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Evaluation of a Multisite Safe Infant Sleep Education and Crib Distribution Program.

Trina C Salm Ward¹, Terri J Miller², Iman Naim²

¹Helen Bader School of Social Welfare, University of Wisconsin-Milwaukee, Milwaukee, WI 53211, USA.

International Journal of Environmental Research and Public Health

|July 2, 2021

Summary

Safe infant sleep education increased knowledge and intentions, but these gains were not sustained long-term. This highlights a gap between learning about safe sleep practices and consistent application after birth.

Keywords:

health promotion infant mortality prevention priority populations social and cultural determinants sudden infant death syndrome sudden unexpected death in infancy

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Area of Science:

Public Health
Pediatrics
Sleep Medicine

Background:

Infant sleep-related deaths remain a public health concern, with rates plateauing despite recommendations from the American Academy of Pediatrics.
Existing safe sleep guidelines aim to reduce the risk of sudden infant death syndrome (SIDS) and other sleep-related infant deaths.

Purpose of the Study:

To evaluate the effectiveness of a group-based safe sleep educational program facilitated by the state department of public health.
To assess changes in self-reported knowledge, intentions, and practices related to infant safe sleep among program participants.

Main Methods:

A prospective, matched pre- and post-test cohort design with follow-up was employed.
Facilitators delivered a group safe sleep educational program at 28 sites across the state.
Data were collected through surveys from 615 participants for pre- and post-test, and 66 for follow-up.

Main Results:

A significant increase in correct responses for knowledge and intended practice items was observed from pre-test to post-test.
At post-test, 62.3% of participants planned to alter their infant's sleep arrangements based on the education received.
At follow-up, knowledge was largely maintained, but adherence to safe sleep practices decreased, with only half of practice-related items sustained.

Conclusions:

The safe sleep education program initially improved knowledge and intentions regarding infant sleep practices.
However, the study indicates a decline in sustained adherence to safe sleep practices at follow-up.
Findings align with literature showing a discrepancy between parental intentions and actual infant sleep practices post-birth.