Enhancing Safe Sleep Practices of Urban Low-Income Mothers
| Status: | Completed |
|---|---|
| Conditions: | Women's Studies |
| Therapuetic Areas: | Reproductive |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 8/23/2017 |
| Start Date: | October 2015 |
| End Date: | June 2017 |
The specific aims of the study are to: 1) evaluate the impact of the safe sleep intervention
on parents' knowledge, beliefs, intentions, skills and practices related to creating and
maintaining a safe sleep environment for their infants during the first four months of life;
2) describe the characteristics of physician anticipatory guidance about safe sleep and
identify physician, patient and parent characteristics associated with coverage of the topic
at the well-child visits; and 3) evaluate the dissemination of the B'more for Healthy Babies
(BHB)'s safe sleep campaign messages and services among our study participants.
on parents' knowledge, beliefs, intentions, skills and practices related to creating and
maintaining a safe sleep environment for their infants during the first four months of life;
2) describe the characteristics of physician anticipatory guidance about safe sleep and
identify physician, patient and parent characteristics associated with coverage of the topic
at the well-child visits; and 3) evaluate the dissemination of the B'more for Healthy Babies
(BHB)'s safe sleep campaign messages and services among our study participants.
This intervention trial uses a randomized controlled design and will be conducted in the
Harriet Lane Clinic. The study conditions are: Standard Care Group (SG), Attention-Matched
Control Group that receives a scald burn prevention intervention (CG), and Intervention Group
that receives a safe sleep intervention (IG). Parents or legal guardians will be enrolled
during the newborn visit (when the baby is approximately 4-7 days old). While waiting to be
seen for their 2-week well-child visit, the parent will complete the Baseline Interview and
be randomized to SG, IG, or CG. All participants will receive Standard of Care during all of
their well-child visits, which will include standard anticipatory guidance delivered by the
pediatric resident. The IG and CG interventions will be delivered in the clinic during the
2-week visit after the baseline survey has been completed. The first follow-up will be
conducted at the home of the parent after completing the 2-week visit, when the baby is
approximately 3-6 weeks old. The second follow-up will be conducted at the home of the parent
after the 2-month well-child visit, when the child is approximately 2-4 months of age. Each
home visit consists of an interview covering safe sleep and scald topics, an observation of
the baby's sleep environment, and testing the water temperature. The 2-week and 2-month
well-child visits will be audio-recorded, and parent or legal guardians will be asked to
complete a Visit Exit Checklist.
Harriet Lane Clinic. The study conditions are: Standard Care Group (SG), Attention-Matched
Control Group that receives a scald burn prevention intervention (CG), and Intervention Group
that receives a safe sleep intervention (IG). Parents or legal guardians will be enrolled
during the newborn visit (when the baby is approximately 4-7 days old). While waiting to be
seen for their 2-week well-child visit, the parent will complete the Baseline Interview and
be randomized to SG, IG, or CG. All participants will receive Standard of Care during all of
their well-child visits, which will include standard anticipatory guidance delivered by the
pediatric resident. The IG and CG interventions will be delivered in the clinic during the
2-week visit after the baseline survey has been completed. The first follow-up will be
conducted at the home of the parent after completing the 2-week visit, when the baby is
approximately 3-6 weeks old. The second follow-up will be conducted at the home of the parent
after the 2-month well-child visit, when the child is approximately 2-4 months of age. Each
home visit consists of an interview covering safe sleep and scald topics, an observation of
the baby's sleep environment, and testing the water temperature. The 2-week and 2-month
well-child visits will be audio-recorded, and parent or legal guardians will be asked to
complete a Visit Exit Checklist.
Inclusion Criteria:
- Adult (18 years of age) or emancipated minor.
- Parent or legal guardian of the child.
- Child is receiving care at the Harriet Lane Clinic.
- Child's primary care provider is participating in the study.
- English-speaking.
- Lives in Baltimore City or Baltimore County.
- Not homeless or not living in a shelter or in an established transitional housing
facility.
Exclusion Criteria:
- Not an adult or emancipated minor.
- Not the parent or legal guardian of the child.
- Child is not receiving care at the Harriet Lane Clinic.
- Child's primary care provider is not participating in the study.
- Non English-speaker.
- Does not live in Baltimore City or Baltimore County.
- Homeless or living in a shelter or other established transitional housing facility.
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