{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T13:34:44Z","timestamp":1792589684711,"version":"4.5.0"},"reference-count":60,"publisher":"American Academy of Pediatrics (AAP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>To test 2 strategies designed to enhance primary care\u2013based literacy promotion (LP): (1) text message reminders (texts), and (2) texts plus referral to community resources.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>We recruited 630 Latino caregiver-infant (aged 6 to 12\u00a0months) dyads for an effectiveness-implementation hybrid type 1 randomized trial. Dyads were randomly assigned into (1) LP-only (Reach Out and Read), (2) LP plus text messages (LP+texts), or (3) LP+texts\u2009plus\u2009referral to Connecting New Jersey (CNJ) (LP+texts+CNJ), which streamlines access to community resources based on the national Help Me Grow model. Participants completed online surveys and assessments at enrollment, and 9 and 18\u00a0months after enrollment. Primary outcomes focused on 3 domains: child language and social-emotional development, and parenting behaviors, including reading and verbal responsiveness. We followed the intent-to-treat principle and used step-down minimum P value method to adjust for multiple comparisons.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Among caregivers, 74% had\u2009less than or equal to a high school diploma and 88% reported speaking English\u2009less than\u2009very well. At 18\u00a0months after enrollment, the LP+text arm [effect size (ES)\u2009=\u20090.391; adjusted (adj.) P\u2009=\u2009.001] but not LP+text+CNJ had higher language scores compared with LP-only. At 9 and 18\u00a0months after enrollment, the LP plus texts plus CNJ arm had higher scores on social-emotional development than LP-only (ES\u2009=\u20090.267; adj. P\u2009=\u2009.04 and ES\u2009=\u20090.300; adj. P\u2009=\u2009.03, respectively), whereas the LP+text arm did not. At 9\u00a0months after enrollment, scores were higher for the LP+text+CNJ arm on verbal responsiveness (ES\u2009=\u20090.400; adj. P\u2009&amp;lt; .001) and the LP+text arm on reading (ES\u2009=\u20090.415; adj. P\u2009=\u2009.002) compared with LP-only.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>Two strategies with high potential for scale enhanced LP\u2019s ability to promote relational and developmental health. Clinicians and policymakers can use this knowledge to optimize LP\u2019s impact.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1542\/peds.2025-075346","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:02:41Z","timestamp":1790208161000},"source":"Crossref","is-referenced-by-count":1,"title":["Pediatric Literacy Promotion for Latino Families by Texts and Referrals: A 3-Arm RCT"],"prefix":"10.1542","volume":"158","author":[{"given":"Manuel E.","family":"Jimenez","sequence":"first","affiliation":[{"name":"1Department of Pediatrics, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey"},{"name":"2Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey"},{"name":"3Children\u2019s Specialized Hospital, New Brunswick, New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer R.","family":"Hemler","sequence":"additional","affiliation":[{"name":"2Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pamela Ohman","family":"Strickland","sequence":"additional","affiliation":[{"name":"4Rutgers School of Public Health, Piscataway, New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicja","family":"Bator","sequence":"additional","affiliation":[{"name":"2Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Lima","sequence":"additional","affiliation":[{"name":"1Department of Pediatrics, Rutgers Robert Wood Johnson Medical School, New Brunswick, New 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Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie A.","family":"Devine","sequence":"additional","affiliation":[{"name":"1Department of Pediatrics, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia Perez","family":"Cortes","sequence":"additional","affiliation":[{"name":"5Department of World Languages and Cultures, Rutgers University-Camden, Camden, New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin F.","family":"Crabtree","sequence":"additional","affiliation":[{"name":"2Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shawna V.","family":"Hudson","sequence":"additional","affiliation":[{"name":"2Department of Family Medicine and Community Health, Rutgers Robert Wood Johnson Medical School, New 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