The Impact of Health Messages on Maternal Decisions About Infant Sleep Position: A Randomized Controlled Trial

Carlin, Rebecca F.; Abrams, Anna; Mathews, Anita; Joyner, Brandi L.; Oden, Rosalind P.; McCarter, Robert; Moon, Rachel Y.

doi:10.1007/s10900-018-0514-0

Cited by 12 publications

(19 citation statements)

References 33 publications

(28 reference statements)

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“…Evidence that discharge from hospital programmes do make a difference is also emerging [53] in a pilot trial of promoting safe sleep patterns in mothers of preterm babies, who have a doubled risk of SIDS; and there is also acknowledgement that this group especially should be targeted for educational interventions to reduce the risk of SIDS. Simple educational campaigns en masse may not have the desired effect [54,55] and additional measures may be needed such as 1:1 educational drives. These can comfortably be delivered in 1:1 or peer group packages supported by neonatal units, midwives and health care visitors as part of the point-of-care programme of education for parents and carers.…”

Section: Safe Sleepmentioning

confidence: 99%

Parent-Carer Education: Reducing the Risks for Neonatal and Infant Mortality

Pillay¹

2019

Neonatal Medicine

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In this chapter, the role of engaging parents, family members, partners, significant others and carers (subsequently referred to as parent-carers) as key partners in targeted strategies for reducing the risks associated with neonatal mortality is discussed, especially within the context of less resource-constrained environments. Parent-carer education, sharing information on regionally prevalent risk factors and associations with death in the first 28 days of life and in infancy, can be potentially impactful and could drive behavioural changes, while promoting acquisition of newer life-saving skills such as basic life support training. Such education can be considered participatory learning and action. It affords parent-carers the confidence and knowledge on measures to key risks in infancy, such as the risk of sudden infant death, and how to recognize when their baby may be ill, facilitating timely access to appropriate healthcare services. Potentially, these then empower parent-carers to work with health services proactively in measures to reduce the risks for neonatal mortality.mortality is explored, especially in less resource-constrained environments, by focusing on parent-carer education around risks for neonatal mortality, while using learning points from around the world. Potentially, these initiatives empower parent-carers to acquire the necessary skills to manage their baby at risk and also engage in risk-reducing behaviours for the benefit of their baby. Reducing neonatal mortality through parent-carer educationBefore embarking on parent education, understanding the risk factors for neonatal mortality is important. In poorly resourced areas, key risk factors and associations are infection, hypothermia, lack of breastfeeding, failure to recognise signs of illness in their baby and failure to provide adequate basic resuscitation at birth. Education packages focused on improving neonatal mortality therefore include information on maintaining warmth; drying; wrapping; skin-to-skin contact; supporting breastfeeding; infection prevention including handwashing, cord care, recognising signs of illness in their newborn baby and infant and basic life support [7].For neonatal teams in relatively higher resourced environments, where access to public health facilities and general maternal education are less of an issue, and most of the above are routinely adopted, what are other key risk factors and what other kinds of initiatives are needed in order to make a difference to current neonatal mortality rates, and can they work?In attempting to address this, the key risk factors here for neonatal mortality need to be identified. The most significant of these is prematurity [8][9][10]. In a report on perinatal mortality from MBRRACE on 2016 deaths, approximately 70% of all extended perinatal deaths occurred preterm, and almost 40% were in less than 28 weeks' gestation [9]. Optimising place of birth for the most vulnerable preterm births less than 26 weeks gestation at birth does reduce their mortality rates [11] and op...

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Section: Safe Sleepmentioning

confidence: 99%

Parent-Carer Education: Reducing the Risks for Neonatal and Infant Mortality

Pillay¹

2019

Neonatal Medicine

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“…From these 23 publications, over half of the studies (14/23) were conducted in the USA (26,28,30,33,35,37,(40)(41)(42)(43)(44)(45)(46)(47), four in New Zealand (25,29,32,38), three in the UK (31,34,39), and two in Australia (27,36). The studies span 14 years from 2005 to 2019 and the overall quality scores ranged from 23 to 83%, with 20/23 papers scoring 50% and above.…”

Section: Resultsmentioning

confidence: 99%

“…The paper scoring 23.8% was a short descriptive digest, a "case study" of good practice describing the intervention and key outcomes, rather than a research paper (34). The majority of these studies were quantitative; eight were randomized controlled trials (25,32,(35)(36)(37)(45)(46)(47) and six were evaluations (26,29,(38)(39)(40)(41); the remainder were mixed methods or used a variety of quantitative approaches. Three papers utilized the same research data set, but presented different outcomes (45)(46)(47).…”

Section: Resultsmentioning

confidence: 99%

Interventions to Improve Safer Sleep Practices in Families With Children Considered to Be at Increased Risk for Sudden Unexpected Death in Infancy: A Systematic Review

et al. 2022

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Background: Advice to families to follow infant care practices known to reduce the risks of Sudden Unexpected Death in Infancy (SUDI) has led to a reduction in deaths across the world. This reduction has slowed in the last decade with most deaths now occurring in families experiencing social and economic deprivation. A systematic review of the literature was commissioned by the National Child Safeguarding Practice Review Panel in England. The review covered three areas: interventions to improve engagement with support services, parental decision-making for the infant sleep environment, and interventions to improve safer sleep practices in families with infants considered to be at risk of SUDI.Aim: To describe the safer sleep interventions tested with families with infants at risk of SUDI and investigate what this literature can tell us about what works to reduce risk and embed safer sleep practices in this group.Methods: Eight online databases were systematically searched in December 2019. Intervention studies that targeted families with infants (0–1 year) at increased risk of SUDI were included. Studies were limited to those from Western Europe, North America or Australasia, published in the last 15 years. The Quality Assessment Tool for Studies with Diverse Designs was applied to assess quality. Data from included studies were extracted for narrative synthesis, including mode of delivery using Michie et al.'s Mode of Delivery Taxonomy.Results: The wider review returned 3,367 papers, with 23 intervention papers. Five types of intervention were identified: (1) infant sleep space and safer sleep education programs, (2) intensive or targeted home visiting services, (3) peer educators/ambassadors, (4) health education/raising awareness interventions, (5) targeted health education messages using digital media.Conclusion: Influencing behavior in families with infants at risk of SUDI has traditionally focused on “getting messages across,” with interventions predominantly using education and awareness raising mechanisms. This review found evidence of interventions moving from “information giving” to “information exchange” models using personalized, longer term relationship-building models. This shift may represent an improvement in how safer sleep advice is implemented in families with infants at risk, but more robust evidence of effectiveness is required.Systematic Review Registration:https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/901091/DfE_Death_in_infancy_review.pdf, identifier: CRD42020165302.

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“…The intervention process has staged goals emphasizing engagement and trust-building, followed by skill-building and tailored problem-solving, and concluding with maintenance of behavior change over time. Engagement and trust-building is an initial focus because trust in information sources is a significant factor in parents’ decision-making about infant sleep practices [ 40 , 41 , 42 ].…”

Section: Methodsmentioning

confidence: 99%

Feasibility and Acceptability of a Tailored Infant Safe Sleep Coaching Intervention for African American Families

Ward

McPherson

Kogan

2021

IJERPH

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Background: Approximately 3600 infants die suddenly and unexpectedly annually in the United States. Research suggests limitations of current behavioral interventions to reduce the risk for sleep-related deaths among African American families living in under-resourced neighborhoods. Guided by the theory of planned behavior and the socio-ecological model, the My Baby’s Sleep (MBS) intervention intends to reduce the risk for sleep-related infant deaths while addressing complex needs of African American families living in under-resourced neighborhoods. Objective: To assess feasibility and acceptability of MBS, a 7-month intervention that includes four home visits and multiple check-ins via phone and text message. Methods: This was a single-arm feasibility and acceptability study with quantitative and qualitive measures. African American families were recruited from community agencies that served an under-resourced metropolitan area. Results: Eight families (eight mothers, nine co-caregivers) completed the intervention. Families reported high acceptability of MBS content, process, and format, as evidenced by qualitative data and mean evaluation scores. Conclusion: MBS is feasible and acceptable among African American families living in under-resourced neighborhoods. These results suggest further investigation of MBS intervention efficacy in a large-scale randomized controlled trial.

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The Impact of Health Messages on Maternal Decisions About Infant Sleep Position: A Randomized Controlled Trial

Cited by 12 publications

References 33 publications

Parent-Carer Education: Reducing the Risks for Neonatal and Infant Mortality

Parent-Carer Education: Reducing the Risks for Neonatal and Infant Mortality

Interventions to Improve Safer Sleep Practices in Families With Children Considered to Be at Increased Risk for Sudden Unexpected Death in Infancy: A Systematic Review

Feasibility and Acceptability of a Tailored Infant Safe Sleep Coaching Intervention for African American Families

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