All Babies Cry: Shaken Baby Syndrome Parent Education Toolkit

描述(申请人提供)：虐待性头部创伤或摇晃婴儿综合症(SBS)是最常见的虐待儿童死亡原因。以医院为基础的、针对新生儿父母的家长教育计划已被证明在显著降低头部虐待伤害的发生率方面有效。马萨诸塞州和其他八个州已经通过立法，要求开展旨在预防SBS的教育。联邦和其他州的授权可能即将到来。男性--亲生父亲、母亲的男朋友和继父--是SBS最常见的实施者。婴儿哭闹是SBS事件最常见的先兆。在与马萨诸塞州公共卫生部和医学基金会的初步工作的基础上，Vida Health Communications，Inc.将制作和评估面向新生儿父母的教育媒体包《All Baby Cry》。它包括在医院向父母展示的媒体部分，以及带回家的DVD和小册子，其中包含抚慰哭泣的婴儿和管理父母压力的策略的明确演示。媒体形式预计将比印刷材料本身更能吸引男性。在整个第一和第二阶段，研发活动将包括：1)分两部分完成DVD媒体的开发和生产，并由家长和专家提供带有形成性(第一阶段)和总结性(第二阶段)内容的小册子(均为英语和西班牙语)；2)对该媒体包在增进父亲对婴儿行为和父母压力、婴儿哭闹和应对婴儿哭泣以及评估和管理自己压力的能力方面的有效性进行严格评估；2)对婴儿的哭闹行为和他们对婴儿行为的现实期望，更相信婴儿抚慰策略的有效性，提高实施这些策略的感知能力，以及增加这样做的意向。在第二阶段结束时，VIDA将拥有一个经过彻底评估的完整教育媒体包，并将满足马萨诸塞州公共卫生部关于在英联邦分发所有新父母的摇晃婴儿综合症预防倡议的要求。然后，该计划将根据需要进行调整，以满足其他州的要求，并在全国范围内销售。与公共卫生相关：婴儿哭闹被认为是摇晃婴儿的最常见先兆。“所有婴儿哭闹”通过满足父母对正常婴儿哭闹行为的教育需求、抚慰哭闹婴儿的策略，以及评估和管理父母应对婴儿哭闹的压力的策略，解决了围绕摇晃婴儿综合症(SBS)发病率的严重公共卫生问题。拟议的媒体旨在为越来越多的州使用，这些州的任务是为所有新父母提供旨在预防SBS的教育。

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.