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The present article reports results of a real-world effectiveness trial conducted in Denmark with six thousand four hundred eighty-three 3- to 6-year-olds designed to improve children's language and preliteracy skills. Children in 144 child cares were assigned to a control condition or one of three planned variations of a 20-week storybook-based intervention: a base intervention and two enhanced versions featuring extended professional development for educators or a home-based program for parents. Pre- to posttest comparisons revealed a significant impact of all three interventions for preliteracy skills (= .21-.27) but not language skills (d = .04-.16), with little differentiation among the three variations. Fidelity, indexed by number of lessons delivered, was a significant predictor of most outcomes. Implications for real-world research and practice are considered.

Structural quality in childcare centers is considered a precondition for process quality, which in turn is related to children's outcomes. However, the evidence on relations between structural and process quality is mixed. Moreover, despite strong theoretical claims, empirical evidence supporting the indirect relation of structural features through process quality on child outcomes is scarce. The current study contributes to the knowledge by (a) investigating the direct relations of structural teacher and classroom features with growth in children's language and preliteracy skills in a sample of more than 3,000 children, (b) studying the associations of process quality with children's outcomes using the widely used Classroom Assessment Scoring System Pre-K observational measure among more than 400 teachers, and (c) testing indirect effects of structural quality through process quality on growth in children's skills. Process quality was generally directly positively associated with gains in children's language and preliteracy skills, whereas structural quality showed few direct relations. In addition, the average level of children's initial language and preliteracy skills were positively related to gains, as was classrooms' proportion of non-Danish children (indirectly through process quality). The results illustrate the complexities of relations between structural and process quality and children's outcomes and warrant further research.

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