All Babies Cry: Shaken Baby Syndrome Parent Education Toolkit

描述（由申请人提供）：虐待性头部创伤或摇晃婴儿综合症（SBS）是儿童虐待致死的最常见原因。以医院为基础的、针对新生儿父母的家长教育项目已被证明在显著减少虐待性头部伤害发生率方面是有效的。马萨诸塞州和其他8个州已经通过立法，要求进行旨在预防SBS的教育。联邦和其他州的命令可能即将出台。男性——亲生父亲、母亲的男朋友和继父——是SBS最常见的肇事者。婴儿啼哭是SBS最常见的前兆。在与马萨诸塞州公共卫生部和医学基金会开展初步工作的基础上，Vida健康传播公司将制作和评价“所有婴儿都会哭”，这是一套针对新生儿父母的教育媒体。它包括一个媒体部分，将在医院向父母展示，并将DVD和小册子带回家，其中包括安抚哭泣的婴儿和管理父母压力的策略的明确示范。预计媒体形式比印刷材料更能吸引男性。第一阶段和第二阶段的研究和开发活动将包括：1)完成DVD媒体的开发和生产，分为两部分，并附带一本小册子（全部用英语和西班牙语），其中包括父母和专家的形成性（第一阶段）和总结性（第二阶段）投入；2)严格评估媒体套餐在以下方面的有效性：提高父亲对婴儿行为和父母压力的认识，减少和应对婴儿哭泣的行为，评估和管理自己压力的行为，对婴儿行为的现实期望，对婴儿安抚策略有效性的更大信念，更强的实施能力，更大的意愿。在第二阶段结束时，Vida将有一个完整的教育媒体包，该包已经过彻底评估，并将符合马萨诸塞州公共卫生部预防婴儿摇晃综合症倡议的要求，分发给联邦所有新父母。然后，该计划将根据需要进行调整，以满足其他州的要求，并在全国推广。公共卫生相关性：婴儿啼哭被认为是摇晃婴儿最常见的前兆。“所有婴儿都会哭”解决了围绕摇晃婴儿综合症（SBS）发病率的关键公共卫生问题，通过满足父母对正常婴儿哭泣行为的教育需求，安抚哭泣婴儿的策略，以及评估和管理父母应对婴儿哭泣的压力的策略。越来越多的州要求向所有新父母提供预防SBS的教育，而这种媒体的设计目的是为了在这些州使用。

DESCRIPTION (provided by applicant): Abusive head trauma or Shaken Baby Syndrome (SBS) is the most common cause of death from child abuse. Hospital-based, parent education programs targeting parents of newborns have been proven effective in reducing significantly the incidence of abusive head injuries. Massachusetts and eight other states have adopted legislation mandating education designed to prevent SBS. Federal and additional state mandates may be forthcoming. Males - biological fathers, mothers' boyfriends and stepfathers - are the most frequent perpetrators of SBS. Infant crying is the most common precursor to incidents of SBS. Building on preliminary work with the Massachusetts Department of Public Health and The Medical Foundation, Vida Health Communications, Inc. will produce and evaluate "All Babies Cry", an educational media package for parents of newborns. It includes a media part to be shown to parents in the hospital, and a DVD and booklet to take home, containing explicit demonstrations of strategies for soothing a crying infant and managing parental stress. The media format is expected to appeal to men more than printed material alone. Research and development activities throughout Phase I and II will include: 1) completing development and production of DVD media in two parts and an accompanying booklet (all in English and Spanish) with formative (Phase I) and summative (Phase II) input from parents and Experts; 2) a rigorous evaluation of the effectiveness of the media package in improving fathers' knowledge of infant behavior and parental stress, behavior to reduce and cope with infant crying and to assess and manage their own stress, realistic expectations of their infant's behavior, greater belief in the efficacy of infant soothing strategies, greater perceived ability to implement them, and greater intention to do so. At the conclusion of Phase II, Vida will have a completed educational media package that has been thoroughly evaluated and will meet the requirements of the State of Massachusetts Department of Public Health Shaken Baby Syndrome Prevention Initiative for distribution of all new parents in the Commonwealth. The program will then be adapted as needed to meet other states mandates and marketed nationally. PUBLIC HEALTH RELEVANCE: Infant crying is considered the most common precursor to shaking a baby. "All Babies Cry" addresses critical public health concerns surrounding the incidence of Shaken Baby Syndrome (SBS) by filling a need for parent education about normal infant crying behavior, strategies for soothing a crying infant, as well as strategies to assess and manage parental stress in response to infant crying. The proposed media is being designed for use in the increasing number of states with mandates to provide all new parents with education intended to prevent SBS.