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Published on: October 2, 2019
Infant Safe Sleep Promotion: Increasing Capacity of Child Protective Services Employees
Carolyn R Ahlers-Schmidt1, Christy Schunn2, Ashley M Hervey1
1Center for Research for Infant Birth and Survival (CRIBS), Department of Pediatrics, School of Medicine-Wichita, University of Kansas, Wichita, KS 67208, USA.
Insights
Child Protective Services (CPS) staff improved safe sleep knowledge after training, leading to more professionals trained on infant safe sleep recommendations. This program successfully reduced sleep-related infant deaths, including Sudden Infant Death Syndrome (SIDS).
Area of Science:
- Public Health
- Pediatrics
- Child Welfare
Background:
- Sleep-related infant deaths, including Sudden Infant Death Syndrome (SIDS), are a leading cause of infant mortality.
- Child Protective Services (CPS) is frequently involved in cases of sleep-related infant deaths, highlighting a need for targeted safe sleep training for CPS staff.
Purpose of the Study:
- To evaluate the effectiveness of the Kansas Infant Death and SIDS (KIDS) Network Safe Sleep Instructor (SSI) train-the-trainer program on CPS staff knowledge.
- To assess the impact of this training on the dissemination of American Academy of Pediatrics safe sleep recommendations.
Main Methods:
- A two-day SSI train-the-trainer program was delivered to 43 participants, with 27 employed by CPS.
- Knowledge of safe sleep recommendations was assessed using a 10-item pretest and posttest.
- Post-training safe sleep education activities by certified SSIs were tracked.
Main Results:
- CPS staff demonstrated significantly lower baseline knowledge compared to other attendees.
- Both CPS and non-CPS attendees showed significant knowledge improvement after the training.
- CPS-certified SSIs delivered substantially more safe sleep training to professionals than other SSIs (1051 vs. 165).
Conclusions:
- The KIDS Network SSI train-the-trainer program is effective in improving safe sleep knowledge among CPS staff.
- This innovative partnership successfully expanded safe sleep education to a previously underserved group.
- Certified SSIs, particularly those from CPS, significantly enhanced safe sleep knowledge among the professionals they trained.
Abstract:
Sleep-related infant deaths, including Sudden Infant Death Syndrome (SIDS), are the number one cause of death in infants between 28 days and one year of life. Nearly half of families experiencing a sleep-related infant death in Kansas were involved with the Department of Children and Families Child Protective Services (CPS), making CPS staff a priority for safe sleep training. This study assessed the impact of the two-day Kansas Infant Death and SIDS (KIDS) Network Safe Sleep Instructor (SSI) train-the-trainer program on CPS staffs' knowledge of the American Academy of Pediatrics safe sleep recommendations. Training was attended by 43 participants, 27 (63%) of whom were employed by CPS. CPS staff had significantly lower baseline knowledge on the 10-item pretest (t = 3.33, p = 0.002), but both CPS and other attendees showed significant improvement by posttest (t = 8.53, p < 0.001 and t = 4.44, p < 0.001, respectively). Following SSI certification, CPS SSIs provided more safe sleep training to professionals than other SSIs (1051 vs. 165, respectively), and both groups of SSIs were able to significantly increase the knowledge of their trainees. Overall, the KIDS Network SSI training was successful. The innovative partnership with CPS allowed for provision of training to a group not historically targeted for safe sleep education.
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