive Reading Inventory (ACIRI) assessed parent-child interaction and literacy skills. Literacy behaviors measured included, 1) enhancing attention to text; 2) promoting interactive reading and supporting comprehension; and 3) using literacy strategies. RESULTS: Cohort 1 had mean early language gains significantly above what would be expected for age-of-child in receptive language (7.5 months) and in expressive language (11.67 months). Cohort 2 showed similar average gains in receptive (11.16 months) and expressive (12.42 months) language development. Increases were found in parents' use of literacy strategies (Cohort 1=29% increase, Cohort 2=18% increase) and in children's use of literacy strategies (Cohort 1=23% increase, Cohort 2=21% increase). CONCLUSION: Gains attributed to the PCHP reflect growth beyond normal expected development helping to eliminate literacy disparities among children of socio-economically disadvantaged families.

Learning Objectives:

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

Surveillance and Community Assessment in Maternal and Child Health

The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA