Helen Bader School of Social Welfare, University of Wisconsin-Milwaukee, 2400 E Hartford Ave, Milwaukee, WI, 53211, USA.
Department of Health Promotion and Behavior, College of Public Health, University of Georgia, Athens, GA, USA.
J Community Health. 2018 Oct;43(5):848-855. doi: 10.1007/s10900-018-0493-1.
To increase access to safe infant sleep surfaces and reduce risk of sleep-related infant deaths, the Georgia Department of Public Health implemented a portable crib distribution and safe sleep educational program. The aim of this evaluation was to compare parental knowledge and practices related to infant sleep before and after receipt of the safe sleep educational program and crib. A prospective, matched pre- and post-test cohort design with a follow-up survey was utilized to evaluate changes in knowledge and practices. Female participants were recruited through the county health department and met the following criteria: (1) between 32 and 40 weeks pregnant or within 3 months postpartum, and (2) demonstrated financial need. Participants completed a survey prior to the start of a group educational program and upon program completion. For those who agreed, a follow-up phone survey was conducted approximately 10 weeks after program completion or after the infant's birth. McNemar's Chi square tests were conducted to detect significant differences between specific items on pre-test, post-test, and follow-up surveys, and paired sample t tests were conducted to compare differences in knowledge and practice scores. A total of 132 participants completed matched pre- and post-test surveys and 76 completed follow-up surveys. Knowledge of recommendations regarding position, surface, environment, smoking, breastfeeding, and pacifier use increased significantly between pre- and post-test, with most participants maintaining knowledge at follow-up. The proportion of recommended practices also increased significantly. A group-based safe sleep educational program can be effective in reducing risky infant sleep practices.
为了增加安全婴儿睡眠表面的可及性并降低与睡眠相关的婴儿死亡风险，佐治亚州公共卫生部实施了便携式婴儿床分发和安全睡眠教育计划。本评估的目的是比较接受安全睡眠教育计划和婴儿床前后父母与婴儿睡眠相关的知识和做法。采用前瞻性、匹配的前后测试队列设计和随访调查来评估知识和做法的变化。通过县卫生部门招募女性参与者，他们符合以下标准：（1）怀孕 32 至 40 周或产后 3 个月内，（2）表现出经济需求。参与者在参加团体教育计划之前和完成计划后完成了一项调查。对于那些同意的人，在完成计划后大约 10 周或婴儿出生后进行了后续电话调查。进行 McNemar 的卡方检验以检测前测、后测和随访调查中特定项目之间的显着差异，并进行配对样本 t 检验以比较知识和实践得分的差异。共有 132 名参与者完成了匹配的前后测试调查，76 名参与者完成了随访调查。关于位置、表面、环境、吸烟、母乳喂养和安抚奶嘴使用的建议知识在前后测试之间显着增加，大多数参与者在随访中保持了知识。推荐做法的比例也显着增加。基于小组的安全睡眠教育计划可以有效减少危险的婴儿睡眠行为。
