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Strengthen the Evidence for Maternal and Child Health Programs

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Established Evidence Results

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Below are articles that support specific interventions to advance MCH National Performance Measures (NPMs) and Standardized Measures (SMs). Most interventions contain multiple components as part of a coordinated strategy/approach.

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Displaying records 1 through 4 (4 total).

Bryan MA, Evans YN, Gower A, Moreno MA. Does Exposure to Pediatrician or Parent Blog Content Influence Infant Safe Sleep Practices? Matern Child Health J. 2023 Feb;27(2):251-261. doi: 10.1007/s10995-022-03579-z. Epub 2023 Jan 5. PMID: 36604380.

Evidence Rating: Evidence Against

Intervention Components (click on component to see a list of all articles that use that intervention): Social Media, Other Media, Mass Media, NATIONAL, COMMUNITY

Intervention Description: To examine whether exposure to safe sleep recommendations using a blog format changed infant sleep practices.

Intervention Results: The average infant age (n = 1500) was 6.6 months (Standard Deviation 3.3). Most participants (74%) were female; 77% were married; 65% identified as white Non-Hispanic, 12% were black and 17% were Hispanic. 47% (n = 711) completed both surveys. We identified no differences in the odds of any of the four safe sleep practices after exposure to safe sleep recommendations in blog post format.

Conclusion: Although in-person advice has been associated with improved safe sleep practices, we did not identify changes in infant sleep practices after exposure to safe sleep advice using blog posts.

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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.

Evidence Rating: Emerging Evidence

Intervention Components (click on component to see a list of all articles that use that intervention): CAREGIVER, Provision of Safe Sleep Item, Education/Training (caregiver), Educational Material (caregiver), PARENT/FAMILY, Training (Parent/Family), NATIONAL, Campaign, Mass Media

Intervention Description: 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.

Intervention Results: 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.

Conclusion: Crib distribution and safe sleep education positively influence knowledge and practices about safe sleep.

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Havard A, Tran DT, Kemp-Casey A, Einarsdóttir K, Preen DB, Jorm LR. Tobacco policy reform and population-wide antismoking activities in Australia: the impact on smoking during pregnancy. Tobacco Control 2018 Sep;27(5):552-559. doi: 10.1136/tobaccocontrol-2017-053715. Epub 2017 Aug 4.

Evidence Rating: Mixed Evidence

Intervention Components (click on component to see a list of all articles that use that intervention): COMMUNITY, Media Campaign (Print Materials, Radio, TV), STATE, Campaign, Policy/Guideline (State), Mass Media

Intervention Description: This study examined the impact of antismoking activities targeting the general population and an advertising campaign targeting smoking during pregnancy on the prevalence of smoking during pregnancy in New South Wales (NSW), Australia.

Intervention Results: Prevalence of smoking during pregnancy decreased from 2003 to 2011 overall (0.39% per month), and for all strata examined. For pregnancies overall, none of the evaluated initiatives was associated with a change in the trend of smoking during pregnancy. Significant changes associated with increased tobacco tax and the extension of the smoking ban (in combination with graphic warnings) were found in some strata.

Conclusion: The declining prevalence of smoking during pregnancy between 2003 and 2011, while encouraging, does not appear to be directly related to general population antismoking activities or a pregnancy-specific campaign undertaken in this period.

Study Design: Quasi experimental cross sectional

Setting: Statewide and community: national antismoking campaigns

Population of Focus: Health records of all pregnancies resulting in a live birth between 2003 to 2011 in one state (New South Wales)

Data Source: Health records for all pregnancies resulting in birth in New South Wales

Sample Size: 800,619 pregnancies among 534,513 women in New South Wales

Age Range: Not specified

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Hill SA, Hjelmeland B, Johannessen NM, Irgens LM, Skjaerven R. Changes in parental risk behaviour after an information campaign against sudden infant death syndrome (SIDS) in Norway. Acta Paediatr. 2004;93(2):250-254.

Evidence Rating: Emerging Evidence

Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provider Training/Education, Provision of Safe Sleep Item, POPULATION-BASED SYSTEMS, NATIONAL, Campaign, Mass Media, CAREGIVER, Education/Training (caregiver), Educational Material (caregiver)

Intervention Description: To assess parental risk behaviour before and after a sudden infant death syndrome (SIDS) information campaign with special emphasis on associations with maternal age, education, marital status and birth order.

Intervention Results: The prevalence of non-supine sleep position decreased significantly from 33.7% before the campaign to 13.6% after (RR=0.40, 95% CI: 0.37-0.44). The decrease was significant by maternal education, cohabitation, birth order, and maternal age.

Conclusion: Non-supine sleeping decreased to a level that has never been reported before. In future campaigns, subgroup-specific measures may be needed.

Study Design: QE: pretest-posttest

Setting: N/A

Population of Focus: All mothers registered with the Medical Birth Registry of Norway as having given birth between Oct and Nov 1998 and Oct and Nov 1999 without a pathological condition

Data Source: Mother report

Sample Size: Baseline (n=5539) Follow-up (n=4143)

Age Range: Not specified

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The MCH Digital Library is one of six special collections at Geogetown University, the nation's oldest Jesuit institution of higher education. It is supported in part by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under award number U02MC31613, MCH Advanced Education Policy with an award of $700,000/year. The library is also supported through foundation and univerity funding. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.