Support via Online Social Networks to Promote safe Infant Care Practices Toward Reducing Racial Disparities in Infant Mortality (SUPERSONIC)

通过在线社交网络支持促进安全的婴儿护理实践，以减少婴儿死亡率的种族差异（超音速）

• 批准号: 10559662
• 负责人: EVE R COLSON
• 金额: $ 69.25万
• 依托单位: UNIVERSITY OF VIRGINIA
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-07-10 至 2026-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10559662
• 关键词: Accidental Injury; Accidents; Address; Adherence; Asphyxia; Attention; Attitude; Back; Back to Sleep; Beds; Behavior; Behavioral; Black Populations; Black race; Breast Feeding; Cessation of life; Child; Contingent Negative Variation; Data; Decision Making; Disparity; District of Columbia; Education; Educational Intervention; Electronic Mail; Environment; Facebook; Facebook delivery; Family; Friends; Health; Health behavior; Healthcare; Incidence; Infant; Infant Care; Infant Mortality; Intervention; Knowledge; Learning; Maps; Mediating; Medical; Mothers; Obesity; Pathway Analysis; Pregnancy; Privatization; Provider; Race; Randomized, Controlled Trials; Recommendation; Risk Factors; Self Efficacy; Shapes; Sleep; Social Change; Social Network; Source; Special Supplemental Nutrition Program for Women, Infants, and Children; Sudden infant death syndrome; Testing; Text; Time; Trust; Woman; arm; behavior influence; black women; black/white disparity; effectiveness evaluation; evidence base; experience; feeding; high risk; high risk population; improved; infant death; infant sleep position; injury-related death; intervention effect; low socioeconomic status; mHealth; member; metropolitan; nutrition; peer; postnatal; postneonatal mortality; prenatal; programs; racial disparity; recruit; sleep position; social influence; social networking website; social norm; supine sleep; theories; tool; vaccine acceptance; video delivery

The focus of this renewal application is to build upon the findings from the Influence of Social Networks on Infant Care and Disparities in Postneonatal Infant Mortality (SONIC) study by conducting a 4-armed randomized controlled trial (RCT) using online social networks (OSNs) to promote safe infant care practices and reduce Black/White (B/W) disparities in adherence to these practices. In SONIC, we conducted social network analysis on 402 new and experienced mothers of young infants. We learned that there are 2 social network (i.e., family, friends, and peers) types: exclusive (kin-based) and expansive (not kin-based); that network social norms (group rules defining appropriate behaviors, values, and attitudes) are highly predictive of infant sleep practices (sleep position, bedsharing, soft bedding use); that mothers are more likely to change from safe to unsafe practices if their network members espouse unsafe practices; and that Black mothers are more likely to have exclusive networks, which are more likely to have unsafe practices as the norm. Safe sleep practices are associated with lower rates of sudden infant death syndrome (SIDS) and unintentional injury- related deaths (e.g. accidental suffocation) associated with the sleep environment. These sleep-related deaths (SRDs) remain the leading cause of postneonatal death in the US, with ~3600 deaths/year; Black infants die at more than double national rates. Thus, differences in social networks and norms contribute to the Black/White (B/W) disparity seen in safe sleep practices, which in turn contribute to the B/W disparity in postneonatal infant deaths; the influence of social networks and norms, if contrary to recommended infant care practices, is a major barrier to acceptance of these practices. OSNs have become a powerful tool for establishing social norms and influencing behavior, and data suggest that this is equally or more so for Blacks. Thus, our proposed SUPERSONIC (Support via Online Social Networks to promote Safe Infant Care practices Toward Reducing Racial Disparities in Infant Mortality) study is the natural next step after SONIC. We plan to test, through a 4-armed pragmatic RCT, an intervention strategy that uses OSNs (private Facebook groups) to change social norms among WIC recipient mothers, who have a disproportionate burden of SRDs and high proportion of Blacks. Mothers in each study arm will participate in an OSN and receive one of 4 messaging interventions: 1) safe sleep alone, 2) breastfeeding alone, 3) both safe sleep and breastfeeding, and 4) routine health messages (attention-matched control). Beginning prenatally, we will disseminate via OSNs videos and messages that address common myths and misconceptions to ultimately impact attitudes and social norms regarding infant sleep practices and breastfeeding. If utilization of OSNs is effective in changing network norms and maternal attitudes, and improving adherence, this approach is easily scalable. Moreover, it could be replicated and potentially readily applied to other health care messages, including vaccine acceptance and nutrition/obesity.

此更新应用程序的重点是基于社交网络对社交网络的影响的研究结果 婴儿护理和新生儿后婴儿死亡率差异 (SONIC) 研究通过进行 4 臂 使用在线社交网络 (OSN) 促进安全婴儿护理实践的随机对照试验 (RCT) 并减少遵守这些做法的黑人/白人 (B/W) 差异。在SONIC中，我们进行了社交 对 402 位新妈妈和有经验的小婴儿妈妈进行的网络分析。我们了解到有 2 个社交 网络（即家人、朋友和同龄人）类型：排他性（基于亲属）和扩张性（非亲属）；那 网络社会规范（定义适当行为、价值观和态度的群体规则）高度预测 婴儿睡眠习惯（睡眠姿势、同床、使用柔软的床上用品）；母亲更有可能改变 如果其网络成员拥护不安全做法，则从安全做法变为不安全做法；黑人母亲是 更有可能拥有专属网络，而这些网络更有可能将不安全的做法作为常态。安全睡眠 实践与较低的婴儿猝死综合症（SIDS）和意外伤害发生率相关 与睡眠环境相关的相关死亡（例如意外窒息）。这些与睡眠有关的死亡 (SRD) 仍然是美国新生儿后死亡的主要原因，每年约有 3600 人死亡；黑人婴儿死于 是全国税率的两倍以上。因此，社交网络和规范的差异导致了黑人/白人 安全睡眠实践中出现的（黑白）差异，进而导致新生儿后婴儿的黑白差异 死亡人数;如果与推荐的婴儿护理实践相反，社交网络和规范的影响是一个 接受这些做法的主要障碍。 OSN 已成为建立社交网络的强大工具 规范和影响行为，数据表明，这对黑人来说同样重要，甚至更重要。因此，我们的 拟议的 SUPERSONIC（通过在线社交网络提供支持，以促进安全婴儿护理实践 减少婴儿死亡率的种族差异）研究是继 SONIC 之后自然而然的下一步。我们计划测试， 通过四臂务实 RCT，这是一种使用 OSN（私人 Facebook 群组）的干预策略 改变 WIC 受助母亲的社会规范，她们承受着不成比例的 SRD 负担和高 黑人的比例。每个研究组的母亲将参加 OSN 并收到 4 条消息之一 干预措施：1) 仅安全睡眠，2) 仅母乳喂养，3) 安全睡眠和母乳喂养，4) 常规 健康信息（注意力匹配控制）。从产前开始，我们将通过 OSN 视频进行传播 消除常见神话和误解的信息，最终影响态度和社会规范 关于婴儿睡眠习惯和母乳喂养。 OSN 的利用是否能有效改变网络规范 和母亲的态度，并提高依从性，这种方法很容易推广。此外，还可以是 复制并可能很容易应用于其他医疗保健信息，包括疫苗接受和 营养/肥胖。