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NCT Number: NCT06796790

Literacy Instruction Through Media for Everyone

The goal of this study is to determine whether an intervention to support caregivers in engaging with their children while using educational media together can improve children's early literacy skills, compared to an aligned shared book reading intervention and to no intervention. Given that early literacy skills predict children's later academic learning, this home intervention, which aims to shape the communication patterns surrounding a common, family-friendly activity, has the potential to positively influence the trajectory of low income children's academic success. The investigators propose that amedia based activity will reduce barriers and increase adherence therefore increasing literacy skills over time.

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Key information

Age range

42 month–57 month

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

The Ohio State University Crane Center for Early Childhood

Columbus, Ohio, 43201, United States

Location status: Recruiting

Location contact

Amy Nathanson, PhD

SUB_INVESTIGATOR

Eileen L Donnally, Master of Science

CONTACT

[email protected]

614-247-5897

Hui Jiang, PhD

SUB_INVESTIGATOR

Laura M Justice, PhD

SUB_INVESTIGATOR

Rebecca A Dore, PhD

CONTACT

[email protected]

(614) 247-7488

Rebecca A Dore, PhD

PRINCIPAL_INVESTIGATOR

About this study

The proposed study draws upon an implementation science framework (Nilsen, 2015) to determine the extent to which a media-based caregiver-led intervention improves caregiver adherence and in turn children's early literacy development relative to a shared reading intervention. Caregiver-implemented shared reading interventions represent the 'current standard practice' for addressing early literacy needs, yet many caregivers cannot implement this practice with adequate adherence. This is particularly true for low-socioeconomic status families, in which shared reading may not be a conventional activity and barriers inhibit its use. The investigators propose-and test-that a media-based intervention reduces barriers to intervention implementation and increases social validity, leading to higher levels of adherence and, via mediation, enhanced child literacy outcomes. To establish this causal chain, the investigators mplement a media-based early literacy intervention, compare it to a highly aligned shared reading intervention, and measure (1) social validity of the intervention to test whether use of media circumvents barriers, (2) caregiver adherence (i.e., frequency and dosage), and (3) child early literacy skills gains immediately and over time. As the first causally interpretable study to compare media and shared reading as caregiver-led interventions, the proposed project will identify strategies to improve adherence in home-based interventions and inform development of interventions to improve school readiness among low-SES children.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • between 42 and 57 months at enrollment
  • minimally verbal in English
  • caregiver sufficiently proficient in English
  • does not have severe intellectual disability

Exclusion criteria

  • under 42 months
  • over 57 months at enrollment
  • severe intellectual disability
  • not proficient in English

Treatment and study plan

Media instruction

Behavioral

Caregivers will be asked to implement joint media sessions with their child four times per week for 12 weeks using lightly adapted versions of the commercially-available Super Why! program, which focuses on early literacy skills, including alphabet knowledge, rhyming, spelling, and print concepts. Sessions are anticipated to last 20 minutes. Caregivers will be trained by researchers on explicit strategies to use to promote children's learning. Caregivers will digitally log every session and audio record 1 session each week

Storybook intervention

Behavioral

Caregivers will be asked to implement joint storybook reading sessions with their child four times per week for 12 weeks using adapted versions of the commercially -available Super-Why! storybooks, which focus on early literacy skills including alphabet knowledge, rhyming, spelling, and print concepts. Sessions are anticipated to last 20 minutes. Caregivers will be trained by researchers on explicit strategies to use to promote children's learning. Caregivers will digitally log every session and audio record 1 session each week.

Primary outcomes

  1. Print concept knowledge

    Time frame: At pretest after enrollment and at posttest after the 12 week intervention period

    Children are administered the Preschool Word and Print Awareness (PWPA) measure (Justice et al., 2006), which examines children's knowledge of 16 basic print concepts. The PWPA has high inter-rater reliability (96% to 100%, Justice & Ezell, 200), acceptable internal consistency (#= .7; Dobbs- Oates et al., 2015) and can reliably estimate preschoolers' print-concept knowledge (Justice et al., 2006).

  2. Alphabet knowledge

    Time frame: At pretest after enrollment and at posttest after the 12 week intervention period

    Children are administered the Alphabet Knowledge subtest of the Phonological Awareness Literacy Screening - Preschool (PALS-PreK; Invernizzi et al., 2001). Children are presented with uppercase and lowercase letters printed in random order and receive a point for each letter named correctly.

    Cronbach's alphas average average .86. Inter-rater reliability is >.96 (Invernizzi et al., 2004). The full PALS-PreK test is highly correlated with measures of reading ability (e.g., Test of Early Reading Ability, r= .67) and predicts later performance on a similar literacy measure (rs > .53). Further, this subtest has high predictive validity in discriminating children who will later be identified as needing additional instruction (Invernizzi et al., 2001).

  3. Name Writing

    Time frame: At pretest after enrollment and at posttest after the 12 week intervention period

    Children are administered the Name Writing subtest from the PALS-PreK. In the Name Writing subtest, the child is asked to draw a picture of themselves and then write their name. They are then asked to show the assessor their name. Only the written name is scored. This subtests has high inter-rater reliability (.99). As noted above, the full test has good convergent and predictive validity (Invernizzi et al., 2001).

  4. Phonological Awareness

    Time frame: At pretest after enrollment and at posttest after the 12 week intervention period

    Children are administered two subtests from the PALS-PreK. In the Beginning Sound Awareness subtest, the child is asked to produce the beginning sound of a word. This subtests has acceptable reliability (# = .93) and inter-rater reliability is high (.99). As noted above, the full test has good convergent and predictive validity (Invernizzi et al., 2001). The Rhyme Awareness subtest was removed in February 2026 due to feasibility concerns identified in early study data.

  5. Word reading

    Time frame: At pretest after enrollment, at posttest after the 12 week intervention period, at 3-month follow up, at 6-month follow-up, and at 12- month follow up

    At all timepoints, children are administered the Letter-Word Identification subtest of the Woodcock Johnson IV Test of Achievement (WJ IV; Schrank, McGrew & Mather, 2014). This subtest requires children to identify or read isolated letters and words orally. This subtest has adequate internal-consistency (.94; Schrank & Wendling, 2018). It has a high factor loading onto the Broad Reading cluster (.92; McGrew et al., 2014) which is highly correlated with other measures of reading like the Wechsler Individual Achievement Test (WIAT) Total Reading (.89; Schrank & Wendling, 2018). It is strongly correlated with general school readiness (r = .84) as measured by the Differential Ability Scales (McGrew et al., 2014).

  6. Spelling

    Time frame: At pretest after enrollment, at posttest after the 12 week intervention period, at 3-month follow up, at 6-month follow-up, and at 12- month follow up

    At all timepoints, children are administered the Spelling subtest from the WJ IV, requiring children to draw lines, trace and write letters, and spell orally presented words. This subtest has adequate internal-consistency reliability (.92; Schrank & Wendling, 2018) and a high factor loading onto the Broad Written Language Cluster (.87), which is highly correlated with other measures of writing like WIAT Written Expression (.77; McGrew et al., 2014). This subtest is moderately correlated (r = .69) with general school readiness as measured by the Differential Ability Scales (McGrew et al., 2014).

Secondary outcomes

  1. Enjoyment of intervention activities

    Time frame: Four times per week during the 12-week intervention and at posttest after the intervention

    Enjoyment of intervention activities is measured to assess the extent to which the media intervention circumvents barriers related to caregiver difficulty and discomfort with reading. Enjoyment will be measured with three items: "How do you think today's session went?", "How much did you enjoy these sessions?", and "How uncomfortable or difficult did you find these sessions?"

  2. Perceived value of intervention activities

    Time frame: At posttest after the 12 week intervention period

    Perceived value of intervention activities is measured to assess the extent to which the media intervention reduces barriers related to a limited understanding of the benefits of shared-reading activities. Two items are used: "How much did these sessions help your child's development?" and "How much did these sessions help your child learn about letters and how to read simple words?".

  3. Ease of Scheduling

    Time frame: At posttest after the 12 week intervention period

    Ease of fitting activities into schedule is measured to assess the extent to which the media intervention reduces the time pressure barrier. One item asks: "How easy was it to fit this session into your family's schedule?"

  4. Caregiver Adherence

    Time frame: Throughout the 12-week intervention

    Caregivers will be trained in procedures for using a digital Qualtrics log to track use of the intervention activities. The log will be preloaded as a bookmark onto the home screen of each tablet and will ask participants to note the episode watched.

  5. Quantity of print-related talk

    Time frame: Throughout the 12-week intervention

    Audio-recorded intervention sessions will be coded by trained research staff to document the quantity of print-related talk within each session. Specifically, the Fidelity Coding Catalog (FCC) coding scheme was developed to document caregiver-child talk during reading sessions and is a reliable event-based coding system measuring frequency and quantity of print-focused talk. The FCC captures, for instance, every adult utterance that contains print-related key words, such as letter, word, and read. The quantity of print-related talk as measured by the FCC is an important index of intervention adherence but also represents a key mechanism through which intervention impacts early literacy development (McGinty et al., 2011).

Study contacts

Contact information is provided by the study sponsor or research team.

Eileen L Donnally, Master of Science

CONTACT

[email protected]

614-247-5897

Rebecca A Dore, PhD

CONTACT

[email protected]

(614) 247-7488

Sponsors and collaborators

Lead sponsor

Ohio State University

Other

Collaborators

  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
  • University of Central Florida

Registry information

Official study title

Efficacy and Mechanisms of Media and Storybook Interventions to Promote Children's Early Literacy Skills Via Caregiver Engagement

Acronym: LIME

Important dates

Study start
2025
Primary completion
2029
Study completion
2029
First posted
Jan 28, 2025
Registry last updated
Feb 23, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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