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Strengthening the evidence for maternal and child health programs

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Displaying records 1 through 20 (23 total).

Ahlers-Schmidt CR, Schunn C, Nguyen M, Nimeskern-Miller J, Ilahe R, Kuhlmann S. Does providing infant caregivers with a wearable blanket increase safe sleep practices? A randomized controlled trial. Clin Pediatr (Phil). 2015:0009922815572077.

Link: https://www.ncbi.nlm.nih.gov/pubmed/25673627

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): Provision of Safe Sleep Item, CAREGIVER

Intervention Results:

At baseline, 83% of the caregivers in the control group and 89% in the intervention group reported placing their infants to sleep on their backs. At follow-up, the control group increased to 88% while the intervention group remained at 89%. No significant difference was observed between the two groups at post-intervention.

D’Halluin AR, Roussey M, Branger B, Venisse A, Pladys P. Formative evaluation to improve prevention of sudden infant death syndrome (SIDS): a prospective study. Acta Paediatr. 2011;100(10):e147-e151.

Link: https://onlinelibrary.wiley.com/doi/full/10.1111/j.1651-2227.2011.02331.x

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): CAREGIVER, Education/Training (caregiver), Educational Material (caregiver), Assessment (caregiver)

Intervention Results:

At follow-up, 91.9% and 86.8% of the mothers reported practicing supine sleep position in the intervention and control group respectively (p=0.16; OR=1.7, 95% CI: 0.7-4.0).

Issler RM, Marostica PJ, Giugliani ER. Infant sleep position: a randomized clinical trial of an educational intervention in the maternity ward in Porto Alegre, Brazil. Birth. 2009;36(2):115-121.

Link: https://www.ncbi.nlm.nih.gov/pubmed/19489805

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): CAREGIVER, Education/Training (caregiver), Educational Material (caregiver)

Intervention Results:

In the third postpartum month, 42.9% of the mothers in the intervention group indicated that they put their infants to sleep in the supine position, compared with 24% in the control group (p=0.009). In the sixth postpartum month, these values were 41.8% and 19.1% respectively (p=0.001).

Kistin CJ, Barrero-Castillero A, Lewis S, et al. Maternal note-taking and infant care: a pilot randomised controlled trial. Arch Dis Child. 2012;97(10):916-918.

Link: https://www.ncbi.nlm.nih.gov/pubmed/22806235

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): Note-Taking (caregiver), CAREGIVER, Education/Training (caregiver), Educational Material (caregiver)

Intervention Results:

Mothers in the intervention group were more likely than those in the control group to report placing their infant on their back for sleep (88% vs. 78%), but the difference was not statistically significant (RR=1.13, 95% CI: 0.95-1.34). However, first-time mothers were significantly more likely to report placing their infant on the back for sleep (95% vs. 65%, RR=1.46, 95% CI: 1.06-2.00).

Goetter M, Stepans M. First-time mothers' selection of infant supine sleep positioning. Journal of perinatal education. 2005;14(4):16-23. http://onlinelibrary.wiley.com/o/cochrane/clcentral/articles/688/CN-00582688/frame.html.

Link: http://onlinelibrary.wiley.com/o/cochrane/clcentral/articles/688/CN-00582688/frame.html

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): CAREGIVER, Education/Training (caregiver)

Intervention Results:

At the first follow-up (6 to 7 weeks postpartum; 1 week after discharge), mothers in the experimental group reported choosing supine position more often than mothers in the control group (p=0.034). At the second follow-up (6 to 7 weeks after the intervention), responses were mixed. In regard to the current infant sleep position, no significant difference was observed between the two groups (p=0.276). In terms of the sleep position in the previous night, no significant difference was observed (p=0.592). However, on sleep position for naptime on the day of followup, the experimental group reported an increased selection of supine position compared to the control group (p=0.028).

Moon RY, Calabrese T, Aird L. Reducing the risk of sudden infant death syndrome in child care and changing provider practices: lessons learned from a demonstration project. Pediatrics. 2008;122(4):788-798.

Link: https://www.ncbi.nlm.nih.gov/pubmed/18829803

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provider Training/Education

Intervention Results:

At baseline, 51.8% of the child care providers in the control group and 50.9% in the intervention group reported placing infants to sleep on their backs. At follow-up, the control group increased to 57.1% and the intervention group increased to 62.1%. No significant difference was observed between the two groups at post-intervention.

Colson ER, Joslin SC. Changing nursery practice gets inner-city infants in the supine position for sleep. Arch Pediatr Adolesc Med. 2002;156(7):717-720.

Link: https://www.ncbi.nlm.nih.gov/pubmed/12090841

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provider Training/Education

Intervention Results:

  • Infant observations showed that 20% and 99% of the infants in the well-newborn nursery were placed in the supine position before and after the intervention respectively (p<0.05).
  • Parents reported that 37% and 88% of nursery staff exclusively placed infants to sleep in the supine position before and after the intervention respectively (OR=12.5, 95% CI: 5.7-27.7).
  • Parent report showed that 42% and 75% of parents usually placed infants to sleep in the supine position at home before and after the intervention respectively (OR=4.2, 95% CI: 2.1-7.9).

Gelfer P, Cameron R, Masters K, Kennedy KA. Integrating "Back to Sleep" recommendations into neonatal ICU practice. Pediatrics. 2013;131(4):e1264-1270.

Link: https://www.ncbi.nlm.nih.gov/pubmed/23460685

NPM: 5: Safe Sleep
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, Assessment (Provider), HOSPITAL, Quality Improvement, Policy/Guideline (Hospital), Crib Card, CAREGIVER, Education/Training (caregiver), Assessment (caregiver), Educational Material (caregiver)

Intervention Results:

  • Audit data showed that there was a significant increase in the rate of supine positioning from 39% at baseline to 83% at follow-up (p<0.001).
  • Parental surveys showed that there was a significant increase in the rate of supine position from 73% at baseline to 93% at follow-up (p<0.05).

Geyer JE, Smith PK, Kair LR. Safe sleep for pediatric inpatients. J Spec Pediatr Nurs. 2016;21(3):119-130.

Link: https://www.ncbi.nlm.nih.gov/pubmed/27221207

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provider Training/Education, HOSPITAL, Quality Improvement, Policy/Guideline (Hospital), Crib Card, Visual Display, Sleep Environment Modification, Promotional Event, POPULATION-BASED SYSTEMS, COMMUNITY, Visual Display, Social Media, CAREGIVER, Education/Training (caregiver), Educational Material (caregiver)

Intervention Results:

Between baseline and a year after the initiation of the intervention, the rate of supine positioning increased from 82% to 95%, but the increase was not statistically significant (p=0.183). From baseline to a year following the intervention, the rate of supine positioning remained stable at 83% (p=1.000).

Hiley CM, Morley CJ. Evaluation of government's campaign to reduce risk of cot death. BMJ. 1994;309(6956):703-704.

Link: https://www.ncbi.nlm.nih.gov/pubmed/7950523

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): NATIONAL, Campaign

Intervention Results:

Comparing before and after the campaign, there was a significant increase in supine position for newborns from 9% to 40% (p<0.0001), for 3 month olds from 14% to 54% (p<0.0001), and for 6 months old from 30% to 64% (p<0.0001).

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.

Link: https://www.ncbi.nlm.nih.gov/pubmed/15046283

NPM: 5: Safe Sleep
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 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.

Hwang SS, O'Sullivan A, Fitzgerald E, Melvin P, Gorman T, Fiascone JM. Implementation of safe sleep practices in the neonatal intensive care unit. J Perinatol. 2015;35(10):862-866.

Link: https://www.ncbi.nlm.nih.gov/pubmed/26156063

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provider Training/Education, HOSPITAL, Crib Card, Visual Display, CAREGIVER, Education/Training (caregiver)

Intervention Results:

For both sites combined, from the pre- to post-intervention period, there was a significant increase in compliance with supine positioning from 80.4% to 95.8% (p<0.001).

Kuhlmann S, Ahlers-Schmidt CR, Lukasiewicz G, Truong TM. Interventions to improve safe sleep among hospitalized infants at eight children's hospitals. Hosp Pediatr. 2016;6(2):88-94.

Link: https://www.ncbi.nlm.nih.gov/pubmed/26753631

NPM: 5: Safe Sleep
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, HOSPITAL, Policy/Guideline (Hospital), Sleep Environment Modification, CAREGIVER, Education/Training (caregiver), Educational Material (caregiver), Attestation (Provider)

Intervention Results:

Across all 8 sites, safe sleep position increased from 85.0% at baseline to 96.2% at follow-up (p<0.001).

Macklin JR, Gittelman MA, Denny SA, Southworth H, Arnold MW. The EASE quality improvement project: improving safe sleep practices in Ohio children's hospitals. Pediatrics. 2016;138(4).

Link: https://www.ncbi.nlm.nih.gov/pubmed/27630074

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provider Training/Education, HOSPITAL, Quality Improvement, Policy/Guideline (Hospital), Sleep Environment Modification, CAREGIVER, Education/Training (caregiver)

Intervention Results:

Comparing baseline to the last follow-up, there was no significant change in supine sleep position (84.0% to 84.7%) (p=0.913).

McCulloch K, Dahl S, Johnson S, Burd L, Klug MG, Beal JR. Prevalence of SIDS risk factors: before and after the "Back to Sleep" campaign in North Dakota Caucasian and American Indian infants. Clin Pediatr (Phila). 2000;39(7):403-410.

Link: https://www.ncbi.nlm.nih.gov/pubmed/10914305

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): Campaign, NATIONAL, POPULATION-BASED SYSTEMS

Intervention Results:

Comparing before and after the campaign, combining American Indian and Caucasian infants, there was a significant increase in supine position from 17.3% to 67.0% (OR=0.103, 95% CI: 0.070-0.151). The increase was significant among Caucasian infants from 12.0% to 68.6% (OR=0.603, 95% CI: 0.059-0.099). For American Indian infants, there was a non-significant increase from 37.9% to 54.8% (OR: 0.502, 95% CI: 0.212-1.19).

McMullen SL, Fioravanti ID, Brown K, Carey MG. Safe sleep for hospitalized infants. MCN Am J Matern Child Nurs. 2016;41(1):43-50.

Link: https://www.ncbi.nlm.nih.gov/pubmed/26658535

NPM: 5: Safe Sleep
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, Attestation (Provider), HOSPITAL, Quality Improvement, Policy/Guideline (Hospital), Crib Card, Visual Display, Sleep Environment Modification, Promotional Event, CAREGIVER, Education/Training (caregiver), Educational Material (caregiver), Attestation (caregiver)

Intervention Results:

Prior to the intervention, 70% of infants were found in the supine sleep position; after the intervention, 90% were found supine (p<0.01).

Rocca Rivarola M, Reyes P, Henson C, et al. Impact of an educational intervention to improve adherence to the recommendations on safe infant sleep. Arch Argent Pediatr. 2016;114(3):223-231.

Link: https://www.ncbi.nlm.nih.gov/pubmed/27164334

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provider Training/Education, Educational Material (Provider), HOSPITAL, Crib Card, Visual Display, CAREGIVER, Education/Training (caregiver), Educational Material (caregiver)

Intervention Results:

Caregiver report showed that 42% and 77% of infants were asleep supine at baseline and follow-up respectively (p<0.0001).

Rowe AD, Sisterhen LL, Mallard E, et al. Integrating safe sleep practices into a pediatric hospital: outcomes of a quality improvement project. J Pediatr Nurs. 2016;31(2):e141-147.

Link: https://www.ncbi.nlm.nih.gov/pubmed/26643582

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provider Training/Education, Attestation (Provider), HOSPITAL, Quality Improvement, Policy/Guideline (Hospital), Sleep Environment Modification, CAREGIVER, Educational Material (caregiver)

Intervention Results:

Audit data showed that 72% and 77% of infants were asleep supine at baseline and follow-up respectively (p=0.07).

Shadman KA, Wald ER, Smith W, Coller RJ. Improving safe sleep practices for hospitalized infants. Pediatrics. 2016;138(3).

Link: https://www.ncbi.nlm.nih.gov/pubmed/27482058

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provision of Safe Sleep Item, Provider Training/Education, HOSPITAL, Quality Improvement, Policy/Guideline (Hospital), Visual Display, Sleep Environment Modification, CAREGIVER

Intervention Results:

  • Audit data showed that there was a non-significant increase in supine position from 81.0% to 84.3% from baseline to follow-up (p=0.54).
  • Caregiver report showed that there was a non-significant increase in supine position from 89.3% to 93.8% (p=0.42).

Shaefer SJ, Herman SE, Frank SJ, Adkins M, Terhaar M. Translating infant safe sleep evidence into nursing practice. J Obstet Gynecol Neonatal Nurs. 2010;39(6):618-626.

Link: https://www.ncbi.nlm.nih.gov/pubmed/21044146

NPM: 5: Safe Sleep
Intervention Components (click on component to see a list of all articles that use that intervention): PROVIDER/PRACTICE, Provider Training/Education, HOSPITAL, Quality Improvement, Policy/Guideline (Hospital), CAREGIVER, Educational Material (caregiver)

Intervention Results:

Across all 7 sites, among infants in cribs at the time of the audits, there was a significant increase in the percentage on their backs from 80.7% to 91.9% (p<0.05).
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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.