Aitken Mary E, Miller Beverly K, Bai Shasha, Mullins Samantha H, Walton-Buford S, Whiteside-Mansell Leanne
Department of Pediatrics, McGovern Medical School at UTHealth, Houston Texas 77030.
Center for Applied Research and Evaluation, Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, 72202, USA.
Soc Sci Protoc. 2020 Feb 2;3. doi: 10.7565/ssp.2020.2804. Epub 2020 Mar 15.
Sudden Infant Death Syndrome (SIDS) and suffocation account for more than half of all Sudden Unexpected Infant Deaths (SUID) and are leading causes of post-neonatal deaths. Risk reduction strategies, including supine sleep position and safe sleep environment, are critical for prevention. Teen mothers, especially those in rural, poor, southern states, are at higher risk due to low compliance with recommendations. We will conduct a randomized trial to test a tailored educational intervention on the sleep-related safety behaviors of teen mothers. In one study arm, the intervention will include not only the teen mothers but also senior caregivers (SCGs) to assess the influence they have in the decision-making of young mothers regarding infant health and safety. Our hypotheses are H1) teen mothers exposed to intervention will be more likely than controls to adopt safe sleep practices, and H2) teen mothers will be more likely to use those practices when they and their mothers or other significant female senior caregivers also participate in safe sleep education. Better understanding of the mediating role of female SCGs in the health decision of young mothers for their children may have implications for interventions addressing important health problems.
婴儿猝死综合征（SIDS）和窒息占所有意外猝死婴儿（SUID）的一半以上，是新生儿后期死亡的主要原因。包括仰卧睡眠姿势和安全睡眠环境在内的降低风险策略对预防至关重要。青少年母亲，尤其是农村、贫困的南方各州的青少年母亲，由于对建议的依从性较低，风险更高。我们将进行一项随机试验，以测试针对青少年母亲与睡眠相关的安全行为的定制教育干预措施。在一个研究组中，干预措施不仅将包括青少年母亲，还将包括高级护理人员（SCG），以评估她们在年轻母亲关于婴儿健康和安全的决策中所产生的影响。我们的假设是：H1）接受干预的青少年母亲比对照组更有可能采用安全睡眠做法；H2）当青少年母亲及其母亲或其他重要的女性高级护理人员也参与安全睡眠教育时，她们更有可能使用这些做法。更好地理解女性高级护理人员在年轻母亲为其子女做出健康决策中的中介作用，可能对解决重要健康问题的干预措施具有启示意义。
