Skip to main content
Top
Published in: Journal of Community Health 3/2015

01-06-2015 | Original Paper

Evaluation of Bedtime Basics for Babies: A National Crib Distribution Program to Reduce the Risk of Sleep-Related Sudden Infant Deaths

Authors: Fern R. Hauck, Kawai O. Tanabe, Timothy McMurry, Rachel Y. Moon

Published in: Journal of Community Health | Issue 3/2015

Login to get access

Abstract

Rates of sleep-related infant deaths have remained stagnant in recent years. Although most parents are aware of safe sleep recommendations, barriers to adherence, including lack of access to a safe crib, remain. The objective of this study was to describe parental knowledge and practices regarding infant sleep position, bedsharing, pacifier use, and feeding practices before and after receipt of a free crib and safe sleep education. Bedtime Basics for Babies (BBB) enrolled high-risk families in Washington, Indiana, and Washington, DC and provided them with cribs and safe sleep education. Parents completed surveys before (“prenatal” and “postnatal”) and 1–3 months after crib receipt (“follow-up”). Descriptive and bivariate analyses were completed. 3,303 prenatal, 1,483 postnatal, and 1,729 follow-up surveys were collected. Parental knowledge of recommended infant sleep position improved from 76 % (prenatal) and 77 % (postnatal) to 94 % after crib receipt (p < 0.001). Intended use of supine positioning increased from 84 % (prenatal) and 80 % (postnatal) to 87 % after the intervention (p < 0.001). Although only 8 % of parents intended to bedshare when asked prenatally, 38 % of parents receiving the crib after the infant’s birth reported that they had bedshared the night before. This decreased to 16 % after the intervention. Ninety percent reported that the baby slept in a crib after the intervention, compared with 51 % postnatally (p < 0.01). BBB was successful in changing knowledge and practices in the majority of high-risk participants with regards to placing the infant supine in a crib for sleep. Crib distribution and safe sleep education positively influence knowledge and practices about safe sleep.
Literature
1.
go back to reference Alexander, R. T., & Radisch, D. (2005). Sudden infant death syndrome risk factors with regards to sleep position, sleep surface, and co-sleeping. Journal of Forensic Sciences, 50(1), 147–151.CrossRefPubMed Alexander, R. T., & Radisch, D. (2005). Sudden infant death syndrome risk factors with regards to sleep position, sleep surface, and co-sleeping. Journal of Forensic Sciences, 50(1), 147–151.CrossRefPubMed
2.
go back to reference Blair, P. S., Fleming, P. J., Smith, I. J., Platt, M. W., Young, J., Nadin, P., et al. (1999). Babies sleeping with parents: Case–control study of factors influencing the risk of the sudden infant death syndrome. CESDI SUDI research group. BMJ, 319(7223), 1457–1462.CrossRefPubMedCentralPubMed Blair, P. S., Fleming, P. J., Smith, I. J., Platt, M. W., Young, J., Nadin, P., et al. (1999). Babies sleeping with parents: Case–control study of factors influencing the risk of the sudden infant death syndrome. CESDI SUDI research group. BMJ, 319(7223), 1457–1462.CrossRefPubMedCentralPubMed
4.
go back to reference Carlins, E. M., & Collins, K. S. (2007). Cribs for kids: Risk and reduction of sudden infant death syndrome and accidental suffocation. Health and Social Work, 32(3), 225–229.CrossRefPubMed Carlins, E. M., & Collins, K. S. (2007). Cribs for kids: Risk and reduction of sudden infant death syndrome and accidental suffocation. Health and Social Work, 32(3), 225–229.CrossRefPubMed
5.
go back to reference Carpenter, R. G., Irgens, L. M., Blair, P. S., England, P. D., Fleming, P. J., Huber, J., et al. (2004). Sudden unexplained infant death in 20 regions in Europe: Case control study. Lancet, 363, 185–191.CrossRefPubMed Carpenter, R. G., Irgens, L. M., Blair, P. S., England, P. D., Fleming, P. J., Huber, J., et al. (2004). Sudden unexplained infant death in 20 regions in Europe: Case control study. Lancet, 363, 185–191.CrossRefPubMed
6.
go back to reference Carroll-Pankhurst, C., & Mortimer, E. A. J. (2001). Sudden infant death syndrome, bedsharing, parental weight, and age at death. Pediatrics, 107(3), 530–536.CrossRefPubMed Carroll-Pankhurst, C., & Mortimer, E. A. J. (2001). Sudden infant death syndrome, bedsharing, parental weight, and age at death. Pediatrics, 107(3), 530–536.CrossRefPubMed
7.
go back to reference Chung, E. K., Hung, Y. Y., Marchi, K., Chavez, G. F., & Braveman, P. (2003). Infant sleep position: Associated maternal and infant factors. Ambulatory Pediatrics, 3(5), 234–239.CrossRefPubMed Chung, E. K., Hung, Y. Y., Marchi, K., Chavez, G. F., & Braveman, P. (2003). Infant sleep position: Associated maternal and infant factors. Ambulatory Pediatrics, 3(5), 234–239.CrossRefPubMed
9.
go back to reference Colson, E. R., Willinger, M., Rybin, D., Heeren, T. C., Smith, L. A., Lister, G., et al. (2013). Trends and factors associated with infant bed sharing, 1993–2010: the National Infant Sleep Position study. JAMA Pediatrics, 167(10), 1032–1037. Colson, E. R., Willinger, M., Rybin, D., Heeren, T. C., Smith, L. A., Lister, G., et al. (2013). Trends and factors associated with infant bed sharing, 1993–2010: the National Infant Sleep Position study. JAMA Pediatrics, 167(10), 1032–1037.
10.
go back to reference Corwin, M. J., Lesko, S. M., Heeren, T., Vezina, R. M., Hunt, C. E., Mandell, F., et al. (2003). Secular changes in sleep position during infancy: 1995–1998. Pediatrics, 111(1), 52–60.CrossRefPubMed Corwin, M. J., Lesko, S. M., Heeren, T., Vezina, R. M., Hunt, C. E., Mandell, F., et al. (2003). Secular changes in sleep position during infancy: 1995–1998. Pediatrics, 111(1), 52–60.CrossRefPubMed
11.
go back to reference Flick, L., White, D. K., Vemulapalli, C., Stulac, B. B., & Kemp, J. S. (2001). Sleep position and the use of soft bedding during bed sharing among African American infants at increased risk for sudden infant death syndrome. Journal of Pediatrics, 138, 338–343.CrossRefPubMed Flick, L., White, D. K., Vemulapalli, C., Stulac, B. B., & Kemp, J. S. (2001). Sleep position and the use of soft bedding during bed sharing among African American infants at increased risk for sudden infant death syndrome. Journal of Pediatrics, 138, 338–343.CrossRefPubMed
13.
go back to reference Grummer-Strawn, L., Scanlon, K. S., Darling, N., & Conrey, E. J. (2006). Racial and socioeconomic disparities in breastfeeding–United States, 2004. MMWR, 55(12), 335–339. Grummer-Strawn, L., Scanlon, K. S., Darling, N., & Conrey, E. J. (2006). Racial and socioeconomic disparities in breastfeeding–United States, 2004. MMWR, 55(12), 335–339.
14.
go back to reference Hauck, F. R., Moore, C. M., Herman, S. M., Donovan, M., Kalelkar, M., Christoffel, K. K., et al. (2002). The contribution of prone sleeping position to the racial disparity in sudden infant death syndrome: The Chicago Infant Mortality Study. Pediatrics, 110(4), 772–780.CrossRefPubMed Hauck, F. R., Moore, C. M., Herman, S. M., Donovan, M., Kalelkar, M., Christoffel, K. K., et al. (2002). The contribution of prone sleeping position to the racial disparity in sudden infant death syndrome: The Chicago Infant Mortality Study. Pediatrics, 110(4), 772–780.CrossRefPubMed
15.
16.
go back to reference Joyner, B. L., Oden, R., Ajao, T. I., & Moon, R. (2010). Where should my baby sleep? A qualitative study of African-American infant sleep location decisions. Journal of the National Medical Association, 102(10), 881–889.PubMed Joyner, B. L., Oden, R., Ajao, T. I., & Moon, R. (2010). Where should my baby sleep? A qualitative study of African-American infant sleep location decisions. Journal of the National Medical Association, 102(10), 881–889.PubMed
17.
go back to reference Kemp, J. S., Unger, B., Wilkins, D., Psara, R. M., Ledbetter, T. L., Graham, M. A., et al. (2000). Unsafe sleep practices and an analysis of bedsharing among infants dying suddenly and unexpectedly: Results of a four-year, population-based, death-scene investigation study of sudden infant death syndrome and related deaths. Pediatrics, 106(3), E41.CrossRefPubMed Kemp, J. S., Unger, B., Wilkins, D., Psara, R. M., Ledbetter, T. L., Graham, M. A., et al. (2000). Unsafe sleep practices and an analysis of bedsharing among infants dying suddenly and unexpectedly: Results of a four-year, population-based, death-scene investigation study of sudden infant death syndrome and related deaths. Pediatrics, 106(3), E41.CrossRefPubMed
19.
go back to reference Lahr, M. B., Rosenberg, K. D., & Lapidus, J. A. (2007). Maternal-infant bedsharing: risk factors for bedsharing in a population-based survey of new mothers and implications for SIDS risk reduction. Maternal and Child Health Journal, 11(3), 277–286.CrossRefPubMed Lahr, M. B., Rosenberg, K. D., & Lapidus, J. A. (2007). Maternal-infant bedsharing: risk factors for bedsharing in a population-based survey of new mothers and implications for SIDS risk reduction. Maternal and Child Health Journal, 11(3), 277–286.CrossRefPubMed
20.
go back to reference Mathews, T. J., & MacDorman, M. F. (2012). Infant mortality statistics from the 2008 period linked birth/infant death data set. National Vital Statistics Reports, 60(5), 1–29.PubMed Mathews, T. J., & MacDorman, M. F. (2012). Infant mortality statistics from the 2008 period linked birth/infant death data set. National Vital Statistics Reports, 60(5), 1–29.PubMed
21.
go back to reference Moon, R. Y. (2011). American academy of pediatrics, task force on sudden infant death syndrome. Policy statement-SIDS and other sleep-related infant deaths: expansion of recommendations for a safe infant sleeping environment. Pediatrics, 128(5), 1030–1039.CrossRefPubMed Moon, R. Y. (2011). American academy of pediatrics, task force on sudden infant death syndrome. Policy statement-SIDS and other sleep-related infant deaths: expansion of recommendations for a safe infant sleeping environment. Pediatrics, 128(5), 1030–1039.CrossRefPubMed
22.
go back to reference Moon, R. Y., Oden, R. P., & Grady, K. C. (2004). Back to sleep: Educational intervention with women, infants, and children program clients. Pediatrics, 113(3), 542–547.CrossRefPubMed Moon, R. Y., Oden, R. P., & Grady, K. C. (2004). Back to sleep: Educational intervention with women, infants, and children program clients. Pediatrics, 113(3), 542–547.CrossRefPubMed
23.
go back to reference Moon, R. Y., Oden, R. P., Joyner, B. L., & Ajao, T. I. (2010). Qualitative analysis of beliefs and perceptions about sudden infant death syndrome (SIDS) among African-American mothers: Implications for safe sleep recommendations. Journal of Pediatrics, 157(1), 92–97 e92. doi:10.1016/j.jpeds.2010.01.027 CrossRefPubMed Moon, R. Y., Oden, R. P., Joyner, B. L., & Ajao, T. I. (2010). Qualitative analysis of beliefs and perceptions about sudden infant death syndrome (SIDS) among African-American mothers: Implications for safe sleep recommendations. Journal of Pediatrics, 157(1), 92–97 e92. doi:10.​1016/​j.​jpeds.​2010.​01.​027 CrossRefPubMed
26.
go back to reference Rasinski, K. A., Kuby, A., Bzdusek, S. A., Silvestri, J. M., & Weese-Mayer, D. E. (2003). Effect of a sudden infant death syndrome risk reduction education program on risk factor compliance and information sources in primarily black urban communities. Pediatrics, 111(4 Pt 1), e347–e354.CrossRefPubMed Rasinski, K. A., Kuby, A., Bzdusek, S. A., Silvestri, J. M., & Weese-Mayer, D. E. (2003). Effect of a sudden infant death syndrome risk reduction education program on risk factor compliance and information sources in primarily black urban communities. Pediatrics, 111(4 Pt 1), e347–e354.CrossRefPubMed
28.
go back to reference Saraiya, M., Serbanescu, F., Rochat, R., Berg, C. J., Iyasu, S., & Gargiullo, P. M. (1998). Trends and predictors of infant sleep positions in Georgia, 1990 to 1995. Pediatrics, 102(3), e33.CrossRefPubMed Saraiya, M., Serbanescu, F., Rochat, R., Berg, C. J., Iyasu, S., & Gargiullo, P. M. (1998). Trends and predictors of infant sleep positions in Georgia, 1990 to 1995. Pediatrics, 102(3), e33.CrossRefPubMed
29.
go back to reference Services, U. S. D. o. H. a. H. United States Department of Health and Human Services (US DHHS), Centers of Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Office of Analysis and Epidemiology (OAE), Division of Vital Statistics (DVS), Linked Birth/Infant Death Records on CDC WONDER Online Database. http://wonder.cdc.gov/lbd.html Services, U. S. D. o. H. a. H. United States Department of Health and Human Services (US DHHS), Centers of Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Office of Analysis and Epidemiology (OAE), Division of Vital Statistics (DVS), Linked Birth/Infant Death Records on CDC WONDER Online Database. http://​wonder.​cdc.​gov/​lbd.​html
30.
go back to reference Shapiro-Mendoza, C. K., Kimball, M., Tomashek, K. M., Anderson, R. N., & Blanding, S. (2009). US infant mortality trends attributable to accidental suffocation and strangulation in bed from 1984 through 2004: Are rates increasing? Pediatrics, 123(2), 533–539. doi:10.1542/peds.2007-3746 CrossRefPubMed Shapiro-Mendoza, C. K., Kimball, M., Tomashek, K. M., Anderson, R. N., & Blanding, S. (2009). US infant mortality trends attributable to accidental suffocation and strangulation in bed from 1984 through 2004: Are rates increasing? Pediatrics, 123(2), 533–539. doi:10.​1542/​peds.​2007-3746 CrossRefPubMed
31.
go back to reference Shapiro-Mendoza, C. K., Tomashek, K. M., Anderson, R. N., & Wingo, J. (2006). Recent national trends in sudden, unexpected infant deaths: More evidence supporting a change in classification or reporting. American Journal of Epidemiology, 163(8), 762–769.CrossRefPubMed Shapiro-Mendoza, C. K., Tomashek, K. M., Anderson, R. N., & Wingo, J. (2006). Recent national trends in sudden, unexpected infant deaths: More evidence supporting a change in classification or reporting. American Journal of Epidemiology, 163(8), 762–769.CrossRefPubMed
32.
go back to reference Tappin, D., Ecob, R., & Brooke, H. (2005). Bedsharing, roomsharing, and sudden infant death syndrome in Scotland: A case control study. Journal of Pediatrics, 147(1), 32–37.CrossRefPubMed Tappin, D., Ecob, R., & Brooke, H. (2005). Bedsharing, roomsharing, and sudden infant death syndrome in Scotland: A case control study. Journal of Pediatrics, 147(1), 32–37.CrossRefPubMed
33.
go back to reference Taylor, J. A., & Davis, R. L. (1996). Risk factors for the infant prone sleep position. Archives of Pediatrics and Adolescent Medicine, 150, 834–837.CrossRefPubMed Taylor, J. A., & Davis, R. L. (1996). Risk factors for the infant prone sleep position. Archives of Pediatrics and Adolescent Medicine, 150, 834–837.CrossRefPubMed
36.
go back to reference Unger, B., Kemp, J. S., Wilkins, D., Psara, R., Ledbetter, T., Graham, M., et al. (2003). Racial disparity and modifiable risk factors among infants dying suddenly and unexpectedly. Pediatrics, 111(2), E127–E131.CrossRefPubMed Unger, B., Kemp, J. S., Wilkins, D., Psara, R., Ledbetter, T., Graham, M., et al. (2003). Racial disparity and modifiable risk factors among infants dying suddenly and unexpectedly. Pediatrics, 111(2), E127–E131.CrossRefPubMed
37.
go back to reference Willinger, M., Hoffman, H. J., Wu, K.-T., Hou, J.-R., Kessler, R. C., Ward, S. L., et al. (1998). Factors associated with the transition to nonprone sleep positions of infants in the United States: The National Infant Sleep Position Study. JAMA, 280, 329–335.CrossRefPubMed Willinger, M., Hoffman, H. J., Wu, K.-T., Hou, J.-R., Kessler, R. C., Ward, S. L., et al. (1998). Factors associated with the transition to nonprone sleep positions of infants in the United States: The National Infant Sleep Position Study. JAMA, 280, 329–335.CrossRefPubMed
38.
go back to reference Willinger, M., Ko, C. W., Hoffman, H. J., Kessler, R. C., & Corwin, M. J. (2003). Trends in infant bed sharing in the United States, 1993–2000: The National Infant Sleep Position study. Archives of Pediatrics and Adolescent Medicine, 157(1), 43–49.CrossRefPubMed Willinger, M., Ko, C. W., Hoffman, H. J., Kessler, R. C., & Corwin, M. J. (2003). Trends in infant bed sharing in the United States, 1993–2000: The National Infant Sleep Position study. Archives of Pediatrics and Adolescent Medicine, 157(1), 43–49.CrossRefPubMed
Metadata
Title
Evaluation of Bedtime Basics for Babies: A National Crib Distribution Program to Reduce the Risk of Sleep-Related Sudden Infant Deaths
Authors
Fern R. Hauck
Kawai O. Tanabe
Timothy McMurry
Rachel Y. Moon
Publication date
01-06-2015
Publisher
Springer US
Published in
Journal of Community Health / Issue 3/2015
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-014-9957-0

Other articles of this Issue 3/2015

Journal of Community Health 3/2015 Go to the issue