Assuring Patient-centered Literacy Promotion for Underserved Children Study

This is a randomized controlled trial aimed at assessing the effectiveness of an enhanced
intervention consisting of a video and a series of text messages in promoting shared reading
between parents and children. Participants will be randomized to one of two study arms (1)
the enhanced intervention consisting of a video in the waiting room, standard guidance on
shared reading, and a series of text messages (2) regular care which includes standard
guidance on shared reading. The primary outcome will be shared reading occurrences. Secondary
outcomes will include receipt of intervention, measure of the cognitive home environment,
developmental screening results, and measure of parent reading beliefs.

Inclusion Criteria:

1. primary caregiver of a child age 6-15 months,

2. primary language English or Spanish,

3. cell phone ownership,

4. age ≥18 years,

5. willing to receive text messages, and

6. willing to accept randomization

Exclusion Criteria:

1. Individuals unable to provide consent

2. Individuals who do not meet inclusion criteria