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APHA Scientific Session and Event Listing

Recorded presentation

Rachel Y. Moon, MD¹, Trisha Calabrese, BS², Rosalind Oden¹, Joana Iglesias¹, and Laura Aird². (1) Goldberg Center for Community Pediatric Health, Children's National Medical Center, 111 Michigan Avenue NW, Washington, DC 20010, 202-884-3948, rmoon@cnmc.org, (2) Early Education and Child Care Initiatives, Division of Developmental Pediatrics and Preventive Services, American Academy of Pediatrics, 141 Northwest Point Blvd, Elk Grove Village, IL 60007

Introduction: Despite a 50% decrease in the incidence of SIDS since 1992, the proportion of SIDS occurring in child care remains constant, at ~20%. The American Academy of Pediatrics has developed a tool entitled Reducing the Risk of SIDS in Child Care for child care personnel training. This project's aim is to evaluate the effectiveness of this tool in changing provider practices with regards to infant sleep practices. Methods: This cross-sectional study was conducted in 4 states. Child care trainers in each state (who received SIDS risk reduction training) identified child care providers (CCPs), ½ to receive SIDS-risk reduction training (the ½ received SIDS-risk reduction training after study completion). Each trainer made an initial unannounced visit to participating programs to observe sleep practices. After initial observations, the trainer conducted SIDS risk-reduction training, using the Reducing the Risk of SIDS in Child Care speaker's kit, to intervention CCPs. CCPs completed surveys before and after training to assess knowledge/ attitudes/ stated practice. A 2nd, unannounced observational visit occurred 3 months after training (or after 1st visit for controls). At the end of 2nd visit, the trainer interviewed CCPs about issues, concerns, and logistical barriers encountered when implementing sleep recommendations. Discussion: We will discuss quantitative and qualitative data obtained. Quantitative data will include knowledge gained about SIDS risk factors/safe sleep practices, presence of written policies with regard to SIDS risk factors, and observed practices. Qualitative data will include barriers to implementation of recommendations and difficulties encountered with the train-the-trainer model.

Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to

• List the elements of a safe infant sleep environment.
• Articulate the potential barriers to implementation of a safe sleep policy in child care facilities.
• Discuss the advantages of utilizing a train-the-trainer model for information dissemination amongst child care providers.

Keywords: Child Care, SIDS

Presenting author's disclosure statement:

Any relevant financial relationships? No

Recorded presentation