Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH, 45229, USA.
Council on Child Abuse, 4531 Reading Rd, Cincinnati, OH, 45229, USA.
Child Abuse Negl. 2019 Mar;89:135-142. doi: 10.1016/j.chiabu.2018.12.011. Epub 2019 Jan 16.
Abusive head trauma (AHT) is a preventable form of child abuse.
This project used a mixed method design to assess the feasibility of the Calm Baby Gently educational baby book intervention for promoting safe practices related to infant crying in an effort to prevent AHT.
Three pediatric practices participated between June 2016 and January 2018, including 1045 caregivers who attended their infant's 2-month well-child visit.
Pediatric providers gave the educational baby book to caregivers at the 1-month well-child visit. Caregivers completed a survey at the 2-month well-child visit on their use and satisfaction with the book and responses to infant crying. Thematic analysis of qualitative feedback was performed. Responses to infant crying were compared quantitatively between caregivers who had and had not read the book.
Of the 819 caregivers (78%) who received the book, 92% (754) read it, and 51% (421) had another caregiver read it. Caregivers considered the book approachable, understandable, validating, and helpful for improving knowledge and skills related to infant crying. The book was rated more helpful by caregivers of younger age, male gender, and non-white race. Controlling for age, gender, and race, caregivers who read the book were more confident (p = 0.033) and had more knowledge on how to respond appropriately to infant crying (p = 0.019) than caregivers who had not read it.
Calm Baby Gently is a feasible and well-received AHT prevention program. Randomized controlled trials are needed to better understand its impact on knowledge, behavior, and AHT rates.
虐待性头部外伤 (AHT) 是一种可预防的儿童虐待形式。
本项目采用混合方法设计，评估 Calm Baby Gently 教育婴儿书干预措施预防 AHT 的可行性，该措施旨在促进与婴儿啼哭相关的安全实践。
2016 年 6 月至 2018 年 1 月期间，三家儿科诊所参与了该研究，共有 1045 名照顾者参加了他们婴儿 2 个月的常规健康检查。
儿科医生在婴儿 1 个月的常规健康检查时将教育婴儿书交给照顾者。照顾者在婴儿 2 个月的常规健康检查时完成了一份关于他们使用和对书的满意度以及对婴儿啼哭的反应的调查。对定性反馈进行了主题分析。定量比较了阅读和未阅读过该书的照顾者对婴儿啼哭的反应。
在收到书的 819 名照顾者中（78%），92%（754 名）阅读了该书，51%（421 名）让其他照顾者阅读了该书。照顾者认为这本书通俗易懂、合理、有验证力，有助于提高与婴儿啼哭相关的知识和技能。年龄较小、男性和非白人种族的照顾者认为这本书更有帮助。控制年龄、性别和种族，阅读过该书的照顾者对如何适当回应婴儿啼哭更有信心（p=0.033），且知识更丰富（p=0.019）。
Calm Baby Gently 是一种可行且广受欢迎的 AHT 预防计划。需要进行随机对照试验，以更好地了解其对知识、行为和 AHT 发生率的影响。
