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Feasibility study of the calm baby gently program: An educational baby book intervention on safe practices related to
Emily A Eismann1, Eve S Pearl2, Jack Theuerling1
1Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH, 45229, USA.
Insights
The Calm Baby Gently educational book is a feasible intervention to prevent abusive head trauma (AHT). Caregivers who read the book showed increased confidence and knowledge in responding to infant crying.
Area of Science:
- Pediatrics
- Child Abuse Prevention
- Public Health
Background:
- Abusive head trauma (AHT) is a significant, yet preventable, form of child abuse.
- Infant crying is a common trigger for AHT, highlighting the need for effective prevention strategies.
Purpose of the Study:
- To assess the feasibility and effectiveness of the "Calm Baby Gently" educational baby book intervention.
- To promote safe practices for caregivers responding to infant crying to prevent AHT.
Main Methods:
- A mixed-methods design was employed across three pediatric practices.
- 1045 caregivers of infants were enrolled, with the book distributed at the 1-month visit and surveys completed at the 2-month visit.
- Qualitative thematic analysis and quantitative comparisons were used to evaluate caregiver feedback and responses to infant crying.
Main Results:
- 92% of caregivers who received the book read it, with many sharing it with others.
- Caregivers found the book helpful, understandable, and validating, improving their knowledge and skills.
- Caregivers who read the book demonstrated significantly higher confidence and knowledge in responding to infant crying compared to those who did not.
Conclusions:
- The "Calm Baby Gently" program is a feasible and well-received intervention for AHT prevention.
- Further research, including randomized controlled trials, is recommended to confirm its impact on caregiver behavior and AHT rates.
Background:
Abusive head trauma (AHT) is a preventable form of child abuse.
Objective:
This project used a mixed method design to assess the feasibility of the Calm Baby Gently educational baby book intervention for promoting safe practices related to infant crying in an effort to prevent AHT.
Participants And Setting:
Three pediatric practices participated between June 2016 and January 2018, including 1045 caregivers who attended their infant's 2-month well-child visit.
Methods:
Pediatric providers gave the educational baby book to caregivers at the 1-month well-child visit. Caregivers completed a survey at the 2-month well-child visit on their use and satisfaction with the book and responses to infant crying. Thematic analysis of qualitative feedback was performed. Responses to infant crying were compared quantitatively between caregivers who had and had not read the book.
Results:
Of the 819 caregivers (78%) who received the book, 92% (754) read it, and 51% (421) had another caregiver read it. Caregivers considered the book approachable, understandable, validating, and helpful for improving knowledge and skills related to infant crying. The book was rated more helpful by caregivers of younger age, male gender, and non-white race. Controlling for age, gender, and race, caregivers who read the book were more confident (p = 0.033) and had more knowledge on how to respond appropriately to infant crying (p = 0.019) than caregivers who had not read it.
Conclusions:
Calm Baby Gently is a feasible and well-received AHT prevention program. Randomized controlled trials are needed to better understand its impact on knowledge, behavior, and AHT rates.
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