Aitken ME, Whiteside-Mansell L, Mullins SH, Bai S, Miller BK. Safety Baby Shower Intervention Improves Safe Sleep Knowledge and
Self-Efficacy among Expectant Teens.
SAGE Open Nurs 2023;
9:23779608231164306. [PMID:
36969364 PMCID:
PMC10031593 DOI:
10.1177/23779608231164306]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2022] [Revised: 09/29/2022] [Accepted: 02/28/2023] [Indexed: 03/23/2023] Open
Abstract
Introduction
Young, minority women are less likely to follow recommendations to prevent
infant sleep-related deaths putting their children at risk. This study
extended the past pre/post study designs to an RCT design and included both
parent report and objective observation of the sleep environment.
Objective
This study focused on this population in a quantitative, randomized
controlled trial using a low-cost, brief educational intervention, a Safety
Baby Shower (SBS).
Methods
Pregnant teens aged 13–19 (N = 147) were recruited as a dyad with a senior
female caregiver and randomized to intervention or control groups.
Results
Comparing self-report, safe sleep knowledge, attitudes, beliefs, and intent
(KABI) to act scores across the two groups found intervention dyads to have
more positive views on all four constructs than controls. Specifically,
intervention dyad young mothers were significantly more likely to have
positive beliefs about safe sleep and were more likely to report intent to
practice infant safe sleep than control young mothers. Intervention dyad
young mothers also had higher self-efficacy related to infant safety and
more positive attitudes about safe sleep practices than control young
mothers. Observations at a home visit conducted after delivery found no
differences in the safe sleep practices by intervention status. Participant
report of behaviors at the home visit also showed no differences in the use
of safe position between the intervention and control groups.
Conclusion
It appears that even when young mothers gain knowledge and self-efficacy,
they have difficulty implementing this knowledge. In practice, this suggests
that exploring barriers prenatally with this population and offering
suggestions to overcome them may be indicated.
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