Summary
PROJECT SUMMARY/ABSTRACT Native American (NA) toddlers and preschoolers experience a high rate of preventable developmental delay (DD) which contributes to decreased kindergarten readiness and often results in the need for special education services. In addition, children with DD are at high risk for preventable health issues, such as obesity and behavior problems. Varying environmental factors, such as poverty, decreased opportunities for structured play, increased caregiver stress, and low print exposure can contribute to DD. One of the most effective ways to address this type of DD is throu
