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Evaluating the impact of telemedicine on the fidelity to the Reach Out and Read program: a quality improvement project
Descriptive
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Title
Evaluating the impact of telemedicine on the fidelity to the Reach Out and Read program: a quality improvement project
Name
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Ford
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Ana Carolina
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Ana Carolina Ford
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author
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Kwong
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Jeffrey
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Jeffrey Kwong
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Advisory Committee
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chair
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Rutgers University
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degree grantor
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School of Nursing - RBHS
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school
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Text
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theses
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ETD doctoral
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2021
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2021-05
Language
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English
Abstract
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Background: Evidence-based clinical interventions, such as the Reach Out and Read (ROR) program, provide a framework that enables pediatric providers to improve and promote early childhood literacy. Age-appropriate children's books are distributed to each child at their well visit from ages 6 months through 5 years old. Then their provider gives anticipatory guidance and model to the caregiver on reading aloud to their child (Zuckerman & Augustyn, 2011).
Purpose: With the rapid transition to telemedicine with the recent COVID-19 pandemic, little information is known on how the ROR program can be effectively delivered through this new platform, prompting the need to assess the effectiveness of ROR via telemedicine.
Method: In this quality improvement (QI) initiative, secondary data from a survey distributed to pediatricians to identify barriers and areas for improving the ROR program via telemedicine was analyzed. Recommendations on best practices for implementing ROR using telemedicine were developed.
Results: Data analyzed from completed surveys found that 71% of respondents indicated the extreme importance of implementing the ROR program as part of telehealth visits during the COVID-19 crisis. Barriers to implementing ROR via telemedicine included book distribution being unavailable, technology restrictions, insufficient training, lack of awareness of telehealth options for modeling reading, and options for providing books to patients.
Implications: These findings drove quality improvement recommendations and initiatives. The research team identified and developed resources, including a ROR telemedicine tip sheet, an educational video for pediatricians on how to implement ROR via telemedicine, and a list of online books and literature resources. With these recommendations and resources, pediatricians can effectively deliver ROR, whether in the clinic or telemedicine.
Purpose: With the rapid transition to telemedicine with the recent COVID-19 pandemic, little information is known on how the ROR program can be effectively delivered through this new platform, prompting the need to assess the effectiveness of ROR via telemedicine.
Method: In this quality improvement (QI) initiative, secondary data from a survey distributed to pediatricians to identify barriers and areas for improving the ROR program via telemedicine was analyzed. Recommendations on best practices for implementing ROR using telemedicine were developed.
Results: Data analyzed from completed surveys found that 71% of respondents indicated the extreme importance of implementing the ROR program as part of telehealth visits during the COVID-19 crisis. Barriers to implementing ROR via telemedicine included book distribution being unavailable, technology restrictions, insufficient training, lack of awareness of telehealth options for modeling reading, and options for providing books to patients.
Implications: These findings drove quality improvement recommendations and initiatives. The research team identified and developed resources, including a ROR telemedicine tip sheet, an educational video for pediatricians on how to implement ROR via telemedicine, and a list of online books and literature resources. With these recommendations and resources, pediatricians can effectively deliver ROR, whether in the clinic or telemedicine.
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Reach Out and Read
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Pediatric Nurse Practitioner
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Rutgers University Electronic Theses and Dissertations
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ETD_11740
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1 online resource (81 pages)
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DNP
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Includes bibliographical references
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Title
Reach Out and Read quality improvement project
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School of Nursing (RBHS) DNP Projects
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rucore10004500001
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doi:10.7282/t3-hs69-7n15
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Rights
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The author owns the copyright to this work.
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Name
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Ford
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Ana
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Permission or license
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2021-04-12 10:12:39
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Ana Ford
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Rutgers University. School of Nursing - RBHS
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Author Agreement License
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I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
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2021-05-31
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2023-05-31
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after May 31st, 2023.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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