Safe to sleep: A systematic review of the safe infant sleep training literature across relevant personnel

Mery, Jacqueline N.; Vladescu, Jason C.; Sidener, Tina M.; Reeve, Kenneth F.; Day‐Watkins, Jessica

doi:10.1016/j.jnn.2021.06.001

Cited by 7 publications

(9 citation statements)

References 67 publications

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“…Multiple previous studies have examined issues with the operation of facilities, such as facility management and the establishment of emergency contact networks [14], and overall practices at daycare facilities [15,16]. These previous studies support the need for compliance with SSP among caregivers, including daycare personnel, mothers, and health professionals, and knowledge and confidence related to SSP are asso-ciated with the performance of SSP [17][18][19]. A better understanding of SSP may contribute to improvement in the quality of sleep environments in the childcare field.…”

Section: Introductionmentioning

confidence: 81%

Survey of Korean daycare personnel on safe sleep practices related to sudden unexplained infant death: a cross-sectional exploratory study

Ahn¹,

Cho²

2022

Child Health Nurs Res

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Purpose: Safe sleep practices (SSP) are among the main strategies to reduce sleep-related sudden unexplained infant death (SUID). Daycare personnel must be knowledgeable and trained in SSP related to SUID. This study explored the experience, knowledge, and confidence regarding SSP associated with SUID of daycare personnel. Methods: A cross-sectional survey was conducted with 395 staff members at 61 daycare centers to measure their experience related to SSP (10 items), related to sleep position and location, bedding materials, and other topics; knowledge of SSP (18 items); and confidence in SSP (1 item) related to SUID. Results: A substantial proportion (23.6%) of respondents used the lateral or prone positions for infant sleep. On average, 4.5 bedding materials were used for infant sleep. Participants showed a lack of knowledge about SSP as indicated by a 56.6% knowledge of SSP related to SUID correct answer rate. Personnel who received SUID education were more knowledgeable and had more confidence regarding SSP than those who did not. More knowledge and confidence related to SSP were associated with better adherence to SSP. Conclusion: Standard SSP guidelines should be developed based on South Korea's culture of childcare for educating both childcare professionals and parents at home.

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Section: Introductionmentioning

confidence: 81%

Survey of Korean daycare personnel on safe sleep practices related to sudden unexplained infant death: a cross-sectional exploratory study

Ahn¹,

Cho²

2022

Child Health Nurs Res

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“…Additionally, all participants were observed to immediately meet the mastery criterion in the training context following BST. Positive findings are likely due to the performance‐ and competency‐based components of BST; these procedural components are often missing in safe sleep training studies that commonly have mixed results (Mery et al, 2021). Because sessions were conducted soon after BST and in the same analogue environment, it is possible that the physical properties of the room itself could have exerted some control over participants' behavior.…”

Section: Discussionmentioning

confidence: 99%

“…Limited financial and personnel resources and the intrusive nature of observers in the home are cited as barriers to adopting direct measures of infant sleeping arrangements (Nabaweesi et al, 2019). In place of direct observation, indirect measures (e.g., intention to adhere to infant sleeping arrangement recommendations) are common (Mery et al, 2021; Ward & Balfour, 2016). However, Nabaweesi et al (2019) evaluated a photo assessment tool in which caregivers submitted photos of the infant sleeping area in the home.…”

mentioning

confidence: 99%

“…Nabaweesi et al (2019) also reported that 25% of caregivers did not submit photos during the one-month follow up, which highlights another obstacle when using photos to observe participant performance (adherence). Although caregivers were given a one-time $25 gift card for providing photos at follow up, no studies in the literature incorporated contingencies of reinforcement to maintain participation across time (Mery et al, 2021).…”

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confidence: 99%

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Evaluating caregivers arrangement of infant sleeping environments in the home

Mery

Day‐Watkins

Schnell

et al. 2023

J of App Behav Analysis

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Sleep‐related infant deaths are one of the top causes of infant mortality in the United States. A few behavior analytic studies have examined behavioral skills training to teach adults to arrange safe infant sleeping environments. These studies were conducted in an analogue environment, and no data were collected outside the training setting. The purpose of the current study was to replicate and extend the extant literature. We taught caregivers to arrange safe infant sleeping environments in a community‐based organization. Thereafter, we assessed the feasibility and effectiveness of a technology‐based contingency management procedure to examine caregivers' adherence with arrangement of a safe sleeping environment for their newborns across a 2‐week period. As in previous studies, behavioral skills training resulted in positive outcomes, and follow‐up data suggested that the technology‐based contingency management procedure may be a promising approach to promoting adherence with infant sleeping environment recommendations.

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“…Collectively, participants completed both trainings within an average duration of 1 hr. Compared to safe infant sleep trainings in the medical field with an average duration of 55 min, the reported training time seems feasible to implement in hospitals and other relevant settings (Mery et al, 2021).…”

Section: Methodsmentioning

confidence: 99%

Training medical students to teach safe infant sleep environments using pyramidal behavioral skills training

Mery

Vladescu

Day‐Watkins

et al. 2022

J of App Behav Analysis

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Medical personnel play a critical role in caregiver safe infant sleep education. However, training outcomes in the safe infant sleep training literature have been mixed. Promising approaches that warrant further investigation are the use of behavioral skills training and pyramidal training. The current study consisted of two experiments. Experiment 1 extended Carrow et al. (2020) and Vladescu et al. (2020) by teaching medical students safe infant sleep practices using behavioral skills training. Discriminated responding was examined across trained and untrained environmental arrangements using a multiple‐baseline design. All participants arranged safe sleep environments following behavioral skills training. In Experiment 2, we used pyramidal behavioral skills training to train medical students to teach others safe sleep practices. Results indicated high procedural integrity scores following training and generalization of skills.

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Safe to sleep: A systematic review of the safe infant sleep training literature across relevant personnel

Cited by 7 publications

References 67 publications

Survey of Korean daycare personnel on safe sleep practices related to sudden unexplained infant death: a cross-sectional exploratory study

Survey of Korean daycare personnel on safe sleep practices related to sudden unexplained infant death: a cross-sectional exploratory study

Evaluating caregivers arrangement of infant sleeping environments in the home

Training medical students to teach safe infant sleep environments using pyramidal behavioral skills training

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