The prevalence and effects of delayed early literacy and motor skill development in children of low-SES backgrounds is a significant issue that can have adverse developmental consequences and affect children's ability to succeed in school. Head Start programs serve nearly one million preschool children at risk for delays in the development of multiple school readiness skills due to low-socioeconomic status underscoring the need for evidence-based integrated curricula. Integrated curricula include interdisciplinary and cross-curricular activities and assessments that can positively impact the development of more than on skill. This project will specifically address delays in early literacy and fundamental motor skill development as being two important factors that impact school readiness. This study will examine the effectiveness of the Reading and Motor Program for Preschoolers (RaMPP), an integrated curricula model designed to improve child outcomes in early literacy and fundamental motor skill development.