Support via Online Social Networks to Promote safe Infant Care Practices Toward Reducing Racial Disparities in Infant Mortality (SUPERSONIC)

通过在线社交网络提供支持，促进安全的婴儿护理实践，以减少婴儿死亡率的种族差异（超音速）

• 批准号: 10402335
• 负责人: EVE R COLSON
• 金额: $ 69.56万
• 依托单位: UNIVERSITY OF VIRGINIA
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-07-10 至 2026-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10402335
• 关键词: Accidental Injury; Address; Adherence; Asphyxia; Attention; Attitude; Back; Back to Sleep; Behavior; Behavioral; Black Populations; Black race; Breast Feeding; Cessation of life; Child; Data; Decision Making; District of Columbia; Education; Educational Intervention; Electronic Mail; Environment; Facebook; Facebook delivery; Family; Friends; Health; Health behavior; Healthcare; Incidence; Infant; Infant Care; Infant Mortality; Intervention; Knowledge; Lead; Maps; Mediating; Medical; Mothers; Obesity; Pathway Analysis; Pregnancy; Privatization; Provider; Randomized Controlled Trials; Risk Factors; Self Efficacy; Shapes; Sleep; Social Change; Social Network; Source; Special Supplemental Nutrition Program for Women, Infants, and Children; Sudden infant death syndrome; Testing; Text; Time; Trust; Woman; arm; base; behavior influence; black women; black/white disparity; effectiveness evaluation; evidence base; experience; feeding; high risk; high risk population; improved; infant death; infant sleep position; injury-related death; intervention effect; low socioeconomic status; mHealth; man; member; metropolitan; nutrition; peer; postnatal; postneonatal mortality; prenatal; programs; racial disparity; recruit; sleep position; social influence; social networking website; social norm; supine sleep; theories; tool; vaccine acceptance; video delivery

The focus of this renewal application is to build upon the findings from the Influence of Social Networks on Infant Care and Disparities in Postneonatal Infant Mortality (SONIC) study by conducting a 4-armed randomized controlled trial (RCT) using online social networks (OSNs) to promote safe infant care practices and reduce Black/White (B/W) disparities in adherence to these practices. In SONIC, we conducted social network analysis on 402 new and experienced mothers of young infants. We learned that there are 2 social network (i.e., family, friends, and peers) types: exclusive (kin-based) and expansive (not kin-based); that network social norms (group rules defining appropriate behaviors, values, and attitudes) are highly predictive of infant sleep practices (sleep position, bedsharing, soft bedding use); that mothers are more likely to change from safe to unsafe practices if their network members espouse unsafe practices; and that Black mothers are more likely to have exclusive networks, which are more likely to have unsafe practices as the norm. Safe sleep practices are associated with lower rates of sudden infant death syndrome (SIDS) and unintentional injury- related deaths (e.g. accidental suffocation) associated with the sleep environment. These sleep-related deaths (SRDs) remain the leading cause of postneonatal death in the US, with ~3600 deaths/year; Black infants die at more than double national rates. Thus, differences in social networks and norms contribute to the Black/White (B/W) disparity seen in safe sleep practices, which in turn contribute to the B/W disparity in postneonatal infant deaths; the influence of social networks and norms, if contrary to recommended infant care practices, is a major barrier to acceptance of these practices. OSNs have become a powerful tool for establishing social norms and influencing behavior, and data suggest that this is equally or more so for Blacks. Thus, our proposed SUPERSONIC (Support via Online Social Networks to promote Safe Infant Care practices Toward Reducing Racial Disparities in Infant Mortality) study is the natural next step after SONIC. We plan to test, through a 4-armed pragmatic RCT, an intervention strategy that uses OSNs (private Facebook groups) to change social norms among WIC recipient mothers, who have a disproportionate burden of SRDs and high proportion of Blacks. Mothers in each study arm will participate in an OSN and receive one of 4 messaging interventions: 1) safe sleep alone, 2) breastfeeding alone, 3) both safe sleep and breastfeeding, and 4) routine health messages (attention-matched control). Beginning prenatally, we will disseminate via OSNs videos and messages that address common myths and misconceptions to ultimately impact attitudes and social norms regarding infant sleep practices and breastfeeding. If utilization of OSNs is effective in changing network norms and maternal attitudes, and improving adherence, this approach is easily scalable. Moreover, it could be replicated and potentially readily applied to other health care messages, including vaccine acceptance and nutrition/obesity.

这个更新应用程序的重点是建立在社交网络对 婴儿护理和新生儿后期婴儿死亡率差异（SONIC）研究，通过进行4组 使用在线社交网络（OSN）促进安全婴儿护理实践的随机对照试验（RCT） 并减少黑人/白色（B/W）在遵守这些做法方面的差异。在SONIC，我们进行了社交 402例新生儿母亲与有经验母亲的网络分析我们了解到，有两个社会 网络（即，家庭，朋友和同龄人）类型：排他性（基于亲属）和扩张性（不基于亲属）; 网络社会规范（定义适当行为、价值观和态度的群体规则）高度预测 婴儿的睡眠习惯（睡姿、同床、使用柔软的床上用品）;母亲更有可能改变 从安全到不安全的做法，如果他们的网络成员支持不安全的做法;和黑人母亲是 更有可能拥有排他性网络，这些网络更有可能将不安全的做法作为规范。安全睡眠 实践与婴儿猝死综合症（SIDS）和意外伤害的发生率较低有关- 与睡眠环境相关的死亡（如意外窒息）。这些与睡眠有关的死亡 （SRD）仍然是美国新生儿后期死亡的主要原因，每年约有3600例死亡;黑人婴儿死亡率为 超过全国的两倍。因此，在社交网络和规范的差异有助于黑/白色 在安全睡眠实践中观察到的（B/W）差异，这反过来又导致新生儿后期婴儿的B/W差异 死亡;社交网络和规范的影响，如果与推荐的婴儿护理实践相反， 这是接受这些做法的主要障碍。OSN已经成为建立社交网络的强大工具， 规范和影响行为，数据表明，这是同样或更多的黑人。所以我们 建议SUPERSONIC（通过在线社交网络提供支持，以促进安全的婴儿护理实践， 减少婴儿死亡率的种族差异）研究是SONIC之后自然的下一步。我们计划测试， 通过一个四臂务实RCT，一种使用OSN（私人Facebook群组）的干预策略， 改变WIC接受者母亲的社会规范，这些母亲有不成比例的SRD负担， 黑人的比例。每个研究组的母亲将参加OSN，并接收4种信息之一 干预措施：1）仅安全睡眠，2）仅母乳喂养，3）安全睡眠和母乳喂养，以及4）常规 健康信息（注意力匹配控制）。从产前开始，我们将通过OSN视频传播， 解决常见神话和误解的信息，最终影响态度和社会规范 关于婴儿睡眠习惯和母乳喂养。如果OSN的使用在改变网络规范方面是有效的 和母亲的态度，并提高遵守，这种方法是很容易扩展。此外，它可能是 复制并可能随时适用于其他卫生保健信息，包括疫苗接受和 营养/肥胖。