The problem addressed in this qualitative case study was the ineffective use of book distribution program materials due to low self-efficacy of caregivers hinders the implementation of early literacy skills at home. The purpose of this qualitative exploratory case study was to explore caregivers' self-efficacy while implementing book distribution program resources at-home with their children to help develop their child's early literacy skills. The study framework included theories from Vygotsky and Piaget, including neo-Vygotskian and neo-Piagetian theories and Bandura's theory on self-efficacy. These theories were used to explore three research questions: (a) how do caregivers implement early literacy skills development at home utilizing book distribution program material, (b) what are caregiver perceptions of their self-efficacy for implementing book distribution program material, and (c) what are caregiver perceptions of current book distribution program material? Through semi-structured interviews, 10 participants shared their personal experiences with book distribution programs. The analysis yielded 14 themes: (a) reading aloud through shared book reading, (b) creating a routine, (c) reading strategies, (d) difficulty engaging the child, (e) book distribution programs not providing enough direction for implementation, (f) reading is a priority, (g) enjoyment for reading has been instilled, (h) language development, (i) print concepts, (j) comprehension, (k) free, (l) increased motivation to read, and (m) educational, quality, and diverse books, and (n) no direction or resources for caregivers. Implications of this study include that caregivers understand the importance of early literacy. Recommendations for practice include providing learning opportunities for caregivers, guides for each text received, and focus groups or panels for caregivers. Further research is needed to understand specific needs to foster positive self-efficacy, making programs more effective in teaching early literacy skills at home. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com.bibliotheek.ehb.be/en-US/products/dissertations/individuals.shtml.]