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Small-Group, Emergent Literacy Intervention Under Two Implementation Models

Intent-to-Treat and Dosage Effects for Preschoolers at Risk for Reading Difficulties

Bibliographic Data

ID21349902
AuthorsShayne B Piasta (0000-0003-3655-4702, The Ohio State University, Columbus, USA, corresponding author), Jessica A R Logan (0000-0003-3113-4346, The Ohio State University, Columbus, USA), Cynthia M Zettler‐Greeley (0000-0003-2256-2971, Nemours Children’s Health, Jacksonville, FL, USA), Laura L Bailet (0000-0003-2744-9409, Kaplan Early Learning Company, Lewisville, NC, USA), Kandia Lewis (0000-0002-7891-9258, Nemours Children’s Health, Wilmington, DE, USA), Leiah J G Thomas (0000-0001-9988-3285, The Ohio State University, Columbus, USA)
Year2023
Volume56
Issue3
Pages225-240
Publication date2023-05-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Learning Disabilities (JOURNAL)
Journal identifiersISSN: 0022-2194 • E-ISSN: 1538-4780
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/00222194221079355
PMID35189750
OpenAlexW4212842086
LanguageEN
Citations received4
References cited67

Preschool-age children identified as at risk for later reading difficulties can benefit from supplemental, small-group emergent literacy intervention. As such interventions become commercially available and marketed to preschool programs, it is important to understand their impacts when implemented by intended end users under routine conditions. In this study, we examined the effects of the Nemours BrightStart! (NBS!) intervention on children’s emergent literacy skills when implemented by teachers and community aides in authentic preschool classrooms. We randomly assigned 98 classrooms to one of three conditions (NBS! teacher-implemented, NBS! community aide-implemented, or control). Children enrolled in these classrooms who met eligibility criteria and were identified as at risk via an early literacy screener ( n = 281) completed pretest and posttest emergent literacy assessments; those assigned to NBS! conditions received intervention from their classroom teacher or a community aide affiliated with a local kindergarten-readiness initiative. Intent-to-treat analyses showed no significant impacts of NBS! on any outcome, and an instrumental variable, as-treated approach showed one significant intervention effect on letter writing. Consequently, we did not replicate results of prior highly controlled efficacy trials. Findings have implications for revising the NBS! theory of change, conducting dosage and as-treated analyses, and moving research-based interventions toward scale-up

At-risk students · Developmental psychology · Emergent literacy · Intervention (counseling) · Literacy · Medical education · Pedagogy · Psychological intervention · Reading (process) · Clinical Psychology · Early Childhood Education and Development · Language Development and Disorders · Medicine · Psychology · Reading and Literacy Development

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Unique citing works4
Citations per year4
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 4

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