Safe Infant Sleep Interventions: What is the Evidence for Successful Behavior Change?
TLDR
This review will discuss illustrative examples of safe infant sleep interventions and evidence of their effectiveness, as well as the limitations of the data currently available for these interventions.Abstract:
Sudden infant death syndrome (SIDS) and other sleep-related infant deaths, such as accidental suffocation and strangulation in bed and ill-defined deaths, account for >4000 deaths annually in the USA. Evidence-based recommendations for reducing the risk of sleep-related deaths have been published, but some caregivers resist adoption of these recommendations. Multiple interventions to change infant sleep-related practices of parents and professionals have been implemented. In this review, we will discuss illustrative examples of safe infant sleep interventions and evidence of their effectiveness. Facilitators of and barriers to change, as well as the limitations of the data currently available for these interventions, will be considered.read more
Citations
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The Fertility of American Women.
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Vital Signs: Trends and Disparities in Infant Safe Sleep Practices — United States, 2009–2015
Jennifer M. Bombard,Katherine Kortsmit,Lee Warner,Carrie K. Shapiro-Mendoza,Shanna Cox,Charlan D. Kroelinger,Sharyn E. Parks,Deborah L. Dee,Denise V. D’Angelo,Ruben A. Smith,Kim Burley,Brian Morrow,Christine K. Olson,Holly B. Shulman,Leslie J.S. Harrison,Carri Cottengim,Wanda D. Barfield +16 more
TL;DR: Unsafe sleep practices, including placing infants in a nonsupine (on side or on stomach) sleep position, bed sharing, and using soft bedding in the sleep environment are modifiable risk factors for sleep-related infant deaths.
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Prematurity and Sudden Unexpected Infant Deaths in the United States.
Barbara M. Ostfeld,Ofira Schwartz-Soicher,Nancy E. Reichman,Nancy E. Reichman,Julien O. Teitler,Thomas Hegyi +5 more
TL;DR: It is suggested that risk of SUID associated with prematurity has multiple etiologies requiring continued investigation, including biological vulnerabilities and the efficacy of NICU education programs, and that strategies to reduce SUID should be multifaceted.
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A Statewide Hospital-Based Safe Infant Sleep Initiative: Measurement of Parental Knowledge and Behavior
Rebecca L. Walcott,T. C. Salm Ward,Justin B. Ingels,N. A. Llewellyn,Terri J. Miller,Phaedra S. Corso +5 more
TL;DR: Implementation of a statewide hospital initiative was associated with high levels of parental knowledge and behavior and may have been successful in reducing the practice of bed sharing among Medicaid parents.
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Back to Sleep: Teaching Adults to Arrange Safe Infant Sleep Environments.
TL;DR: Behavioral skills training significantly improved appropriate arrangement of a safe sleep environment for infants for all 8 participants and differential responding was assessed across multiple environmental arrangements typical of contexts parents may be exposed to when putting an infant to sleep.
References
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Journal ArticleDOI
What drives change? Barriers to and incentives for achieving evidence-based practice.
Richard Grol,Michel Wensing +1 more
TL;DR: To bridge the gap between scientific evidence and patient care the authors need an in‐depth understanding of the barriers and incentives to achieving change in practice, and potential barriers at various levels need to be addressed.
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SIDS and Other Sleep-Related Infant Deaths: Expansion of Recommendations for a Safe Infant Sleeping Environment
TL;DR: Recommendations include supine positioning, use of a firm sleep surface, breastfeeding, room-sharing without bed-sharing, routine immunizations, consideration of using a pacifier, and avoidance of soft bedding, overheating, and exposure to tobacco smoke, alcohol, and illicit drugs.
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AHRQ Series Paper 5: Grading the strength of a body of evidence when comparing medical interventions—Agency for Healthcare Research and Quality and the Effective Health-Care Program
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TL;DR: EPCs should grade strength of evidence separately for each major outcome and, for comparative effectiveness reviews, all major comparisons.