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.
Highlights
The highest proportion of child maltreatment deaths in the United States (US) occur in infants less than 1 year of age [1]
Training was attended by 43 participants, 27 (63%) of whom were employed by Department of Children and Families (DCF) child protective service (CPS)
For level 2, learning, we identified that CPS staff had significantly lower knowledge of the Academy of Pediatrics (AAP) recommendations prior to the training when compared to participants of other vocations
Summary
The highest proportion of child maltreatment deaths in the United States (US) occur in infants less than 1 year of age [1]. 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. Recommendations to reduce the risk of sleep-related infant deaths have been provided by the American Academy of Pediatrics (AAP) since the early 1990s and include having the infant sleep alone on their back in a clutter-free crib during naptime and nighttime [2]. Effective safe sleep interventions from the US and other countries have focused on health messaging, education of professionals, breaking down barriers, utilizing culture and tradition, and addressing legislation and regulations [6].
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