An innovative program focused on the promotion of parent-child reading aloud resulted in benefits to parent-child interactions and to child language and cognitive development that were greater than those provided by educational child care alone. This promising approach merits further evaluation at scale.

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Based on unadjusted t tests. b Based on ANCOVA adjusting for baseline score only. c Based on multilevel models adjusting for center, cluster, covariates (child's age, sex, first-born status, and race [indigenous]; parent's age, education level, marital status, family income, financial hardship, food insecurity, and depression), and baseline score. ANCOVA, analysis of covariance; CI, confidence interval; ICC, intraclass correlation coefficient; PSRA, Preschool Self-Regulation Assessment.e74 Reading Aloud and Child Self-Regulation in Brazil