The purpose of this project is to address serious and ongoing challenges related to adherence to public health recommendations known to reduce the risk of Sudden Unexpected Infant Deaths. Adherence has reached a plateau at an unacceptably low level leading to a halt in the decline in infant mortality and a widening in the racial disparity in infant mortality.<\/p>\n
This project 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 Study of Attitudes and Factors Effecting Infant Care Practices (SAFE)<\/a> study infrastructure and hospitals; 3) use of two complementary interventions with the potential for synergistic impact; 4) use of social marketing strategies; <\/i>5) use of mobile technology (mHealth) to deliver messages; and 6) collaboration with community resources and expertise.<\/p>\n 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. Consented mothers will then complete the follow-up survey, either online or over the phone, once their baby is between 2-5 months of age.\u00a0 The survey asks about past, current, and anticipated future behavior in relation to infant care practices (including feeding and sleep practices).<\/p>\n The primary aim<\/span> is to assess the effectiveness of the interventions aimed at promoting safe sleep practices compared with the breastfeeding control interventions. The secondary aim<\/span> 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 practical interventions to improve adherence to safe sleep practices that could be disseminated nationally in multiple diverse settings.<\/p>\n Investigators<\/strong>:<\/p>\n Michael Corwin, M.D. Eve R. Colson, M.D. Fern R. Hauk, M.D., M.S. Rachel Y. Moon, M.D. Ann Kellams, M.D., F.A.A.P., I.B.C.L.C., F.A.B.M. Study Staff: <\/strong><\/p>\n Boston University:<\/span> Children\u2019s National Medical Center:<\/span> University of Virginia<\/span> <\/div>\n<\/div>\n\n Source of Funding: <\/strong><\/p>\n Eunice Kennedy Shriver National Institute of Child Health and Human Development<\/p>\n Study Period:<\/strong><\/p>\n September 2012 to May 2018<\/p>\n <\/div>\n<\/div>\n\n Please contact Lisa Crowell:<\/p>\n Slone Epidemiology Center Phone: (617) 734-6006<\/p>\nInvestigators and Study Staff<\/h3>
\nPrincipal Investigator
\nSenior Epidemiologist, Slone Epidemiology Center
\nAssociate Professor of Pediatrics and Epidemiology,
\nBoston University Schools of Medicine and Public Health<\/p>\n
\nPrincipal Investigator
\nDirector of Newborn Nursery, Yale New Haven Hospital
\nAssociate Professor of Pediatrics, Yale University School of Medicine<\/p>\n
\nPrincipal Investigator
\nDirector, International Family Medicine Clinic, University of Virginia
\nProfessor of Family Medicine and Public Health Sciences, University of Virginia<\/p>\n
\nPrincipal Investigator
\nAssociate Chief, Division of General Pediatrics and Community Health,
\nChildren\u2019s National Medical Center
\nDirector, Academic Development, Children\u2019s National Medical Center
\nProfessor of Pediatrics, George Washington University School of Medicine and Health Sciences<\/p>\n
\nCo-Investigator
\nMedical Director of the Newborn Nursery and Breastfeeding Medicine Program,
\nUniversity of Virginia
\nAssistant Professor, Department of Pediatrics, University of Virginia<\/p>\n
\nLisa Crowell, R.N., Project Coordinator
\nNicole Geller, M.P.H., Project Coordinator<\/p>\n
\nBrandi Joyner, M.S.A., Research Assistant<\/p>\n
\nKawai Tanabe, M.P.H., Research Assistant<\/p>\nStudy Details<\/h3>
Contact Information<\/h3>
\nATTN:\u00a0 SMART Study
\n72 E. Concord St., L-7
\nBoston, Massachusetts 02118<\/p>\n