Nocturnal Video Assessment of Infant Sleep Environments

Batra, Erich K.; Teti, Douglas M.; Schaefer, Eric; Neumann, Brooke A.; Meek, Elizabeth A.; Paul, Ian M.

doi:10.1542/peds.2016-1533

Cited by 31 publications

(21 citation statements)

References 27 publications

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“…This finding supports a prior study’s conclusion that parental motivation to bed-share trumped known risks of unsafe sleep [ 30 ]. The discovery of mothers who are practicing unsafe and ever-changing infant sleep practices is also consistent with studies demonstrating parental practice of unsafe sleep [ 5 , 6 , 31 , 32 ] and the changing of infant sleep environments throughout the night [ 33 ]. In this Facebook group, some mothers endorsed safe sleep and recommended following the AAP guidelines; however, other mothers believed they were following the recommendations and were actually creating dangerous infant sleep environments.…”

Section: Discussionsupporting

confidence: 58%

Sudden Infant Death Syndrome on Facebook: Qualitative Descriptive Content Analysis to Guide Prevention Efforts

Pretorius¹,

Choi²,

Kang³

et al. 2020

J Med Internet Res

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Background Sudden unexpected infant death (SUID), which includes the diagnosis of sudden infant death syndrome (SIDS), is a leading cause of infant mortality in the United States. Despite prevention efforts, many parents continue to create unsafe infant sleep environments and use potentially dangerous infant sleep and monitoring devices, ultimately leading to sleep-related infant deaths. Analyzing Facebook conversations regarding SIDS may offer a unique maternal perspective to guide future research and prevention efforts. Objective This study aims to describe and analyze conversations among mothers engaged in discussions about SIDS on a Facebook mother’s group. We were interested in understanding maternal knowledge of SIDS, identifying information sources for SIDS, describing actual infant sleep practices, exploring opinions regarding infant sleep products and monitoring devices, and discovering evidence of provider communication regarding SIDS. Methods We extracted and analyzed 20 posts and 912 comments from 512 mothers who participated in a specific Facebook mother’s group and engaged in conversations about SIDS. There were 2 reviewers who coded the data using qualitative descriptive content analysis. Themes were induced after discussion among researchers and after the study objectives were addressed. Results The theme of social support emerged, specifically informational and emotional support. A variety of informational sources for SIDS and safe sleep were identified, as was a continuum of infant sleep practices (ranging from unsafe to safe sleep per the American Academy of Pediatrics standards). There was widespread discussion regarding infant sleep products and monitoring devices. Embedded within conversations were (1) confusion among commonly used medical terminology, (2) the practice of unsafe infant sleep, (3) inconsistency in provider communication about SIDS, and (4) maternal anxiety regarding SIDS. Conclusions We uncovered new findings in this analysis, such as the commonality of infant sleep products and monitoring devices and widespread maternal anxiety regarding SIDS. Additionally, mothers who participated in the Facebook group provided and received informational and emotional support regarding SIDS via this social media format. Such results can guide future prevention efforts by informing health communication regarding SUID and safe sleep. Future provider and public health agency communication on the topic of SUID and safe sleep should be simple and clear, address infant sleep products and monitoring devices, address maternal anxiety regarding SIDS, and address the common practice of unsafe sleep.

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Section: Discussionsupporting

confidence: 58%

Sudden Infant Death Syndrome on Facebook: Qualitative Descriptive Content Analysis to Guide Prevention Efforts

Pretorius¹,

Choi²,

Kang³

et al. 2020

J Med Internet Res

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“…This finding is consistent with those from another recently described cohort. 43 There are limitations to our analyses. The data come from a randomized controlled trial with 2 interventions.…”

Section: Discussionmentioning

confidence: 97%

Mother-Infant Room-Sharing and Sleep Outcomes in the INSIGHT Study

et al. 2017

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The American Academy of Pediatrics recommends infant-parent room-sharing until age 1. We assessed the association between room-sharing and sleep outcomes. METHODS:The Intervention Nurses Start Infants Growing on Healthy Trajectories study is an obesity prevention trial comparing a responsive parenting intervention with a safety control among primiparous mother-infant dyads. Mothers completed the Brief Infant Sleep Questionnaire at 4, 9, 12, and 30 months. Reported sleep duration and overnight behaviors, adjusted for intervention group, were compared among early independent sleepers (own room <4 months), later independent sleepers (own room between 4 and 9 months), and room-sharers at 9 months. RESULTS:At 4 months, reported overnight sleep duration was similar between groups, but compared with room-sharers, early independent sleepers had better sleep consolidation (longest stretch: 46 more minutes, P = .02). At 9 months, early independent sleepers slept 40 more minutes nightly than room-sharers and 26 more minutes than later independent sleepers (P = .008). The longest stretch for early independent sleepers was 100 and 45 minutes more than room-sharers and later independent sleepers, respectively (P = .01). At 30 months, infants sleeping independently by 9 months slept >45 more minutes nightly than those room-sharing at 9 months (P = .004). Room-sharers had 4 times the odds of transitioning to bed-sharing overnight at both 4 and 9 months (P < .01 for both). CONCLUSIONS:Room-sharing at ages 4 and 9 months is associated with less nighttime sleep in both the short and long-term, reduced sleep consolidation, and unsafe sleep practices previously associated with sleep-related death.

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“…22 -30 For example, studies assessing at-home compliance should probably use methodologies other than selfreport, as demonstrated by a recent study incorporating nocturnal video assessment. 23 Fourth, adherence to safe sleep guidelines requires resources (eg, access to cribs that meet safety standards and secure home environments in which to use them). Consistent with past research, 31 we found that mothers of SUID cases were less educated, younger, more likely to be unmarried, and more likely to be non-Hispanic African American than those of surviving infants.…”

Section: Discussionmentioning

confidence: 99%

Prematurity and Sudden Unexpected Infant Deaths in the United States

et al. 2017

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Despite the 2011 American Academy of Pediatrics recommendations for increased safe sleep education in the NICUs, SUID rates were inversely associated with GA in 2012 to 2013, suggesting that risk of SUID associated with prematurity has multiple etiologies requiring continued investigation, including biological vulnerabilities and the efficacy of NICU education programs, and that strategies to reduce SUID should be multifaceted.

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Nocturnal Video Assessment of Infant Sleep Environments

Abstract: BACKGROUND AND OBJECTIVE: Reports describing factors associated with sleep-related infant death rely on caregiver report or postmortem findings. We sought to determine the frequency of environmental risk factors by using nocturnal sleep videos of infants.

Cited by 31 publications

References 27 publications

Sudden Infant Death Syndrome on Facebook: Qualitative Descriptive Content Analysis to Guide Prevention Efforts

Sudden Infant Death Syndrome on Facebook: Qualitative Descriptive Content Analysis to Guide Prevention Efforts

Mother-Infant Room-Sharing and Sleep Outcomes in the INSIGHT Study

Prematurity and Sudden Unexpected Infant Deaths in the United States

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