scholarly journals Infant sleep: interventions for obesity prevention and problematic sleep, and safe sleep practices

2017 ◽  
Vol 26 ◽  
pp. 20-20
Keyword(s):  
Obesity Prevention ◽  
Infant Sleep ◽  
Safe Sleep

An evaluation of factors associated with safe infant sleep practices among perinatal home visiting participants in Florida, United States

2021 ◽  
pp. 136749352110448
Author(s):  
Barbara Dorjulus ◽  
Concha Prieto ◽  
Rafaella S Elger ◽  
Igbagbosanmi Oredein ◽  
Vidya Chandran ◽  
...  
Keyword(s):  
Staff Training ◽  
Home Visiting ◽  
Infant Sleep ◽  
Bivariate Statistics ◽  
Safe Sleep ◽  
Bed Sharing ◽  
American Academy Of Pediatrics ◽  
Childhood Home ◽  
Safe Sleep Education ◽  
Early Childhood Home Visiting

Sleep-related deaths are a leading cause of infant mortality in Florida. The American Academy of Pediatrics recommends placing infants to sleep on their back, alone, and without soft bedding. Compliance with these guidelines varies among parents. This evaluation examined the rates of safe infant sleep practices and associated factors among 1985 participants enrolled in Florida Maternal, Infant, and Early Childhood Home Visiting (FL MIECHV) programs during 2017–2019. Participant- and program-level variables were examined in relation to three sleep practices: infant position, bedding, and bed-sharing at 2–3 months to determine which factors were associated with high rates of safe sleep outcomes. Analyses included univariate descriptive statistics, bivariate statistics, and multivariable logistic regression. Most caregivers (70%) reported always placing their babies to sleep on their back, alone, and without soft bedding. Factors such as primary language, race, education, housing situation, and year the Safe Baby™ curriculum implemented were significantly associated with safe infant sleep practices. Bearing this in mind, FL MIECHV can tailor safe sleep education, messaging, and strategies to support participants at highest risk. Recent adoption of the Safe Baby™ curriculum, and associated staff training, was an important factor influencing parents’ infant sleep practices.

Safe sleep advice to safe sleep action: Trial of an innovative Safe Infant Sleep Enabler—The Pepi-Pod

2013 ◽  
Vol 26 ◽  
pp. S40 ◽  
Author(s):  
Jeanine Young ◽  
Leanne Craigie ◽  
Helen Hine ◽  
Machelle Kosiak
Keyword(s):  
Infant Sleep ◽  
Safe Sleep

scholarly journals Improving infant sleep safety via electronic health record communication: a randomized controlled trial

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ethan A. Canty ◽  
Benjamin N. Fogel ◽  
Erich K. Batra ◽  
Eric W. Schaefer ◽  
Jessica S. Beiler ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
Controlled Trial ◽  
Intervention Group ◽  
Health Record ◽  
Patient Portal ◽  
Infant Sleep ◽  
Patient Portals ◽  
Safe Sleep ◽  
Electronic Health ◽  
Sleep Safety

Abstract Background With increased use of telehealth, interventions to improve infant sleep environments have not been explored. This study sought to assess the feasibility and efficacy of using electronic health record patient portals to transmit photographs of infant sleep between mothers and healthcare professionals as part of an intervention to promote sleep environments consistent with AAP guidelines. Methods One hundred eighty-four mother-newborn dyads consented to participate in a randomized trial requiring patient portal registration within 1 month of delivery. We first assessed feasibility as measured by a) the proportion of consented mothers enrolling in the portal and b) maternal adherence to prompts to submit photographs of their infant sleeping to the research team through the patient portal. Intervention group mothers were prompted at 1 and 2 months; controls were prompted only at 2 months. Efficacy was determined via research assistant review of submitted photographs. These assistants were trained to detect sudden unexplained infant death risk factors utilizing AAP guidelines. Standardized feedback was returned to mothers through the patient portal. We used Fisher’s Exact test to assess group differences in guideline adherence at 2 months. Results One hundred nine mothers (59%) enrolled in the patient portal and were randomized to intervention (N = 55) and control (N = 54) groups. 21 (38, 95% CI 25–52%) intervention group participants sent photographs at 1 month and received personalized feedback. Across both groups at 2 months, 40 (37, 95% CI 28–46%) sent photographs; 56% of intervention group participants who submitted photographs met all safe sleep criteria compared with 46% of controls (difference 0.10, 95% CI − 0.26 to 0.46, p = .75). Common reasons for guideline non-adherence were sleeping in a room without a caregiver (43%), loose bedding (15%) and objects (8%) on the sleep surface. Conclusions Utilizing the patient portal to individualize safe infant sleep is possible, however, we encountered numerous barriers in this trial to assess its effects on promoting safe infant sleep. Photographs of infants sleeping showed substantial non-adherence to AAP guidelines, suggesting further needs for improvement to promote safe infant sleep practices. Trial registration Name: Improving Infant Sleep Safety With the Electronic Health Record; Clinicaltrials.gov: NCT03662048; Date of Registration: September 7, 2018; Data Sharing Statement: None

Health education intervention promoting infant safe sleep in paediatric primary care: randomised controlled trial

2017 ◽  
Vol 25 (3) ◽  
pp. 146-151
Author(s):  
Eileen M McDonald ◽  
Amanda Davani ◽  
Akisha Price ◽  
Patricia Mahoney ◽  
Wendy Shields ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Education ◽  
Education Intervention ◽  
Anticipatory Guidance ◽  
Infant Sleep ◽  
Safe Sleep ◽  
Health Education Intervention ◽  
Paediatric Primary Care ◽  
Sleep Environment ◽  
Randomised Controlled

BackgroundFew randomised controlled trials (RCTs) have been conducted to improve infant sleep practices. There is limited research on how best to integrate safe sleep information into routine paediatric anticipatory guidance delivered at well child visits (WCVs). This protocol paper describes the design of the Safe Start Study, which aims to evaluate the impact of safe sleep interventions on parents’ knowledge, beliefs and behaviours related to creating and maintaining a safe sleep environment for their infants.MethodsSafe Start is a three-group RCT comparing a safe sleep health education intervention delivered as part of the 2-week WCV, an attention-matched control group that receives a scald burn prevention intervention, and a standard of care group. A baseline survey is completed at the 2-week WCV; follow-up surveys and observations are completed in the home at 2–4 weeks and 2–3 months. Participants include mother–baby dyads attending a large urban paediatric primary care practice and their paediatricians. Primary outcomes are self-reported behaviours (baby sleeps alone, on back, in crib and in a smoke-free environment), observations of the sleep environment, paediatricians’ anticipatory guidance counselling about safe sleep and participants’ reported exposure to an existing city-wide safe sleep campaign.DiscussionProviding a theory-driven and evidenced-based safe sleep intervention is both a research and a clinical practice priority. This study will advance the application of educational and environmental interventions in the primary care setting to improve the safety of infant sleep environments in high-risk families.Trial registration numberNCT03070639; Pre-results.

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

2021 ◽  
Vol 18 (13) ◽  
pp. 6956
Author(s):  
Trina C. Salm Ward ◽  
Terri J. Miller ◽  
Iman Naim
Keyword(s):  
Research Literature ◽  
The State ◽  
Infant Sleep ◽  
Safe Sleep ◽  
Infant Deaths ◽  
Cohort Design ◽  
Final Sample ◽  
Post Test ◽  
Sleep Location

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.

scholarly journals Poverty and Paternal Education Associated With Infant Safe Sleep Intentions in a Peri-Urban Community in Ecuador

2021 ◽  
Vol 8 ◽  
pp. 2333794X2110441
Author(s):  
Hartley Feld ◽  
Janeth Ceballos Osorio ◽  
Marisol Bahamonde ◽  
Thomas Young ◽  
Pablo Boada ◽  
...  
Keyword(s):  
High Risk ◽  
Basic Needs ◽  
Cross Sectional Study ◽  
Infant Sleep ◽  
Safe Sleep ◽  
Cross Sectional ◽  
Targeted Interventions ◽  
Paternal Education ◽  
Infant Safe Sleep ◽  
High Risk Populations

Ecuador’s annual mortality rate from SIDS is 0.4 per 100 000 people, 4 times higher than neighboring countries Peru, Bolivia, and Brazil. Modifying the infant sleep environment toward safe practice has been demonstrated to be the most effective risk reduction strategy in reducing mortality from SIDS and little is known about sleep practices in Ecuador. The purpose of this study is to describe baseline infant sleep intentions of pregnant women in a peri-urban, low resource community in Ecuador. We also aim to identify demographic and psychosocial factors associated with suboptimal sleep practices in this context to develop long-term strategies to identify infants with high risk for SIDS/SUID. A cross-sectional study design was employed with 100 women in their third trimester of pregnancy. The majority of women were partnered (82%), both parents had approximately 8 years of education, and over half reported that their incomes met or exceeded their basic needs (55%). Significant predictors of safer sleep intention included years of paternal education ( P = .019) and income meeting their basic needs ( P = .0049). For each additional year of paternal education, families were 23% more likely to report safer intended infant sleep practices. Compared to those whose income did not allow for basic needs, those who had sufficient income to meet (or exceed) basic needs were 425% more likely to report safer intended sleep practices. Targeted interventions to high-risk populations may reduce the burden of SIDS/SUID in this community.

scholarly journals Field assessment of a safe sleep instrument using smartphone technology

2019 ◽  
Vol 4 (5) ◽  
pp. 451-456
Author(s):  
Rosemary Nabaweesi ◽  
Leanne Whiteside-Mansell ◽  
Samantha H. Mullins ◽  
Mallikarjuna R. Rettiganti ◽  
Mary E. Aitken
Keyword(s):  
Home Visit ◽  
Parent Report ◽  
Sleep Position ◽  
Infant Sleep ◽  
Safe Sleep ◽  
Perfect Agreement ◽  
Smartphone Technology ◽  
Sleep Environment ◽  
Sleep Safety ◽  
Sleep Location

AbstractIntroduction:Sudden unexpected infant death is the leading cause of infant mortality with black: white infant mortality remaining at 2:1 for the last decade. Smartphone technology provides a convenient and accessible tool for injury prevention anticipatory guidance among at-risk communities.Materials and Methods:A convenience sample of pregnant teen mothers who own a smartphone. During a 1-month postnatal home visit, a safe sleep environment survey was administered, infant sleep practices were observed, and mothers trained to take and submit standard infants’ sleep environment photographs. Photographs were independently assessed for inter-rater reliability (IRR) across five sleep safety domains (primary outcome): sleep location, surface, position, presence of soft items, and hazards near the sleep area. Expert and novice coders IRR was measured using Cohen’s kappa coefficient (K). Sleep safety correlation between photographs and observation, and parent report and observation was determined.Results:Sixteen (57.1%) mothers completed the home visit. Most parents reported infants sleeping supine (78.5) in parents’ bedroom (85.9%). Photographs demonstrated sleep position, soft items without the baby present, and hanging toys had perfect agreement across all three coder pairs. Safe sleep experts’ IRR demonstrated perfect agreement for sleep location, position, and soft items. While 83.8% of parents were observed putting their infants down to sleep on their back, 78.5% of parents reported doing the same and 82.4% of the photographs demonstrated supine infant sleep position.Conclusion:Using photographs, coders can reliably categorize some key infant sleep safety aspects, and photograph sleep safety is comparable to parent report and direct observation.

scholarly journals Awareness of infant safe sleep messages and associated care practices: findings from an Australian cohort of families with young infants

2021 ◽  
Vol 5 (1) ◽  
pp. e000972
Author(s):  
Roni Cole ◽  
Jeanine Young ◽  
Lauren Kearney ◽  
John M D Thompson
Keyword(s):  
Sudden Infant Death ◽  
Infant Care ◽  
Sudden Infant ◽  
Infant Sleep ◽  
Cross Sectional Survey ◽  
Safe Sleep ◽  
Cross Sectional ◽  
Young Infants ◽  
National Public Health ◽  
Care Practices

ObjectiveTo investigate primary infant caregiver awareness of the current national public health safe sleep messages and the associations of awareness with care practices.Design and settingA cross-sectional survey in Queensland, Australia. All families with live babies birthed during April–May 2017 were eligible. Questionnaires were distributed when infants were approximately 3 months old.ParticipantsOf the 10 200 eligible families, 3341 (33%) primary caregivers participated.Main outcome measuresParticipants were asked: to recall key safe sleeping messages they were aware of (unprompted); questions about their infant care practices; and to select the current, national six safe sleeping messages (prompted multi-choice).ResultsOverall, the majority of families are aware of sleep-related infant mortality and sudden infant death (3178/3317, 96%); however, approximately one in four caregivers (867/3292, 26%) could not identify the current six messages to promote safer infant sleep in a multi-choice question. Despite being aware of the six key messages, some caregiver practices did not always align with advice (336/2423, 14% were not smoke-free; 349/2423, 14% were not usually supine for sleep; 649/2339, 28% employed practices which may increase risk of head or face covering; 426/2423, 18% were not receiving breastmilk).ConclusionsThere is considerable scope for improvement in parent awareness and ability to recall key safe sleep messages. Awareness of advice does not always translate into safe infant care. Health promotion messaging to encourage safer infant sleep, ultimately aimed at reducing sudden unexpected infant deaths, needs more effective supportive strategies and dissemination if future campaigns are to be successful.

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