Find Established Evidence

Displaying records 1 through 4 (4 total).

Herman S, Adkins M, Moon RY. Knowledge and beliefs of African-American and American Indian parents and supporters about infant safe sleep. J Community Health. 2015;40(1):12-19. Access Abstract

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): Group Education, Access, Community-Based Group Education, Sleep Environment Modification
Intervention Description: To investigate, by using qualitative methods, beliefs among African-American and American Indian families about infant safe sleep practices, barriers to acceptance of prevention recommendations, and more effective messaging strategies.
Primary Outcomes: N/A
Conclusion: Adherence with safe sleep recommendations may be enhanced if health care providers and educational materials discussed rationale underlying recommendations and addressed common parental concerns. It may be beneficial to target educational interventions towards fathers, as they may be untapped sources in implementing safe sleep practices.
Study Design: N/A
Significant Findings: Yes
Setting: Focus Groups
Data Source: Mother and supporters participating in focus groups
Sample Size: 73 participants
Age Range: Mean age for the participants was 24.9 years for the mothers and 30.7 years for the supporters, and mean age for the children was 5.6 months for both groups.

Oden RP, Joyner BL, Ajao TI, Moon RY. Factors influencing African American mothers' decisions about sleep position: a qualitative study. J Natl Med Assoc. 2010;102(10):870. Access Abstract

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): Group Education, Sleep Environment Modification, Training (Parent/Family)
Intervention Description: Eighty-three mothers participated in focus groups or individual interviews. Questions probed reasons for infant sleep position decisions and influences on decision making.
Primary Outcomes: N/A
Conclusion: African American mothers are generally aware of the Back to Sleep recommendation. However, many may not believe that the supine position is the safest position. Other mothers may use the prone position because of infant comfort or parent's need for longer sleep. Trust in the pediatrician may not be sufficient reason for parents to use the supine position.
Study Design: N/A
Significant Findings: N/A
Setting: Washington, DC, and Maryland
Data Source: Mother interview
Sample Size: 83 mothers
Age Range: parents with infants 0 to 6 months of age

Ward TCS, Balfour GM. Infant safe sleep interventions, 1990–2015: a review. J Community Health. 2016;41(1):180-196. Access Abstract

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): Group Education, Sleep Environment Modification, Media Campaign (Print Materials, Public Address System, Social Media)
Intervention Description: We conducted a systematic review of the international research literature to synthesize research on interventions to reduce the risk of sleep-related deaths and their effectiveness in changing infant sleep practices.
Primary Outcomes: N/A
Conclusion: Future studies should incorporate rigorous evaluation plans, utilize comparison groups, and collect demographic and collect follow-up data.
Study Design: Systematic review
Significant Findings: N/A
Setting: N/A
Data Source: PubMed, CINAHL, PsycINFO, and Google Scholar
Sample Size: 29 articles
Age Range: N/A

Moon RY, Hauck FR, Colson ER. Safe infant sleep interventions: what is the evidence for successful behavior change? Curr Pediatr Rev. 2016;12(1):67-75. Access Abstract

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): Other Media, Sleep Environment Modification, Access, Group Education
Intervention Description: N/A
Primary Outcomes: N/A
Conclusion: Countless interventions to improve the sleep safety of infants have been implemented. It is important to consider the different levels of barriers to and incentives for behavior change when developing interventions. Using a multi-level approach is ideal and may be more effective than targeting one specific level. Despite the multiple challenges and limitations of intervention evaluation, evaluation is still important, as it provides details of the intervention that are helpful for others considering similar interventions. Particularly as the success of an intervention may be context-dependent, it is important and helpful for those who implement interventions to conduct formal program evaluations that include both quantitative and qualitative components so that processes are transparent and that interventions are more easily translated to other communities. Further, if an intervention is found to be effective, there is more likelihood of sustainability. Therefore, formal process evaluation and testing of effectiveness are critical if interventions are to become independently sustainable. Continued funding, sustainability, and expansion for such projects are most possible if effectiveness data are available. Although the RCT is the gold standard for determining effectiveness of an intervention, it is currently not feasible in many instances. In those cases, the most rigorous evaluation design possible should be implemented. Agencies funding interventions should also include funding to evaluate the interventions to ensure that they are completed.
Study Design: N/A
Significant Findings: N/A
Setting: N/A
Data Source: N/A
Sample Size: N/A
Age Range: N/A