Infant Safe Sleep Promotion: Increasing Capacity of Child Protective Services Employees
Abstract
:1. Introduction
2. Materials and Methods
2.1. Fall 2019 SSI Certification Training
2.2. Post-Certification Dissemination of Safe Sleep Information by SSIs
3. Results
3.1. Fall 2019 SSI Certification Training Results
3.2. Post-Certification Dissemination of Safe Sleep Information by SSIs
3.2.1. Parent and Caregiver Trainings
3.2.2. Professional Trainings
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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CPS SSI n = 27 | Other SSI n = 16 | ||||||
---|---|---|---|---|---|---|---|
Concept | Pre-Survey | Post-Survey | within Group Change | Pre-Survey | Post-Survey | within Group Change | between Group Change Post-Survey |
p | p | p | |||||
SIDS Diagnosis | 19 (70) | 23 (85) | 0.344 | 10 (63) | 16 (100) | 0.031 * | 0.110 |
Surface and Location | 8 (30) | 26 (96) | <0.001 * | 7 (44) | 16 (100) | 0.004 * | 0.441 |
Position | 21 (78) | 27 (100) | 0.031 * | 15 (94) | 16 (100) | 1.000 | 1.000 |
Environment/Items | 25 (93) | 27 (100) | 0.500 | 16 (100) | 15 (94) | 1.000 | 0.194 |
Environment/Tobacco | 9 (33) | 26 (96) | <0.001 * | 12 (75) | 16 (100) | 0.125 | 0.441 |
Breastfeeding | 27 (100) | 27 (100) | n/a | 15 (94) | 16 (100) | 1.000 | 1.000 |
Pacifier Use | 26 (96) | 26 (96) | 1.000 | 16 (100) | 16 (100) | n/a | 0.441 |
Swaddling/Temperature | 18 (67) | 27 (100) | 0.004 * | 15 (94) | 16 (100) | 1.000 | 0.194 |
Twins and Higher Order Multiples | 25 (93) | 27 (100) | 0.500 | 16 (100) | 16 (100) | n/a | 1.000 |
Shared Messaging | 24 (89) | 25 (93) | 1.000 | 16 (100) | 16 (100) | n/a | 0.271 |
CPS SSI-Led Training | Other SSI-Led Training | ||||||
---|---|---|---|---|---|---|---|
Concept | Pre-Survey | Post-Survey | within Group Change | Pre-Survey | Post-Survey | within Group Change | between Group Change |
n = 53 | n = 45 | p | n = 86 | n = 80 | p | p | |
Sleep position: Back only | 47 (89) | 43 (96) | 0.218 | 66 (77) | 75 (94) | 0.002 * | 0.102 |
Anticipated sleep surfaces: Crib, bassinet, portable crib | 41 (77) | 44 (98) | 0.003 * | 67 (78) | 76 (95) | 0.001 * | 0.893 |
Anticipated crib items: Only safe items (firm mattress, fitted sheet, wearable blanket) | 39 (74) | 43 (96) | 0.004 * | 57 (66) | 75 (94) | <0.001 * | 0.406 |
Discuss safe sleep with others | 37 (70) | 43 (96) | 0.001 * | 55 (64) | 78 (98) | <0.001 * | 0.764 |
CPS SSI-Led Training n = 1051 | Other SSI-Led Training n = 165 | ||||||
---|---|---|---|---|---|---|---|
Concept | Pre-Survey | Post-Survey | within Group Change | Pre-Survey | Post-Survey | within Group Change | between Group Change Post-Survey |
p | p | p | |||||
SIDS Diagnosis | 818 (78) | 852 (81) | 0.058 | 129 (78) | 147 (89) | 0.004 * | 0.012 * |
Surface and Location | 162 (15) | 703 (67) | <0.001 * | 49 (30) | 123 (75) | <0.001 * | 0.050 |
Position | 809 (77) | 1039 (99) | <0.001 * | 142 (86) | 160 (97) | <0.001 * | 0.055 |
Environment/Items | 826 (79) | 1031 (98) | <0.001 * | 150 (91) | 159 (96) | 0.035 * | 0.153 |
Environment/Tobacco | 467 (44) | 973 (93) | <0.001 * | 112 (68) | 151 (92) | <0.001 * | 0.631 |
Breastfeeding | 946 (90) | 1021 (97) | <0.001 * | 151 (92) | 158 (96) | 0.092 | 0.335 |
Pacifier Use | 425 (40) | 929 (88) | <0.001 * | 111 (67) | 154 (93) | <0.001 * | 0.059 |
Swaddling/Temperature | 727 (69) | 1020 (97) | <0.001 * | 131 (79) | 163 (99) | <0.001 * | 0.202 |
Twins and Higher Order Multiples | 874 (83) | 1001 (95) | <0.001 * | 146 (89) | 159 (96) | 0.007 * | 0.523 |
Shared Messaging | 923 (88) | 910 (87) | 0.402 | 137 (83) | 152 (92) | 0.015 * | 0.047 * |
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Ahlers-Schmidt, C.R.; Schunn, C.; Hervey, A.M.; Torres, M.; Sage, C.; Henao, M.; Kuhlmann, S. Infant Safe Sleep Promotion: Increasing Capacity of Child Protective Services Employees. Int. J. Environ. Res. Public Health 2021, 18, 4227. https://doi.org/10.3390/ijerph18084227
Ahlers-Schmidt CR, Schunn C, Hervey AM, Torres M, Sage C, Henao M, Kuhlmann S. Infant Safe Sleep Promotion: Increasing Capacity of Child Protective Services Employees. International Journal of Environmental Research and Public Health. 2021; 18(8):4227. https://doi.org/10.3390/ijerph18084227
Chicago/Turabian StyleAhlers-Schmidt, Carolyn R., Christy Schunn, Ashley M. Hervey, Maria Torres, Cherie Sage, Martha Henao, and Stephanie Kuhlmann. 2021. "Infant Safe Sleep Promotion: Increasing Capacity of Child Protective Services Employees" International Journal of Environmental Research and Public Health 18, no. 8: 4227. https://doi.org/10.3390/ijerph18084227