MCHbest. NPM 5: Safe Sleep
Strategy. Caregiver/Parent Education
Approach. Partner with WIC, home visiting, and other programs to provide safe sleep education and counseling to new caregivers.
Overview. One-on-one education with parents and caregivers has the potential to affect maternal decision making for choice of infant sleep position. The moments spent instructing and demonstrating infant care to caregivers are crucial. Time allotment for patient teaching can have a positive impact on supine sleeping position if done in an iterative manner.1,2
Evidence. Emerging Evidence. Interventions targeting caregivers only appear to be somewhat effective. This strategy has been tested more than once and results trend positive overall. Access the peer-reviewed evidence through the MCH Digital Library for provision of education and training materials. (Read more about understanding evidence ratings).
Target Audience. Caregiver.
Outcome. Infants placed to sleep on their backs. For detailed outcomes related to each study supporting this strategy, click on the peer-reviewed evidence link above and read the "Intervention Results" for each study.
Examples from the Field. There are currently 5 ESMs across all states/jurisdictions that use this strategy directly or intervention components that align with this strategy. Access descriptions of these ESMs through the MCH Digital Library. You can use these ESMs to see how other Title V agencies are addressing the NPM.
Sample ESMs. Using the approach “Partner with WIC, home visiting, and other programs to provide safe sleep education and counseling to new caregivers,” here are sample ESMs you can use as a model for your own measures using the Results-Based Accountability framework (for suggestions on how to develop programs to support this strategy, see The Role of Title V in Adapting Strategies):
Note. ESMs become stronger as they move from measuring quantity to measuring quality (moving from Quadrants 1 and 3, respectively, to Quadrants 2 and 4) and from measuring effort to measuring effect (moving from Quadrants 1 and 2, respectively, to Quadrants 3 and 4).
1 Hauck, F. R., Tanabe, K. O., McMurry, T., & Moon, R. Y. (2015). Evaluation of bedtime basics for babies: a national crib distribution program to reduce the risk of sleep-related sudden infant deaths. Journal of community health, 40(3), 457-463.
2 Moon, R. Y., Hauck, F. R., Colson, E. R., Kellams, A. L., Geller, N. L., Heeren, T., & Corwin, M. J. (2017). The effect of nursing quality improvement and mobile health interventions on infant sleep practices: a randomized clinical trial. Jama, 318(4), 351-359.