I came up a method for differentiating between titles that are underlined and titles with quotations marks with my third-graders today.
For underlines, we make a nice long underline with flat hands moving out, reminding us that LONG things (books, movies, albums, collections of poems, etc) are underlined.
For quotation marks, we make quotation marks with the fingers of both hands, and scrunch our arms and shoulders together a little as we curl our fingers, reminding us that quotation marks are for SHORT things (poems, short stories, songs, etc).