MCHbest. NPM 5: Safe Sleep
Strategy. Child Care Provider Education
Approach. Enforce laws regarding mandatory training for child care providers on infant safe sleep practices.
Overview. There is insufficient evidence to definitively state that educating child care providers in isolation from other interventions is effective to increasing the percent of infants placed on their backs for sleep; however, initial results suggest that this method may be effective when paired with other strategies.1
Evidence. Emerging Evidence. Interventions targeting child care providers appear to be somewhat effective. This strategy has been tested more than once and results trend positive overall. More research is needed for conclusive results. Access the peer-reviewed evidence through the MCH Digital Library. (Read more about understanding evidence ratings).
Target Audience. Child Care Provider.
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 is currently 1 ESMs across all states/jurisdictions that usse this strategy directly or intervention components that align with this strategy. Access descriptions of these ESMs through the MCH Digital Library. You can use this ESM to see how other Title V agencies are addressing the NPM.
Sample ESMs. Using the approach “Enforce laws regarding mandatory training for child care providers on infant safe sleep practices,” 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 Moon, R. Y., Calabrese, T., & Aird, L. (2008). Reducing the risk of sudden infant death syndrome in child care and changing provider practices: lessons learned from a demonstration project. Pediatrics, 122(4), 788-798..