Get Social Media and Risk-Reduction Training (GET SMART)

获得社交媒体和降低风险培训（GET SMART）

基本信息

批准号：
10737283
负责人：
EVE R COLSON
金额：
$ 76.74万
依托单位：
UNIVERSITY OF VIRGINIA
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-15 至 2028-06-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10737283
关键词：
Academy Accidental Injury Address Adherence Alaska Native American American Indians Attention Back to Sleep Beds Birth Black race Cessation of life Cluster randomized trial Code Communities County Crossover Design Data Death Rate Decision Making Disparity Dissemination and Implementation Education Educational Intervention Effectiveness Effectiveness of Interventions Electronic Mail Eligibility Determination Environment Equity Ethnic Origin Ethnic Population Future Guidelines Health Healthcare Systems Hospitalization Hospitals Hybrids Income Infant Infant Care Informed Consent Infrastructure Insurance Intervention Location Low Income Population Medicaid Modeling Mothers National Institute of Child Health and Human Development Pacifier Use Parents Pediatrics Penetration Policies Postpartum Period Proctor framework Public Health Race Randomized Randomized, Controlled Trials Research Personnel Resources Risk Reduction Sleep Social Marketing Strategic Planning Sudden infant death syndrome Techniques Testing Text Messaging Time Touch sensation Training Translating Work cost economic disparity effectiveness outcome effectiveness/implementation hybrid effectiveness/implementation study effectiveness/implementation trial health organization implementation outcomes implementation research implementation strategy implementation/effectiveness infant death member postneonatal mortality preventable death program costs programs racial disparity racial population recruit sleep position social media socioeconomic disparity socioeconomics study population success supine sleep video delivery

项目摘要

Project Summary Sudden and Unexpected Infant Deaths (SUID), which include Sudden Infant Death Syndrome and unintentional injury-related infant deaths, remains a leading cause of US postneonatal mortality, with ~3400 deaths/year. Many SUIDs are preventable with greater adherence to safe infant sleep guidelines. There are racial and socioeconomic disparities in adherence to these guidelines and in SUID rates. We conducted the successful Social Media and Risk-Reduction Training for Infant Care Practices (SMART; 1R01HD072815) study in which 1600 mothers at 16 US birth hospitals were randomized to receive short educational videos, delivered by email or text message, focused on safe sleep (TodaysBabyTM) vs. control, in the first 2 months after birth. Compared to mothers receiving attention-matched control messages, those receiving this intervention had ~10 percentage point higher rates of following safe sleep practices. Importantly, racial and socioeconomic disparities in safe sleep practices were eliminated among the study population. Given that we have demonstrated effectiveness in the SMART intervention, we now propose GET SMART (Get Social Media and Risk-Reduction Training), a type 3 hybrid implementation-effectiveness cluster randomized trial of 20 hospitals to determine optimal strategies to implement this intervention in real-world conditions. We will compare the “high touch” (HT) implementation strategy used in SMART (hospital staff introduced the program, obtained informed consent, watched 2 videos with them) with a “low touch” (LT, i.e., less resource-intensive) strategy, which will leverage social marketing techniques in a direct-to-consumer approach to reach mothers during the postpartum hospitalization through QR codes easily visible in the hospital environment that mothers will use to sign up for the TodaysBabyTM program. Given the disparities in SUID and safe sleep practices, GET SMART will occur in hospitals serving predominantly low-income populations in counties with >1.5 times the national SUID rate. We will use the Proctor Conceptual Model of Implementation Research to inform our implementation strategies and outcomes. We will compare the impact of the hospital-based HT and LT strategies with regards to differences in penetration (proportion of eligible mothers who sign up for TodaysBabyTM), equity of penetration according to income and race/ethnicity, and the program cost per mother sign up. Secondary implementation outcomes will be feasibility, acceptability, sustainability; and fidelity to the intervention (number of videos watched). Effectiveness outcomes will be adherence to 4 safe sleep practices (sleep position, sleep location, nonuse of soft bedding, pacifier use) after the 2-month intervention. After completion of this implementation-effectiveness study, we will be able to generate valuable policy-relevant data for an easily replicated mobile-delivered video safe sleep intervention needed for decision-making by public health organizations and health care systems to inform broad scalability among groups with historically high rates of SUID.

项目概要婴儿猝死和意外死亡 (SUID)，包括婴儿猝死综合症和与意外伤害相关的婴儿死亡仍然是美国新生儿死亡的主要原因，约 3400 如果更多地遵守婴儿安全睡眠指南，许多 SUID 是可以预防的。我们对遵守这些准则和 SUID 率的种族和社会经济差异进行了调查。成功的婴儿护理实践社交媒体和风险降低培训（SMART；1R01HD072815）在一项研究中，美国 16 家分娩医院的 1600 名母亲被随机接收简短的教育视频，在前 2 个月内通过电子邮件或短信发送，重点关注安全睡眠 (TodaysBabyTM) 与控制与出生后收到关注匹配控制信息的母亲相比，收到此信息的母亲。干预措施使遵循安全睡眠习惯的比率提高了约 10 个百分点，重要的是，种族和因素。鉴于我们消除了研究人群中安全睡眠实践的社会经济差异。已经证明 SMART 干预措施的有效性，我们现在建议 GET SMART（获取社交媒体和风险降低培训），这是一项 3 类混合实施-有效性集群随机试验，涉及 20 名参与者我们将帮助医院确定在现实条件下实施这种干预的最佳策略。比较SMART中使用的“高接触”（HT）实施策略（医院工作人员介绍了该计划，获得知情同意，与他们一起观看了 2 个视频）以“低接触”（LT，即资源密集程度较低）战略，该战略将利用社交营销技术，以直接面向消费者的方式接触母亲产后住院期间通过二维码在医院环境中清晰可见将用于注册 TodaysBabyTM 计划鉴于 SUID 和安全睡眠实践的差异，GET。 SMART 将出现在主要为低收入人口服务的县的医院，这些县的收入是人口的 1.5 倍以上。我们将使用 Proctor 实施研究概念模型来告知我们的情况。我们将比较基于医院的 HT 和 LT 的影响。关于渗透率差异的策略（报名参加的合格母亲的比例） TodaysBabyTM) 根据收入和种族/民族的渗透率公平性，以及每位母亲的计划成本次要成果将是实施的可行性、可接受性、可持续性和忠诚度；干预（观看的视频数量）的有效性结果将是遵守 4 种安全睡眠习惯。（睡眠姿势、睡眠位置、不使用柔软床上用品、使用奶嘴）2 个月干预后。完成这项有效性研究的实施后，我们将能够生成有价值的政策相关数据用于公众决策所需的轻松复制的移动视频安全睡眠干预卫生组织和卫生保健系统，以告知具有历史高水平的群体之间的广泛可扩展性 SUID 的发生率。