Social Media And Risk-reduction Training for Infant Care Practices (SMART)

社交媒体和婴儿护理实践风险降低培训 (SMART)

基本信息

批准号：
8858658
负责人：
EVE R COLSON
金额：
$ 80.91万
依托单位：
BOSTON UNIVERSITY MEDICAL CAMPUS
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-09-11 至 2016-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8858658
关键词：
Accidental Injury Address Adherence Adopted Age-Months Area Attention Attitude Back to Sleep Beds Behavior Belief Birth Breast Feeding Cellular Phone Cessation of life Collaborations Communities Data Education Educational Background Effectiveness Effectiveness of Interventions Electronic Mail Environment Extended Family Funding Future Goals Health Health Personnel Hospitals Infant Infant Care Infant Mortality Internet Intervention Lead Length of Stay Low Income Population Mediating Mediator of activation protein Methods Minority Modeling Mothers National Institute of Child Health and Human Development Neonatal Nurseries Nursing Staff Pacifier Use Performance Pilot Projects Planning Theory Population Population Heterogeneity Positioning Attribute Public Health Randomized Randomized Clinical Trials Recommendation Recruitment Activity Research Research Infrastructure Research Personnel Resources Risk Risk Reduction Sleep Social Marketing Sudden infant death syndrome Surveys Technology Testing Time Training Training Programs arm base design empowered experience handheld mobile device improved infant death innovation intervention effect mHealth prevent racial and ethnic racial disparity sleep position social social norm socioeconomic disparity socioeconomics supine sleep tool

项目摘要

DESCRIPTION (provided by applicant): The goal of this proposal is to address serious and ongoing challenges related to adherence to public health recommendations known to reduce the risk of SIDS. Adherence has reached a plateau at an unacceptably low level both in the overall US population and especially in Black infants leading to a halt in the decline in infant mortality and a widening in the racial disparity in infant mortality. The current proposal is a collaborative effort that will capitalize on the extensive experience of the investigators in studying barriers to adherence to safe sleep practices to develop two complementary, culturally competent, intervention strategies and to test the effectiveness of each strategy as well as both strategies in combination. Innovative aspects of the Social Media and Risk-reduction Training of Infant Care Practices (SMART) study include its: 1) unique collaboration of leaders in the field; 2) leveraging of the currently operational infant care practices study infrastructure and hospitals 3) use of two complementary interventions with the potential for synergistic impact; 4) use of social marketing strategies; 5) use of mobile technology (mHealth) to deliver messages; and 6) collaboration with community resources and expertise. The SMART study will have four arms in which 16 hospitals are randomly assigned to one of the following study groups: 1) Safe Sleep Nursery Education and Breastfeeding mHealth messaging; 2) Breastfeeding Nursery Education and Safe Sleep mHealth messaging; 3) Safe Sleep Nursery Education and Safe Sleep mHealth messaging; 4) Breastfeeding Nursery Education and Breastfeeding mHealth messaging. A total of 1600 mothers will be recruited (100/hospital), with 400 in each study group. The primary aim is to assess the effectiveness of the interventions aimed at promoting safe sleep practices compared with the breastfeeding control interventions. The secondary aim is to assess potential mediating factors that may explain the intervention effects on infant care practices and that may inform areas for future improved intervention approaches. With the successful completion of the SMART study, effectiveness data will have been provided for two interventions to improve adherence to safe sleep practices that are practical to disseminate nationally in multiple diverse settings.

描述（由申请人提供）：该提案的目标是解决与遵守已知可降低 SIDS 风险的公共卫生建议相关的严重且持续的挑战。美国总人口，尤其是黑人婴儿的依从性已达到一个不可接受的低水平，导致婴儿死亡率下降停止，婴儿死亡率的种族差异扩大。当前的提案是一项合作努力，将利用研究人员在研究遵守安全睡眠习惯的障碍方面的丰富经验，制定两种互补的、文化上可行的干预策略，并测试每种策略以及两种策略的有效性。组合。社交媒体和婴儿护理实践风险降低培训 (SMART) 研究的创新方面包括：1）该领域领导者的独特合作； 2) 利用当前运行的婴儿护理实践研究基础设施和医院 3) 使用两种具有协同影响潜力的补充干预措施； 4）运用社会营销策略； 5) 使用移动技术（mHealth）传递消息； 6) 与社区资源和专业知识的合作。 SMART 研究将分为四个组，其中 16 家医院被随机分配到以下研究组之一：1）安全睡眠托儿所教育和母乳喂养移动健康信息； 2) 母乳喂养幼儿教育和安全睡眠移动健康信息； 3) 安全睡眠托儿所教育和安全睡眠移动健康信息； 4) 母乳喂养托儿所教育和母乳喂养移动健康信息。总共将招募 1600 名母亲（每家医院 100 名），每个研究组 400 名。主要目的是评估旨在促进安全睡眠实践的干预措施与母乳喂养控制干预措施相比的有效性。第二个目标是评估潜在的中介因素，这些因素可以解释干预对婴儿护理实践的影响，并为未来改进干预方法提供信息。随着 SMART 研究的成功完成，将为两项干预措施提供有效性数据，以提高对安全睡眠实践的依从性，这些实践可在全国多种不同环境中传播。