Improving the Self-Efficacy of African American Parents in Infant Supine Sleep

提高非洲裔美国父母在婴儿仰卧睡眠中的自我效能

• 批准号: 8468189
• 负责人: Kathryn L Moseley
• 金额: $ 41.29万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-09-30 至 2015-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8468189
• 关键词: 1 year old; Abdominal colic; Address; Adherence; Affect; African American; Age; Age-Months; Area; Behavior; Belief; Cessation of life; Child; Control Groups; Crying; Data; Death Rate; Development; Effectiveness; Environment; Exercise; Focus Groups; General Population; Generic Drugs; Goals; Guidelines; Health; Health Care Visit; Healthy People 2010; Household; Incidence; Infant; Insurance; Intervention; Interview; Life; Mails; Media Intervention; Mediator of activation protein; Methodology; Modeling; Motivation; Newspapers; Not Hispanic or Latino; Nurses; Obesity; Pamphlets; Parenting Education; Parents; Participant; Physicians; Positioning Attribute; Prevalence; Preventive; Printing; Public Health; Race; Randomized Controlled Trials; Recommendation; Reporting; Research; Risk; Safety; Self Efficacy; Sleep; Solutions; Staging; Structure; Sudden infant death syndrome; Supine Position; Techniques; Testing; Time; demographics; group intervention; improved; infant death; infant sleep position; intervention effect; meetings; pediatrician; peer; sleep position; stressor; supine sleep; trend

PROJECT SUMMARY African American parents are less likely than non-Hispanic White parents to place their infant to sleep in a supine position. African American infants also die of Sudden Infant Death Syndrome (SIDS) at rates 2-3 times greater than non-Hispanic White infants. Placing infants to sleep in the supine position significantly reduces the risk of death from SIDS. Defined as the "sudden, unexplained death of an infant younger than one year old," SIDS is the leading cause of infant deaths occurring after the first month of life. Most SIDS deaths (90%) occur by 6 months of age with the highest incidence between 2 and 4 months. The disparity between African American and White infants in supine sleep prevalence has persisted since the first supine sleep recommendation was made in 1992, although overall rates of supine sleep have increased for both African American and non-Hispanic Whites. This disparity endures despite a concerted public health effort to inform parents about the importance of infant supine sleep from physicians, nurses, newspapers, and other media. Parent education has focused on the safety of infant supine sleep, though recent studies demonstrate that parents now use the non-supine position primarily because of infant comfort. The specific barriers faced by this subset of parents and how parents of supine-sleeping infants have met and overcome those barriers is unknown. We propose a randomized controlled trial to test the effectiveness of a multi-media, tailored, parent- focused intervention to increase the prevalence of African American infant supine sleep as compared to currently available non-tailored materials. Using focus group data and participant interviews, the intervention materials will contain culturally relevant solutions to parent reported barriers and beliefs, specific techniques to assist parents in settling the infant in the supine position that are appropriate to the infant's developmental stage along with the recommended guidelines about the sleep environment and position. Control and intervention materials will be sent at two developmental stages: when crying /colic is prominent (6 weeks of age), and when the infant is becoming more physically active (4 months of age). The intervention materials will consist of a brochure containing the information mentioned above and a DVD illustrating the appropriate environment, position, and settling techniques. Control group parents will receive currently available educational brochures about infant supine sleep and a generic DVD on infant safety. Because our preliminary data suggests that African American parents who have an African American physician for their child maintain the infant supine sleeping position longer than those whose child's physician is of another race, we will randomly vary the race of physician-model in the intervention materials. We hypothesize that 1) parents who receive the intervention will keep their infants sleeping supine at a higher rate than control group parents, and 2) this effect is enhanced when the physician-model is race-concordant.

项目概要 与非西班牙裔白人父母相比，非裔美国父母不太可能让婴儿入睡 处于仰卧位。非裔美国婴儿也死于婴儿猝死综合症 (SIDS)，死亡率为 2-3 比非西班牙裔白人婴儿高出一倍。让婴儿仰卧睡觉 显着降低 SIDS 死亡风险。定义为“一个人突然、不明原因的死亡” 一岁以下的婴儿”，SIDS 是婴儿出生后第一个月死亡的主要原因 生活。大多数 SIDS 死亡 (90%) 发生在 6 个月大时，其中 2 至 4 个月内发生率最高。 自20世纪90年代以来，非洲裔美国人和白人婴儿在仰卧睡眠患病率方面的差异一直存在 1992 年首次提出仰卧睡眠建议，尽管仰卧睡眠的总体比率在 非裔美国人和非西班牙裔白人。 尽管公共卫生部门共同努力向家长宣传这一重要性，但这种差异仍然存在 来自医生、护士、报纸和其他媒体的关于婴儿仰卧睡眠的信息。家长教育重点 婴儿仰卧睡眠的安全性，尽管最近的研究表明父母现在使用非仰卧睡眠 位置主要是因为婴儿的舒适度。这部分父母面临的具体障碍以及如何 仰卧睡眠婴儿的父母是否遇到并克服了这些障碍尚不清楚。 我们提出了一项随机对照试验来测试多媒体、定制、家长- 与非裔美国婴儿相比，有针对性的干预措施提高了非洲裔美国婴儿仰卧睡眠的患病率 目前可用的非定制材料。使用焦点小组数据和参与者访谈，干预 材料将包含针对家长报告的障碍和信仰的文化相关解决方案、具体技术 协助父母让婴儿处于适合婴儿发育的仰卧位 阶段以及有关睡眠环境和位置的推荐指南。 控制和干预材料将在两个发育阶段发送：当哭泣/绞痛时 显着（6 周龄），以及婴儿变得更加活跃时（4 个月龄）。这 干预材料将包括包含上述信息的小册子和 DVD 说明适当的环境、位置和安置技术。对照组家长将收到 目前有关于婴儿仰卧睡眠的教育手册和关于婴儿安全的通用 DVD。 因为我们的初步数据表明，拥有非裔美国医生的非裔美国父母 让他们的孩子保持婴儿仰卧睡姿的时间比其孩子的医生是医生的孩子长 另一种种族，我们将随机改变干预材料中医生模型的种族。我们假设 1) 接受干预的父母会让他们的婴儿仰卧睡眠的比例高于对照组 群体父母，2）当医生模型种族一致时，这种效果会增强。