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Strengthen the Evidence for Maternal and Child Health Programs

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Gaydos LM, Blake SC, Gazmararian JA, Woodruff W, Thompson WW, Dalmida SG. Revisiting safe sleep recommendations for African-American infants: why current counseling is insufficient. Matern Child Health J. 2015;19(3):496-503. Access Abstract

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): Family-Based Interventions, Access, Sleep Environment Modification
Intervention Description: This study was intended to better understand how low-income, African-American mothers understand and act upon safe sleep recommendations for newborns and how providers counsel these mothers. We conducted focus groups with 60 African-American, low-income, first-time mothers and telephone interviews with 20 providers serving these populations to explore provider counseling and patient decision making.
Primary Outcomes: N/A
Conclusion: We suggest that counseling strategies should be adapted to: (1) provide greater detailed rationale for SIDS prevention recommendations; and (2) incorporate or acknowledge familial and cultural preferences. Ignoring the reasons for sleep decisions by African-American parents may perpetuate ongoing racial/ethnic disparities in SIDS.
Study Design: N/A
Significant Findings: N/A
Setting: Georgia
Data Source: Mother interview
Sample Size: 80 mothers
Age Range: Parents of infants less than 6 months

   

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. 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.