Helen Bader School of Social Welfare, University of Wisconsin-Milwaukee, Milwaukee, WI 53211, USA.
Health Protection Division, Georgia Department of Public Health, Atlanta, GA 30303, USA.
Int J Environ Res Public Health. 2021 Jun 29;18(13):6956. doi: 10.3390/ijerph18136956.
Rates of sleep-related infant deaths have plateaued in the past few decades despite ongoing infant sleep practice recommendations to reduce risk of sleep-related infant deaths by the American Academy of Pediatrics. The state department of public health trained facilitators at 28 sites across the state to facilitate a group safe sleep educational program. A prospective, matched pre- and post-test cohort design with follow-up was used to evaluate changes in self-reported knowledge, intentions, and practices. The final sample included 615 matched pre- and post-test surveys, and 66 matched follow-up surveys. The proportion of correct responses on all knowledge and intended practice items increased significantly from pre- to post-test. When asked where their babies would have slept if they had not received the portable crib, 66.1% of participants planned to use a recommended sleep location (e.g., crib or bassinet). At post-test, 62.3% planned to change something about their infant's sleep based on what they learned. At follow-up, knowledge was maintained for all but two items and practices and for half of practice items. The results suggest that participating in the education program was associated with increased knowledge and intended adherence, but that these changes were not maintained at follow-up. These results are in line with the research literature that finds a difference in intentions and actual practices after the baby is born.
尽管美国儿科学会一直在为降低婴儿睡眠相关死亡风险提供建议，但过去几十年中，与睡眠相关的婴儿死亡率已趋于平稳。州公共卫生部在全州 28 个地点培训协调员，以促进团体安全睡眠教育计划。采用前瞻性、匹配的前后测试队列设计和随访来评估自我报告的知识、意图和实践的变化。最终样本包括 615 份匹配的前后测试调查和 66 份匹配的随访调查。所有知识和预期实践项目的正确回答比例从测试前到测试后显著增加。当被问及如果没有收到便携式婴儿床，他们的宝宝会在哪里睡觉时，66.1%的参与者计划使用推荐的睡眠地点（如婴儿床或摇篮）。在测试后，62.3%的人计划根据所学内容改变婴儿的睡眠习惯。在随访中，除了两个项目外，知识得以保持，而实践和一半的实践项目也得以保持。结果表明，参加教育计划与增加知识和预期的依从性有关，但这些变化在随访中没有得到维持。这些结果与研究文献一致，即婴儿出生后，意图和实际做法存在差异。
