Project Manager update

At the end of each year, I think, “Wow, what a busy year.” This, our seventh year, has been no exception.

This year, we have been busy with:

  • Welcoming, and training Amber Bloom, MSW, who works directly with clinics on the eastern side of the state
  • Visiting 100 clinics throughout the state
  • Launching this blog, Books Build Better Brains
  • Keeping track of our medical director, Dipesh Navsaria, MPH, MSLIS, MD, who gave more than 40 presentations this year, in Wisconsin and 11 other states
  • Organizing and leading our annual meeting, now with 100 attendees, one third of which are medical providers
  • Organizing three legislator/state leader visits to ROR clinics
  • Beginning the collection of our post-intervention parent literacy orientation surveys
  • Assisting 30 clinics in launching ROR programs
  • Submitting 10 grants/requests for funding (six were funded)
  • Attending and presenting at the ROR National Center Leadership Meeting
  • Providing more than 24,000 books in support to 61 clinics
  • Offering strategic planning consultation to two other state affiliates
  • Serving on ROR National Center’s book and network advisory committees

This year, we are especially proud of:

We are consistently grateful for:

  • The amazing clinic staff we work with who volunteer their time to provide parenting support and early literacy promotion faithful to the ROR model
  • Children’s Health Alliance of Wisconsin, which provides us a home, infrastructure support and ongoing guidance
  • ROR National Center staff who cultivate national partners to further the work of early literacy promotion, provide training, resources and support to affiliate staff
  • Our funders, early literacy champions and individual donors who share our passion for children and literacy and without whose support none of the above would have been possible

Infographic showing Reach Out and Read Wisconsin's 2017 highlights part of project manager update

 

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Papers, pixels and pediatrics

This article was originally published by the Cap Times on Nov. 6, 2017

Recently, a colleague asked me about whether there was a difference between reading a book on a screen versus a paper page. People do worry about all sorts of concerns — light from screens, fine motor skill development, reading comprehension, and more. Many of these stem from an underlying technophobia — or technophilia, as it may be. What does the research tell us?

There are published studies which formally examine the difference, and the results seem to be all over the place. Some suffer from small sample sizes, or look only at very specific domains — comprehension, or interactional parent/child “warmth”, or mastery of a specific skill. There’s also a big difference looking at toddlers versus preschoolers versus elementary schoolchildren; they are at very different places in the world of reading. Additionally, many are adult studies, and may not apply to children. The reality is that, based on the available research, we just don’t yet know if there are significant meaningful differences.

I’m asked this question frequently when I give talks about early literacy, and I try to give at least some amount of guidance. My answer is as follows: To a certain extent, I think that text is text, whether it’s being viewed as ink on the dried wood pulp that we call pages or glowing pixels on a screen. There are a few key caveats, though:

First, the research is mixed on whether use of backlit screens can impact sleep. Melatonin is a hormone involved in initiation of sleep, and it is affected by light exposure, particularly certain wavelengths. While television has been in our collective lives for decades, those screens are a few feet away, rather than the several inches of most portable devices. However, while studies of close-in light use may affect melatonin, does typical real-world use do so? It’s hard to know as of yet. Until there’s better clarity on this, avoiding glowing screens at least an hour before bedtime is reasonable.

Second, most books for young children involve skillfully created images. Ensuring a screen is high-quality enough to allow the beauty of the images to be displayed is important and shouldn’t be compromised. Illustrations are as much part of the story as the text.

Third, there is a danger of a slippery slope when it comes to electronic devices — even young children often know devices can not only provide a Caldecott-award-winning picture book, but also offer up games. It’s hard for parents to resist a young child’s demands for the attention-grabbing nature of games — after all, marketing cereals to children is predicated on them throwing tantrums in the supermarket for a particular kind — with a high risk of displacing the intention to share books together…night after night.

Finally, there’s the danger of thinking the enhancements offered by e-books are necessarily an improvement over physical books. A parent might assume having a cow moo when tapped on a screen is inherently better than the silent paper equivalent. But is it? If that moo is not essential to the narrative or structure of the book, it may simply be a distractor. Children who become attuned to the “tap-and-make-something-happen” dynamic may ignore much of what is on displayed pages in favor of tapping everything on the screen in an attempt to “make it go”.

Ultimately, it all comes down to how the book is used. Assuming due care is exercised with the above points, for young children the most important factor is the presence of a caring, nurturing, responsive adult who understands how to interactively explore a book with a young child. This may be a skill unconsciously picked up by the adult through environmental role models, but for some they may require modeling, coaching, and the encouragement to do so. Rather than become lost in the electronic versus paper book wars, we would do well to ensure that each and every child has an adult in their lives who knows how to read well with them and can do so routinely.

Dipesh Navsaria, MPH, MSLIS, MD is the medical director of Reach Out and Read Wisconsin. He shares research regarding kids reading physical books and on electronic device.
Dipesh Navsaria, MPH, MSLIS, MD is the medical director of Reach Out and Read Wisconsin

My Reach Out and Read program

Dr. Richard Strauss began the first Reach Out and Read program in Wisconsin in 1997.
Dr. Richard H. Strauss

In July 1997 the first Reach Out and Read (ROR) Wisconsin program and the 50th in the nation, was started at Gundersen Lutheran Medical Center (now Gundersen Health System) in La Crosse. Nine months prior I had attended a workshop at the American Academy of Pediatrics meeting in Boston and learned how to establish a ROR program. Dr. Perri Klass, the national medical director of ROR, showed us how to encourage literacy during well-child visits. She encouraged providers that a new, developmentally-appropriate book could be given to children along with anticipatory guidance to their parents at well child visits from 6 months through 5 years. I remember sitting in the workshop thinking, “what a terrific idea, program, mission, dream, reason to raise money, way to spend money and way to teach families the importance of books, reading and literacy.”

Fast forward 20 years and there are nearly 20 ROR sites in the La Crosse region, 200 in the state and 6,000 in the country. There are 100,000 additional books in the homes of thousands of children in the Coulee Region.

What do I like most about ROR? There are too many things to list but here are a few of my favorites: ROR has three main components, all of which take place in medical offices where children have well-child visits:

1. A literacy-rich waiting area without a TV; promotion of the public library and applications for library cards in the waiting area; and a supply of slightly used books which can be taken home

2. Developmental advice and counseling by doctors, nurse practitioners, and physician assistants during the well-child visit

3. The gift of a new, developmentally-appropriate book to the child at well-child visits from 6 months to 5 years of age. ROR providers give up to 10 books to add or build a child’s home library. It is sad knowing those 10 books may be the only books in some households but at the same time, it can be wonderful, because 10 books are better than none, or one, or nine.

I love when a child arrives at the clinic remembering having received a customized book at their last visit (with their name and signed by their doctor, nurse practitioner or physician assistant) and eager for a new book.

The prescription to read 20 minutes a day has no ill effects. How many other prescriptions come without potentially bad side effects?

Early childhood brain research shows nearly 80 percent of a child’s brain infrastructure is formed during the first 36 months of life. ROR-trained doctors, nurse practitioners, and physician assistants discuss with parents the importance of talking, singing and reading aloud with young children. The first five years of a child’s life offer a critical window for brain development, and ROR seizes that opportunity in order to promote kindergarten readiness and future academic success.

Clinics with ROR programs now touch the lives of one in five Wisconsin children younger than 6 years of age in 54 of Wisconsin’s 72 counties. Parents involved with ROR are 2.5 times more likely to read to their children. Children’s language development is improved by three to six months in ROR families compared to their peers who have not been involved in ROR programs, and language ability increases with exposure to ROR. What is more rewarding than that?

In summary, ROR Wisconsin gives young children and their parents a foundation for success by incorporating books into pediatric care and encouraging families to read aloud together.

Reach Out and Read Wisconsin’s newest addition

Welcome to the newest addition to Reach Out and Read Wisconsin, our new blog, “Books Build Better Brains.” Through this platform we plan to offer tips, tools and resources for anyone looking to encourage reading and early learning in our youngest children.

The tagline Books Build Better Brains was created years ago by our Medical Director, Dipesh Navsaria, MPH, MSLIS, MD. We believe it is the perfect blog title because reading books aloud positively impacts everything from language and socio-emotional development and school readiness, to buffering against toxic stress and fostering healthy relationships.

While our early literacy program is implemented in primary care medical clinics (you can read more about our program here) we are excited about our ability to use this venue to expand our audience. Early literacy and learning is not limited to only one environment. Learning language and developing literacy skills, the building blocks of kindergarten readiness, can happen anywhere; during breakfast, in the car, while grocery shopping or in your doctor’s office. Our goal is to empower and support parents and families in their role as a child’s first teacher.

Our blog will provide a variety of resources, including tips for reading aloud with young children and ways to make learning fun. We will share firsthand accounts from clinics and their medical staff about why they enjoy working with Reach Out and Read. We will analyze timely research and relevant data in the fields of early brain and child development so you are equipped with knowledge to support early learning wherever and whenever you can make it happen. We look forward to introducing you to many of our partners across the state and the nation who inspire our work every day.

We love our collaboration with the Appleton Public Library and thank their physician liaison, Abbey Unruh for this book list. This list is helpful for clinics when ordering books or for families visiting their local public library. We plan on sharing other book lists like this in the future. We hope you find a title to share as a bedtime story tonight.

Favorite books to read aloud for ages birth to 5 years