Hall Wendy A, Biletchi Jeff, Hunter Debbie L, Lemay Stephanie, Ou Christine, Rempel Lynn
University of British Columbia School of Nursing, T. 201, 2211 Wesbrook Mall, V6T 2B5, Vancouver, British Columbia, Canada.
Niagara College, 100 Niagara College Boulevard, Welland, Ontario, L3C 7L3, Canada.
Sleep Med X. 2019 Feb 7;1:100001. doi: 10.1016/j.sleepx.2019.100001. eCollection 2019 Dec.
BACKGROUND/OBJECTIVE: This paper describes evidence-based strategies for the dissemination of empirically supported interventions for infant behavioral sleep problems.
To identify parents' needs, a survey sampled 1022 parents in the Niagara region about use of health resources, tracking occurred of public health nurses' consultations with parents about infant sleep, and nurses obtained sleep workshop evaluation data from 18 parents. A focus group with 10 participants, a survey of Niagara Region Public Health and Emergency Services (NRPH&ES) employees, and consultations with external stakeholders identified gaps in parents' and infants' care and public health nurses' training needs. We developed solutions by creating evidence-based tools and a program for parents and public health nurses. We implemented and disseminated information via sharing tools on the NRPH&ES website, and workshops for community agencies and public health nurses.
Seventy childhood educators, support workers, and social and public health professionals attended our community workshop. Twenty-three public health nurses attended our training workshop. In guided discussion, nurses evaluated the workshop as addressing gaps in knowledge and enhancing NRPH&ES interventions to manage infants' behavioral sleep problems. Fifteen parents attended a sleep workshop pilot, with seven parents indicating a preference for follow-up telephone support. Fifty individuals attended our oral presentation at the Ontario Public Health Convention.
For next directions, community and other public health agencies want access to our tools and program components. We received a research grant to design, implement, and evaluate sharing tools and program components with community agencies (daycares and childcare centres).
背景/目的：本文描述了基于证据的策略，用于传播针对婴儿行为性睡眠问题的经验支持干预措施。
为了确定家长的需求，一项调查在尼亚加拉地区对1022名家长进行了抽样，内容涉及健康资源的使用情况，追踪公共卫生护士与家长就婴儿睡眠问题进行咨询的情况，并且护士从18名家长那里获取了睡眠工作坊的评估数据。一个由10名参与者组成的焦点小组、一项对尼亚加拉地区公共卫生与应急服务（NRPH&ES）员工的调查以及与外部利益相关者的磋商，确定了家长和婴儿护理方面的差距以及公共卫生护士的培训需求。我们通过为家长和公共卫生护士创建基于证据的工具和项目来制定解决方案。我们通过在NRPH&ES网站上分享工具以及为社区机构和公共卫生护士举办工作坊来实施和传播信息。
70名儿童教育工作者、支持人员以及社会和公共卫生专业人员参加了我们的社区工作坊。23名公共卫生护士参加了我们的培训工作坊。在引导性讨论中，护士们评价该工作坊弥补了知识差距，并增强了NRPH&ES管理婴儿行为性睡眠问题的干预措施。15名家长参加了睡眠工作坊试点，其中7名家长表示倾向于后续的电话支持。50人参加了我们在安大略省公共卫生大会上的口头报告。
关于下一步方向，社区和其他公共卫生机构希望能够获取我们的工具和项目组成部分。我们获得了一项研究资助，用于设计、实施和评估与社区机构（日托中心和儿童保育中心）共享工具和项目组成部分。
