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01-10-2018 | Original Paper

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

Authors: Trina C. Salm Ward, Marcie M. McClellan, Terri J. Miller, Shannon Brown

Published in: Journal of Community Health | Issue 5/2018

Abstract

To increase access to safe infant sleep surfaces and reduce risk of sleep-related infant deaths, the Georgia Department of Public Health implemented a portable crib distribution and safe sleep educational program. The aim of this evaluation was to compare parental knowledge and practices related to infant sleep before and after receipt of the safe sleep educational program and crib. A prospective, matched pre- and post-test cohort design with a follow-up survey was utilized to evaluate changes in knowledge and practices. Female participants were recruited through the county health department and met the following criteria: (1) between 32 and 40 weeks pregnant or within 3 months postpartum, and (2) demonstrated financial need. Participants completed a survey prior to the start of a group educational program and upon program completion. For those who agreed, a follow-up phone survey was conducted approximately 10 weeks after program completion or after the infant’s birth. McNemar’s Chi square tests were conducted to detect significant differences between specific items on pre-test, post-test, and follow-up surveys, and paired sample t tests were conducted to compare differences in knowledge and practice scores. A total of 132 participants completed matched pre- and post-test surveys and 76 completed follow-up surveys. Knowledge of recommendations regarding position, surface, environment, smoking, breastfeeding, and pacifier use increased significantly between pre- and post-test, with most participants maintaining knowledge at follow-up. The proportion of recommended practices also increased significantly. A group-based safe sleep educational program can be effective in reducing risky infant sleep practices.

Centers for Disease Control and Prevention. (2016). About sudden unexpected infant death and sudden infant death syndrome. Retrieved from http://www.cdc.gov/sids/.

Moon, R. Y. & American Academy of Pediatrics Task Force on Sudden Infant Death Syndrome. (2016). SIDS and other sleep-related infant deaths: Evidence base for 2016 updated recommendations for a safe infant sleeping environment. Pediatrics, 138(5), e20162940. https://doi.org/10.1542/peds.2016-2940.CrossRefPubMed

El-Sayed, A. M., Finkton, D. W., Packzkowski, M., Keyes, K. M., & Galea, S. (2015). Socioeconomic position, health behaviors, and racial disparities in cause-specific infant mortality in Michigan, USA. Preventive Medicine, 76, 8–13. https://doi.org/10.1016/j.ypmed.2015.03.021.CrossRefPubMedPubMedCentral

Malloy, M. H., & Eschbach, K. (2007). Association of poverty with sudden infant death syndrome in metropolitan counties of the United States in the years 1990 and 2000. Southern Medical Journal, 100(11), 1107–1113. https://doi.org/10.1097/SMJ.0b013e318158b9de.CrossRefPubMed

Salm Ward, T. C., & Doering, J. J. (2014). Application of a socio-ecological model to mother-infant bedsharing. Health Education & Behavior, 41(6), 577–589.CrossRef

Moon, R. Y. & American Academy of Pediatrics Taskforce on Sudden Infant Death Syndrome. (2011). SIDS and other sleep-related infant deaths: Expansion of recommendations for a safe infant sleeping environment. Pediatrics, 128(5), 1030–1039. https://doi.org/10.1542/peds.2011-2284.CrossRefPubMed

Moon, R. Y., Hauck, F. R., & Colson, E. R. (2016). Safe infant sleep interventions: What is the evidence for successful behavior change? Current Pediatric Reviews, 12, 67–75. https://doi.org/10.2174/1573396311666151026220906.CrossRefPubMedPubMedCentral

Salm Ward, T. C., & Balfour, G. (2016). Infant safe sleep interventions, 1990–2015: A review. Journal of Community Health, 41(1), 180–196. https://doi.org/10.1007/s10900-015-0060-y.CrossRefPubMed

Ahlers-Schmidt, C. R., Schunn, C., Dempsy, M., & Blackon, S. (2014). Evaluation of community baby showers to promote safe sleep. Kansas Journal of Medicine, 7, 1–5.

10.

Ahlers-Schmidt, C. R., Schunn, C., Lopez, V., Blackmon, S., Dempsey, M., & Sollo, N. (2016). A comparison of community and clinic baby showers to promote safe sleep for populations at high risk for infant mortality. Global Pediatric Health, 3, 2333794 × 15622305. https://doi.org/10.1177/2333794X15622305.CrossRef

11.

Carlins, E. M., & Collins, K. S. (2007). Cribs for kids: Risk and reduction of sudden infant death syndrome and accidental suffocation. Health & Social Work, 32(3), 225–229.CrossRef

12.

Hauck, F. R., Tanabe, K. O., McMurry, T., & Moon, R. Y. (2015). Evaluation of bedtime basics for babies: A national crib distribution program to reduce the risk of sleep-related sudden infant deaths. Journal of Community Health, 40(3), 457–463. https://doi.org/10.1007/s10900-014-9957-0.CrossRefPubMedPubMedCentral

13.

Georgia Department of Public Health. (2013). Reducing infant mortality in Georgia 2013 annual report. Atlanta, GA: Department of Public Health. Retrieved from: https://dph.georgia.gov/sites/dph.georgia.gov/files/MCH/RIM_Ga_2013report.pdf.

14.

National Institute of Child Health and Human Development. (2015). Safe to sleep® public education campaign. Retrieved from http://www.nichd.nih.gov/sts/.

15.

Hochbaum, G. M. (1958). Public participation in medical screening programs: A sociopsychological study. (No. 572). Washington, D.C.: U.S. Department of Health and Human Services, United States Public Health Service.

16.

Janz, N. K., & Becker, M. H. (1984). The health belief model: A decade later. Health Education & Behavior, 11(1), 1–47. https://doi.org/10.1177/109019818401100101.CrossRef

17.

Rosenstock, I. M. (1974). Historical origins of the health belief model. Health Education & Behavior, 2, 328–335. https://doi.org/10.1177/109019817400200403.CrossRef

18.

Colson, E. R., McCabe, L. K., Fox, K., et al. (2005). Barriers to following the back-to-sleep recommendations: Insights from focus groups with inner-city caregivers. Ambulatory Pediatrics, 5(6), 349–354.CrossRefPubMed

19.

Moon, R. Y., & Omron, R. (2002). Determinants of infant sleep position in an urban population. Clinical Pediatrics, 41, 569–573.CrossRefPubMed

20.

Oden, R. P., Joyner, B. L., Ajao, T. I., & Moon, R. Y. (2010). Factors influencing African-American mothers’ decisions about sleep position: A qualitative study. Journal of the National Medical Association, 102(10), 875–880. https://doi.org/10.1016/S0027-9684(15)30705-7.CrossRef

21.

Von Kohorn, I., Corwin, M. J., Rybin, D. V., Heerin, T. C., Lister, G., & Colson, E. R. (2010). Influence of prior advice and beliefs of mothers on infant sleep position. Archives of Pediatric and Adolescent Medicine, 164(4), 363–369. https://doi.org/10.1001/archpediatrics.2010.26.CrossRef

22.

Smith, L. A., Geller, N. L., Kellams, A. L., et al. (2016). Infant sleep location and breastfeeding practices in the United States: 2011–2014. Academic Pediatrics, 16(6), 540–549. https://doi.org/10.1016/j.acap.2016.01.021.CrossRefPubMed

23.

McNemar, Q. (1947). Note on the sampling error of the difference between correlated proportions or percentages. Psychometrika, 12(2), 153–157. https://doi.org/10.1007/BF02295996.CrossRefPubMed

24.

Warner, R. M. (2008). Applied statistics: From bivariate through multivariate techniques. Los Angeles: SAGE Publications.

25.

Georgia Department of Public Health. (2016). Breastfeeding initiation and duration. Atlanta, GA: Georgia Department of Public Health. Retrieved from: https://dph.georgia.gov/sites/dph.georgia.gov/files/related_files/site_page/GA%20PRAMS_Breastfeeding_ProviderBased_FactSheet.pdf.

26.

Gaydos, L. M., Blake, S. C., Gazmararian, J. A., Woodruff, W., Thompson, W. W., & Dalmida, S. G. (2015). Revisiting safe sleep recommendations for African-American infants: Why current counseling is insufficient. Maternal & Child Health Journal, 19(3), 496–503. https://doi.org/10.1007/s10995-014-1530-z.CrossRef

27.

Hackett, M., & Simons, H. (2013). Parental adherence to infant sleep safety recommendations. Journal of Community Medicine & Health Education, 3(4), 219–225. https://doi.org/10.4172/2161-0711.1000219.CrossRef

28.

Salm Ward, T. C. (2015). Reasons for mother-infant bed-sharing: A systematic narrative synthesis of the literature and implications for future research. Maternal & Child Health Journal, 19(3), 675–690. https://doi.org/10.1007/s10995-014-1557-1.CrossRef

29.

Colson, E. R., Willinger, M., Rybin, D., et al. (2013). Trends and factors associated with infant bed sharing, 1993–2010: The National Infant Sleep Position Study. JAMA Pediatrics, 167(11), 1032–1037. https://doi.org/10.1001/jamapediatrics.2013.2560.CrossRefPubMedPubMedCentral

30.

Robida, D., & Moon, R. Y. (2012). Factors influencing infant sleep position: Decisions do not differ by SES in African-American families. Archives of Disease in Childhood, 97(10), 900–905. https://doi.org/10.1136/archdischild-2011-301360.CrossRefPubMed

31.

Moon, R. Y., Mathews, A., Joyner, B. L., Oden, R. P., He, J., & McCarter, R. (2017). Health messaging and African-American infant sleep location: A randomized controlled trial. Journal of Community Health, 42(1), 1–9. https://doi.org/10.1007/s10900-016-0227-1.CrossRefPubMedPubMedCentral

32.

Whiteside-Mansell, L., Nabaweesi, R., Caballero, A. R., Mullins, S. H., Miller, B. K., & Aitken, M. E. (2017). Assessment of safe sleep: Validation of the parent newborn sleep safety survey. Journal of Pediatric Nursing, 35, 30–35. https://doi.org/10.1016/j.pedn.2017.02.033.CrossRefPubMedPubMedCentral

Title: Evaluation of a Crib Distribution and Safe Sleep Educational Program to Reduce Risk of Sleep-Related Infant Death
Authors: Trina C. Salm Ward
Marcie M. McClellan
Terri J. Miller
Shannon Brown
Publication date: 01-10-2018
Publisher: Springer US
Published in: Journal of Community Health / Issue 5/2018
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI: https://doi.org/10.1007/s10900-018-0493-1

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