Child Development and the Acquisition of Literacy SkillsAdapted from a Grand Rounds
Presentation at Primary Children’s Medical Center
Salt Lake City, Utah 3.29.2007
Perri Klass, MD
Motivation
“Perhaps the best way of inspiring a young child with a desire of learning to read is to read to him.”
Horace Mann, 1898
A number of studies from the National Academy of Education, the National Assessment of Educational Progress reports, National Research Council, and the National Research Center contributed to the information in this outline.
- Research shows 35 % of American children enter Kindergarten unprepared to learn, most lacking the language skills that are the prerequisites of literacy acquisition (1985).
- 37% of 4th graders perform below basic reading levels on national standardized tests for reading (2000).
- 31% of 4th graders perform at or above proficient reading levels on national standardized tests for reading (2003)
These data contribute to the following outcomes:
- One third of first graders placed in remedial reading programs
- Most are not dyslexic
- Many will remain in ‘slow’ reading groups throughout school
- After 4th grade, all school success is contingent on reading success consequences of school failure
- Poor self-esteem, boredom, frustration
- Increased risk of absenteeism, school avoidance, truancy, dropping out
- Increased risk of early pregnancy – substance abuse – legal trouble
Past Concepts of reading readiness development included the following:
- Neural ripening (1920’s) – Brain not ready until 6 yrs 6 months
- Reading readiness (1960’s) – Mastery of an ordered set of skills
- Emergent literacy (1980’s) – Literacy development begins at birth
- Critical cognitive work in first 5 years
- Early literacy development in real life settings
- Early exposure critical
The parent’s use of Language and its impact on Children’s Language
- Children’s language evolves primarily through parent-child interactions
- Repeated interactions stimulate early brain development and growth
- By two years of age, children’s language correlates with later cognitive performance
Reading and Children’s Brain Development
- The architecture of the brain is shaped by early experiences
- Underused nerve connections are “pruned”
- Repetitive use of cognitive skills associated with reading aloud—language, memory, comprehension–ensure that associated brain connections persist
Reading Aloud and Children’s Literacy Development (1999)
- Literacy development begins prior to reading
- Early language and literacy experiences form the foundation for later reading and language competencies
Benefits of Reading Aloud
- Stimulates imagination
- Fosters language development
- Promotes reading skills
- Prepares children for school success
- Encourages decontextualized language
- Motivates children to love book
The Importance of Emerging Literacy
Children at risk for reading difficulties are those who start school with:
- lower verbal skills
- less phonological awareness
- less letter knowledge
- less familiarity with the processes of reading
Reading Aloud and School Readiness
(National Center for Educational Statistics, 1999) compared reading aloud to children less than 3 times to those being read to 3 times or more times per week in Percent of children mastering:
Less than 3 times | 3 times or more | |
Recognize all letters | 14 % | 28% |
Count to 20 | 44% | 60% |
Write name | 40% | 53% |
Pretend to read/recite a story | 58% | 75% |
Have master 3-4 skills | 25% | 43% |
Low-income status significantly predicts children’s exposure to language (Bloom, 1998). Children from low-income families are far less likely to be read to on a daily basis (40%) than children read to daily (60%).
Poor Literacy Skills in Adults
- Up to 25% of adults in US functionally illiterate
- Functional illiteracy refers to the ability to use language in everyday life (at or below 5th grade)
- Another 25% are marginal (8th grade or below)
- These adults at risk for:
- Poor economic potential
- Poor health literacy and problems accessing care
- Poor ability to help children advance in school
The Importance of a Clinic-Based Intervention
Medical Providers:
- Reach most parents and children
- Have repeated one-on-one contact with families
- Provide trusted guidance about children’s development
- May serve as the only source of formalized support for poor families
Reach Out and Read contains three components.
- Volunteers in waiting rooms read aloud to children as they wait for their appointments
- Medical providers encourage parents to read aloud and offer anticipatory guidance
- At every health supervision visit, a child aged 6 mos.-5 years receives a new developmentally-appropriate book
The Model demonstrates reading aloud techniques through use of volunteers. Underscores that reading is entertaining for children and it can make the waiting room experience more pleasant.
- Anticipatory Guidance
- Stresses that reading aloud promotes the child’s love of books by linking books with the parent’s voice and attention
- Encourage parent and child to read together for pleasure
- Underscores the idea that reading aloud is important even before a child can talk
- Encourage parent to read aloud and talk about the book:
Ask questions (“Where is the baby?” “What does a dog say?”)
Point and name or describe objects
Relate the book to child’s experiences (“He has a sister, just like you.”)
More Anticipatory Guidance
- Articulate age-appropriate expectations:
- 6-month-old babies put books in their mouths
- 12-month-olds can point with one finger
- 18-month-olds can turn board book pages
- 2-year-olds may not sit still to listen to a book
- 3-year-olds can retell familiar stories
- Books Given in Exam Room or by Early Intervention or parents
In the Reach Out and Read program with pediatricians their goals include
- At each health supervision visit, a child age 6 mos. -5 years receives a new developmentally-appropriate book
- Before kindergarten, a child receives 10 books
- Books are introduced early in the visit and integrated into the examination within the context of other anticipatory guidance
- Introduce the Book Early in the Exam
What to say and observe developmentally:
- (Child’s name) is chewing on the book. Young kids like to do that.
- Even babies really like to look at pictures.
- Would you (the child) like to look at this book with me?
- Fine motor development (maturity of grasp, hand skills)
- Social/emotional interaction with others (shared attention, affect)
- Cognitive skills (attention, memory)
- Expressive and receptive language (vocabulary, comprehension of words)
- Vehicle to offer parents concrete advice about child development
Book-Handling Skills
• Helps turn pages (7-8 months)
• Turns pages well (11-15 months)
• Hands book to adult (11-15 months)
• Book right-side up (11-15 months)
• Understands upside down picture (24 months)
Picture Reading Skills
• Points to pictures (8-12 months)
• Points when asked “Where?” (8-12 months)
• Names objects (10-14 months)
• Points and asks “What’s that?” (13-20 months)
Story Reading Skills
• Book babble—sounds like reading (13-14 months)
• Fills in word in text (15-28 months)
• “Reads” to dolls or stuffed animals (17-25 months)
• Protests when adult gets word wrong (25-27 months)
• Reads familiar books to self (30-36 months)
Parent – Child Interactive Tasks
6-12 Months | Parent | Child |
Lets child explore book | Reaches for book Puts book in mouth Turns pages w/ help |
|
Holds child in lap | Sits in lap | |
Responds and interprets child’s initiations | Communicates through | |
Labels, uses gestures, talks during routines | Begins to understand a few words | |
12-18 Months | Parent | Child |
Lets child control book |
Holds book |
|
Follows child’s interest | Has short attention span | |
Asks “where is—?” | Points when asked “where is–?” | |
Responds to child’s initiations Labels/describes | Points and responds to pictures | |
Sings songs/rhymes |
Imitates parent’s vocals | |
18-24 Months | Parent | Child |
Lets child control book | Turns pages Carries book around |
|
Repeats same stories Engages in verbal turn taking |
Fills in words of stories Recites parts of stories Recites parts of stories Reads to dolls and others |
|
Labels /describes Repeats and expands child’s Utterances |
Begins vocabulary spurt | |
Points and asks “What’s that?” | Begins to combine words “telegraphic” speech | |
Relates books to child’s own experiences |
child relates pictures and words to daily experiances | |
24-36 Months | Parent | Child |
Lets child control book | Turns paper pages Protests when pages are skipped or story is wrong |
|
Points out letters and reads as part of routine like street signs | Coordinates text and pictures | |
Reads to assist with daily routines |
Recites familiar parts of stories | |
Labels/describes – Asks child to Name objects | Begins to use “No” May know around 320 words |
|
3 Years and Older | Parent | Child |
Asks “What happened?” | Has longer attention span | |
Lets child tell story | Understands more complex stories | |
Encourages writing | Anticipates outcomes | |
Points out letters and sounds | Attempts writing Begins recognizing letters |
|
Writes, displays and points out child’s name |
Asks questions about text (“why” questions) |
|
Responds/expands on child’s questions/stories |
Attempts to use sentences and grammar |
Summary of Research
Reach out and Read significantly and positively influences the literacy environment of children
- Parents read more to their children
- Parents and children have more positive attitudes toward reading aloud
- Children participating in ROR tend to have increased language development in comparison to non-participating children
Who Benefits from Reach out and Read
- Medical providers use books as valuable assessment tools and build bonds with families
- Parents are given essential information about reading aloud and suggestions for parent-child interactions
- Children get all the early literacy benefits of reading aloud and have 10 books of their own by age 5
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