KEY WORDSchild development health knowledge, attitudes, practice motor skills play and playthings prone positionWe examined caregiver awareness of the American Academy of Pediatrics' prone play recommendation, determined the primary sources of the recommendation, and examined why some infants are not provided "tummy time." Of caregivers, 25% were not aware of prone play recommendations, and one-fourth of that group was not aware of potential complications from limited tummy time. The primary sources of prone play information and potential complications were printed materials, then pediatricians. Of infants, 53% received £30 min; 35% were intolerant of the prone position. This study indicates that many caregivers are not aware of tummy time and complications that can occur if it is not provided. Health care professionals, including therapists, must educate parents on the importance of prone play and provide information on how to increase infant tolerance for prone play time.

Objectives This study aimed to identify predictors of cranial asymmetry. We hypothesize that among infants diagnosed with cranial asymmetry in the sampled region, there is an association between exposure to more time in baby gear and less awake time in prone and side-lying than in infants who do not present with this condition. Methods The study employed a cross sectional survey of caregivers of typically developing infants and infants diagnosed with cranial asymmetry. Results A mutivariable model reveals that caregivers of children who are diagnosed with cranial asymmetry report their children spending significantly less time in prone play than those children without a diagnosis of cranial asymmetry. Side-lying and time spent in baby gear did not attain statistical significance. Conclusions for Practice Occupational therapists, physical therapists, pediatricians, nurses and other health care professionals must provide parents with early education about the importance of varying positions and prone play in infancy and address fears and concerns that may serve as barriers to providing prone playtime.

Background: Team-Based Learning (TBL) is an active instructional approach used in health care education that incorporates group work.

Based on this study, particular emphasis needs to be placed on reaching out to lower income groups to disseminate the American Academy of Pediatrics (AAP) sleep positioning recommendations. The importance of positioning infants supine for sleep must be stressed before mother and baby are discharged from the hospital. Caregivers need to understand that many infants prefer to sleep on their stomachs, but there are ways to help babies adapt to supine sleeping.