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Positive impact of an inpatient early childhood literacy programme on literacy practices and family experience in a paediatric heart centre

Published online by Cambridge University Press:  23 October 2024

Allison C. Young
Affiliation:
Department of Pediatrics, Baylor College of Medicine/Texas Children’s Hospital, Houston, TX, USA
Amanda Ruth
Affiliation:
Division of Critical Care Medicine, Department of Pediatrics, Baylor College of Medicine/Texas Children’s Hospital, Houston, TX, USA
Lauren Ginn
Affiliation:
Department of Biosciences, Rice University, Houston, TX, USA
Louisa Sethi
Affiliation:
Division of Critical Care Medicine, Department of Pediatrics, Baylor College of Medicine/Texas Children’s Hospital, Houston, TX, USA
Melody Hellsten
Affiliation:
Division of Palliative Care, Department of Pediatrics, Baylor College of Medicine/Texas Children’s Hospital, Houston, TX, USA
Kirby Deshotels
Affiliation:
Division of Critical Care Medicine, Department of Pediatrics, Baylor College of Medicine/Texas Children’s Hospital, Houston, TX, USA
Chetna K. Pande
Affiliation:
Division of Critical Care Medicine, Department of Pediatrics, Baylor College of Medicine/Texas Children’s Hospital, Houston, TX, USA
Nirica M. Borges
Affiliation:
Division of Critical Care Medicine, Department of Pediatrics, Baylor College of Medicine/Texas Children’s Hospital, Houston, TX, USA
Eric Wang
Affiliation:
Volunteer Services, Texas Children’s Hospital, Houston, TX, USA
Kelsey Mummert
Affiliation:
Division of Critical Care Medicine, Department of Pediatrics, Baylor College of Medicine/Texas Children’s Hospital, Houston, TX, USA
Stephanie Hill
Affiliation:
Division of Cardiology, Department of Pediatrics, Baylor College of Medicine/Texas Children’s Hospital, Houston, TX, USA
Tasha Bryant
Affiliation:
Division of Cardiology, Department of Pediatrics, Baylor College of Medicine/Texas Children’s Hospital, Houston, TX, USA
Ginger Brown
Affiliation:
Division of Cardiology, Department of Pediatrics, Baylor College of Medicine/Texas Children’s Hospital, Houston, TX, USA
Kriti Puri*
Affiliation:
Division of Critical Care Medicine, Department of Pediatrics, Baylor College of Medicine/Texas Children’s Hospital, Houston, TX, USA Division of Cardiology, Department of Pediatrics, Baylor College of Medicine/Texas Children’s Hospital, Houston, TX, USA
*
Corresponding author: Kriti Puri; Email: [email protected]

Abstract

Objective:

CHD predisposes children to neurodevelopmental delays. Frequent, prolonged hospitalisations during infancy prevent children with heart disease from participating in recommended language and cognitive development programmes, such as outpatient early childhood literacy programmes, and contribute to caregiver stress, a risk factor for adverse developmental outcomes. This study aims to describe the implementation of a single-centre inpatient early childhood literacy programme for hospitalised infants with heart disease and assess its impact on reading practices and patient–family hospital experience.

Methods:

Admitted infants ≤1 year old receive books, a calendar to track reading frequency, and reading guidance at regular intervals. Voluntary feedback is solicited from caregivers using an anonymous, QR-code survey on books. A prospective survey also assessed programme impact on hospital experience.

Results:

From February 2021 to November 2023, the Books@Heart programme provided 1,293 books to families of 840 infants, of whom 110 voluntarily submitted feedback. Caregivers reported a significant improvement in access to books (p < 0.001) and increased reading frequency after learning about Books@Heart (p = 0.003), with the proportion reading to their child daily increasing from 27% to 62%. Among 40 prospective survey responses, caregivers reported feeling a sense of personal fulfillment (60%), self-confidence (30%), connection (98%), and personal well-being (40%) while reading to their child.

Conclusion:

An inpatient early childhood literacy programme is a well-received intervention for infants with heart disease that promotes development, improves book access, increases reading exposure, and engages families. Further studies are needed to assess its impact on sustained reading practices and neurodevelopmental outcomes.

Type
Original Article
Copyright
© The Author(s), 2024. Published by Cambridge University Press

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