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征（SBS）是虐待儿童死亡的最常见原因。以医院为基础，针对新生儿父母的父母教育计划已被证明有效地减少了虐待性头部损伤的发生率。马萨诸塞州和其他八个州已经通过了立法，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-生父、母亲的男朋友和继父-是最常见的性暴力犯罪者。婴儿哭闹是SBS事件最常见的前兆。在与马萨诸塞州公共卫生部和医疗基金会的初步工作的基础上，维达健康通信公司。将制作和评估“所有婴儿哭”，一个教育媒体包，为新生儿的父母。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，其中明确演示了安抚哭泣的婴儿和管理父母压力的策略。预计媒体形式比印刷材料更能吸引男子。整个第一和第二阶段的研究和开发活动将包括：1）完成DVD媒体的开发和制作，分为两部分，并附带一本小册子（全部用英文和西班牙文），包括形成部分（第一阶段）和总结部分（第二阶段）家长和专家的意见; 2）严格评估媒体包在提高父亲对婴儿行为和父母压力的认识方面的有效性，减少和科普婴儿哭泣的行为，评估和管理自己的压力，对婴儿行为的现实期望，对婴儿安抚策略的有效性的更大信念，更大的感知能力来实施它们，以及更大的意愿来这样做。在第二阶段结束时，维达将有一个完整的教育媒体包，已经彻底评估，并将满足马萨诸塞州公共卫生部摇晃婴儿综合症预防倡议的要求，在联邦所有新父母的分布。然后，该计划将根据需要进行调整，以满足其他州的要求，并在全国范围内推广。公共卫生相关性：婴儿哭闹被认为是摇晃婴儿最常见的前兆。“所有婴儿哭泣”解决了围绕摇晃婴儿综合征（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。拟议的媒体正在设计中，以供越来越多的州使用，这些州的任务是向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.