Do educational materials change knowledge and behaviour about crying and shaken baby syndrome? A randomized controlled trial
Do educational materials change knowledge and behaviour about crying and shaken baby syndrome? A randomized controlled trial
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DOI：
10.1503/cmaj.081419
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发表时间：
2009-03-31
影响因子：
14.6
通讯作者：
Brant, Rollin
中科院分区：
文献类型：
--
作者：
Barr, Ronald G.;Barr, Marilyn;Brant, Rollin
背景：婴儿摇晃综合征通常发生在婴儿因哭闹而摇晃后。我们质疑是否使用期间的紫色哭泣程序的教育材料会改变产妇的知识和行为shaking.Methods：我们进行了一项随机对照试验，其中1279名母亲收到的材料期间的紫色哭泣程序或控制材料在家庭访问由护士2周后，他们的孩子出生。在5周时，母亲们完成了一份日记，记录她们和婴儿的行为。产后两个月，母亲们完成了一项电话调查，以评估她们的知识和行为。平均得分（范围0-100分）的知识，婴儿哭了更大的母亲谁收到紫色材料（63.8分）比接受对照材料的母亲（58.4分）（差异5.4分，95%置信区间[CI] 4.1至6.5分）。两组的平均得分相似的摇晃知识和母亲的反应哭，伤心欲绝的哭泣和自言自语的反应。与接受对照材料的母亲相比，接受紫色材料的母亲报告说，如果感到沮丧，她们会更频繁地分享有关离开的信息（51.5% v. 38.5%，差异13.0%，95% CI 6.9%至19.2%），摇晃的危险（49.3% v. 36.4%，差异12.9%，95% CI 6.8%至19.0%）和婴儿哭闹（67.6% v. 60.0%，差异7.6%，95% CI 1.7%至13.5%）。在伤心欲绝的哭泣中，接受紫色材料的母亲比接受对照材料的母亲走开的次数要多得多（每天0.067 v. 0.039起事件，率比1.7，95% CI 1.1至2.6）。收到紫色哭泣期材料导致母亲对婴儿哭泣知识和一些行为的得分更高对防止震动很重要。（临床试验。政府试验注册号NCT 00175422）。
Background: Shaken baby syndrome often occurs after shaking in response to crying bouts. We questioned whether the use of the educational materials from the Period of PURPLE Crying program would change maternal knowledge and behaviour related to shaking.Methods: We performed a randomized controlled trial in which 1279 mothers received materials from the Period of PURPLE Crying program or control materials during a home visit by a nurse by 2 weeks after the birth of their child. At 5 weeks, the mothers completed a diary to record their behaviour and their infants' behaviour. Two months after giving birth, the mothers completed a telephone survey to assess their knowledge and behaviour.Results: The mean score (range 0-100 points) for knowledge about infant crying was greater among mothers who received the PURPLE materials (63.8 points) than among mothers who received the control materials (58.4 points) (difference 5.4 points, 95% confidence interval [CI] 4.1 to 6.5 points). The mean scores were similar for both groups for shaking knowledge and reported maternal responses to crying, inconsolable crying and self-talk responses. Compared with mothers who received control materials, mothers who received the PURPLE materials reported sharing information about walking away if frustrated more often (51.5% v. 38.5%, difference 13.0%, 95% CI 6.9% to 19.2%), the dangers of shaking (49.3% v. 36.4%, difference 12.9%, 95% CI 6.8% to 19.0%), and infant crying (67.6% v. 60.0%, difference 7.6%, 95% CI 1.7% to 13.5%). Walking away during inconsolable crying was significantly higher among mothers who received the PURPLE materials than among those who received control materials (0.067 v. 0.039 events per day, rate ratio 1.7, 95% CI 1.1 to 2.6).Interpretation: The receipt of the Period of PURPLE Crying materials led to higher maternal scores for knowledge about infant crying and for some behaviours considered to be important for the prevention of shaking. (Clinical-Trials. gov trial register no. NCT00175422.)