Feasibility and Acceptability of a Tailored Infant Safe Sleep Coaching Intervention for African American Families.

Trina C Salm Ward,Steven M Kogan,Jane Mcpherson

doi:10.3390/ijerph18084133

Abstract

Background: Approximately 3600 infants die suddenly and unexpectedly annually in the United States. Research suggests limitations of current behavioral interventions to reduce the risk for sleep-related deaths among African American families living in under-resourced neighborhoods. Guided by the theory of planned behavior and the socio-ecological model, the My Baby’s Sleep (MBS) intervention intends to reduce the risk for sleep-related infant deaths while addressing complex needs of African American families living in under-resourced neighborhoods. Objective: To assess feasibility and acceptability of MBS, a 7-month intervention that includes four home visits and multiple check-ins via phone and text message. Methods: This was a single-arm feasibility and acceptability study with quantitative and qualitive measures. African American families were recruited from community agencies that served an under-resourced metropolitan area. Results: Eight families (eight mothers, nine co-caregivers) completed the intervention. Families reported high acceptability of MBS content, process, and format, as evidenced by qualitative data and mean evaluation scores. Conclusion: MBS is feasible and acceptable among African American families living in under-resourced neighborhoods. These results suggest further investigation of MBS intervention efficacy in a large-scale randomized controlled trial.

Highlights

IntroductionStates (U.S.) of sleep-related causes such as Sudden Infant Death Syndrome (SIDS), accidental suffocation and strangulation in bed, and undetermined causes [1]
3600 infants die suddenly and unexpectedly each year in the UnitedStates (U.S.) of sleep-related causes such as Sudden Infant Death Syndrome (SIDS), accidental suffocation and strangulation in bed, and undetermined causes [1]
These results suggest further investigation of My Baby’s Sleep (MBS) intervention efficacy in a large-scale randomized controlled trial

Summary

Introduction

States (U.S.) of sleep-related causes such as Sudden Infant Death Syndrome (SIDS), accidental suffocation and strangulation in bed, and undetermined causes [1]. Risk for Sudden Unexpected Infant Death and SIDS has been suggested using, for example, the infection hypothesis [2] and the triple risk hypothesis [3,4], which suggest potential underlying vulnerability that may be exacerbated by modifiable behaviors such as maternal smoking, lack of breast feeding, unsafe sleep surfaces, and prone sleeping. Despite aggressive public information campaigns recommending practices to reduce the risk for sleep-related deaths [9], epidemiological data indicate that risky sleep practices continue at high rates, especially for African American infants living in neighborhoods with limited resources [10,11,12]

Objectives

Discussion

Conclusion