Evaluation of a Crib Distribution and Safe Sleep Educational Program to Reduce Risk of Sleep-Related Infant Death

Ward, Trina C. Salm; McClellan, Marcie; Miller, Terri; Brown, S. C.

doi:10.1007/s10900-018-0493-1

Cited by 18 publications

(39 citation statements)

References 26 publications

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“…Data from the limited number of follow-up surveys suggest only partial retention of knowledge and adherence to safe sleep recommendations. These results are in line with research literature that suggests that despite knowledge and intentions regarding recommended safe sleep practices, families experience difficulties in maintaining practices over time (e.g., once baby is home and the family experiences sleep challenges) [8,17,[20][21][22][23]. Potential ways to address these difficulties in maintaining knowledge and practices over time may be to offer a "booster" session after the infant is born, with the aims of: (1) reinforcing knowledge of recommendations, and (2) helping address challenges to adherence to safe sleep recommendations.…”

Section: Discussionsupporting

confidence: 89%

“…The Georgia Department of Public Health (DPH) developed and pilot-tested a group safe sleep education program in Fulton County. This pilot-test occurred in a controlled setting—at one county health department and delivered by three master’s-prepared state health department health educators [ 8 ]. The evaluation results suggested that participating in the program was associated with significant improvements in participant knowledge of safe sleep recommendations and intentions to adhere to recommendations [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…This pilot-test occurred in a controlled setting—at one county health department and delivered by three master’s-prepared state health department health educators [ 8 ]. The evaluation results suggested that participating in the program was associated with significant improvements in participant knowledge of safe sleep recommendations and intentions to adhere to recommendations [ 8 ]. Follow-up surveys indicated retention of knowledge and reported adherence to recommended safe sleep practices [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…The evaluation results suggested that participating in the program was associated with significant improvements in participant knowledge of safe sleep recommendations and intentions to adhere to recommendations [ 8 ]. Follow-up surveys indicated retention of knowledge and reported adherence to recommended safe sleep practices [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of a Multisite Safe Infant Sleep Education and Crib Distribution Program

Ward

Miller

Naim

2021

IJERPH

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Rates of sleep-related infant deaths have plateaued in the past few decades despite ongoing infant sleep practice recommendations to reduce risk of sleep-related infant deaths by the American Academy of Pediatrics. The state department of public health trained facilitators at 28 sites across the state to facilitate a group safe sleep educational program. A prospective, matched pre- and post-test cohort design with follow-up was used to evaluate changes in self-reported knowledge, intentions, and practices. The final sample included 615 matched pre- and post-test surveys, and 66 matched follow-up surveys. The proportion of correct responses on all knowledge and intended practice items increased significantly from pre- to post-test. When asked where their babies would have slept if they had not received the portable crib, 66.1% of participants planned to use a recommended sleep location (e.g., crib or bassinet). At post-test, 62.3% planned to change something about their infant’s sleep based on what they learned. At follow-up, knowledge was maintained for all but two items and practices and for half of practice items. The results suggest that participating in the education program was associated with increased knowledge and intended adherence, but that these changes were not maintained at follow-up. These results are in line with the research literature that finds a difference in intentions and actual practices after the baby is born.

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Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Evaluation of a Multisite Safe Infant Sleep Education and Crib Distribution Program

Ward

Miller

Naim

2021

IJERPH

Self Cite

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“…In Georgia, the state health department implemented a crib distribution program to help reduce less adaptive infant sleep practices including bed sharing. 20 Crib distribution may be most effective when parents also receive guidance on implementing bedtime routines, particularly if they are transitioning their toddler from bed sharing to independent sleeping. Future research could examine the effectiveness of toddler bed distribution programs in low-income areas where bed sharing is an economic necessity.…”

Section: How To Support Families Who Bed Sharementioning

confidence: 99%

Bed Sharing in Toddlerhood: Choice Versus Necessity and Provider Guidelines

Covington

Armstrong

Black

2019

Global Pediatric Health

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A sleeping toddler is not only a welcome sight for parents, but sleep promotes children's physical growth, behavior, and emotional and cognitive development. 1 During toddlerhood, children's sleep/wake patterns evolve and consolidate rapidly into longer nighttime sleep duration and less daytime sleep, as circadian rhythms are developed. 2 To assist their toddlers with these sleep transitions, many parents develop bedtime routines to help their toddlers prepare for sleep. In highincome countries, such as the United States, many children sleep in a crib and subsequently in a bed either alone or with a sibling. However, in some cases, toddlers sleep with their parent(s). Bed SharingBed sharing, sharing a bed or another sleeping surface, is a common practice in many countries, and is often perceived to improve sleep problems and promote family closeness. 3 For example, bed sharing is highly prevalent in Africa (100% in some countries), Mongolia (100%), Vietnam (83%), India (72%), and China (66.2%). 3,4 In the United States, although bed sharing is not the norm, it occurs in almost one quarter (23%) of families. 4

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A Behaviour Change Analysis of Safer Sleep Interventions for Infants at Risk of Sudden and Unexpected Death

Shiells,

Cann,

Pease

et al. 2024

Child Abuse Review

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Rates of sudden unexpected death in infancy have been found to occur disproportionately amongst families living in the most deprived neighbourhoods. This suggests that standard safer sleep messaging may not be effective for this population and that research is required to identify ways of working that are better associated with behavioural change in parents with children at increased risk of SUDI. In this study, we aimed to explore the behavioural change components and mechanisms of action of safer sleep interventions for families with children at increased risk of SUDI. We conducted an analysis of the literature on safer sleep interventions using the COM‐B model, Theoretical Domains Framework and Behavioural Change Technique Taxonomy. All interventions targeted parents' capability; 15 interventions targeted parents' opportunity; and six interventions targeted parents' motivation to engage in safer sleep practices. Nineteen behavioural change techniques were identified. The focus of practitioners may need to shift from solely the delivery of safer sleep information towards working with parents to understand their capability, opportunity and, in particular, motivation to engage in safer sleep practices, identified as being a key driver of behaviour in this population.

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Evaluation of a Crib Distribution and Safe Sleep Educational Program to Reduce Risk of Sleep-Related Infant Death

Cited by 18 publications

References 26 publications

Evaluation of a Multisite Safe Infant Sleep Education and Crib Distribution Program

Evaluation of a Multisite Safe Infant Sleep Education and Crib Distribution Program

Bed Sharing in Toddlerhood: Choice Versus Necessity and Provider Guidelines

A Behaviour Change Analysis of Safer Sleep Interventions for Infants at Risk of Sudden and Unexpected Death

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