Bedtime Basics for Babies

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Bedtime Basics for Babies

• An Initiative of the National Crib Campaign

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First Candle Background

• Received 11 million grant from Bill Melinda
• Gates Foundation in 2007
• Washington State
• Indiana State
• Washington, DC

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The Gates Initiative Need

• 4,500 babies die yearly in US suddenly/
  unexpectedly
• At least 50 of these deaths may be caused by
  unsafe sleep environments and, therefore, may be
  preventable
• Risk of suffocation is approximately 40x higher
  for infants sleeping in adult beds than those in
  cribs
• Percentage of infants bed sharing all night has
  doubled from 5.5 to 12.8 since 1993
• 44 of infants spend some time sleeping in adult
  bed

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Goal/Objectives

• Reduce SIDS and sleep-related infant deaths by at
  least 50 over a seven-year period
• Distribute Bedtime Basics kits (crib, sheet,
  wearable blanket pacifier) to high-risk
  families
• Deliver safe sleep messages to new/expectant
  parents, healthcare providers and the general
  public
• Conduct a comprehensive evaluation of the data
• Publish and widely-share the results

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The Gates Initiative Scope

• Duration 7 years
• Target Audiences
• High-risk families with low SES status and 1
  risk factor for SIDS and sleep-related death
• Health and social service professionals
• New and expectant parents
• The general public
• Staffing Managing Director, Administrative
  Assistant, 3 Project (site) Directors

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The Gates Initiative Implementation

• Legal, financial and insurance audits complete
• Partners in place (Indiana Univ., Riley
  Childrens, Seattle Childrens, Urban Indian
  Health, DC DOH)
• IRB submission and approvals Nearly complete
• Survey instruments nearly complete

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The Gates Initiative Implementation

• Educational materials complete (focus groups,
  translation, worked with National Center for
  Cultural Competence)
• Coalitions formed and in operation in IN and DC
  under development in WA state
• Nursing trainings (250) complete in IN being
  scheduled in DC and WA

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The Gates Initiative Health Messages

• Follow AAP guidelines, complement existing First
  Candle campaigns messages
• Committed to being culturally sensitive and
  competent (working with National Center for
  Cultural Competence)
• Will address diverse language needs
• Proactively encourages breastfeeding (working
  with breastfeeding coordinator of the Indiana
  Perinatal Network)

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Evaluation

• Investigators
• Dr. Rachel Moon, Childrens National
• Medical Center and George Washington University
• Dr. Fern Hauck, University of Virginia
• Dr. James Kemp, Washington University
• Track both process and outcome data
• Use both qualitative quantitative data
  collection tools

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Hypotheses

• The provision of cribs will result in a
  significant reduction of sudden infant deaths
• Wide-spread distribution of safe sleep messages
  will increase knowledge of safe sleep practices
• There is not one best practice, but many and
  effective models are best determined and
  implemented by each site

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Data to be Collected

• Aggregate demographic and infant mortality data
  from each site
• Surveys of participants (upon enrollment,
  post-education)
• Pre- and post-training surveys for nurses
• Surveys to collect data from distributing
  agencies
• Housed in a web-based database

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Collection of Aggregate Data

• Outcome Measures
• Infant mortality rates
• SIDS and sleep-related death rates
• Compare data in years 3, 5, and 7 with baseline
  data

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Participant Surveys

• Survey before/at time of crib distribution
• Knowledge about safe infant sleep recommendations
• Practices/planned practices re safe infant sleep
• Follow up survey 1-3 months after crib given
• Knowledge, practices
• Evaluation of the process suggestions for
  improvement
• Families can receive crib without participating
  in surveys
• Written informed consent will be obtained

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Nurse Surveys

• Nurses will complete surveys before and after
  completing training module
• Compare knowledge and intended practices

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Distributing Agencies Surveys

• Process evaluation
• What works?
• What doesnt work?
• How can we make it work better?
• Assist with inventory, allocation of materials
• Numbers of cribs, other materials given out
• If distributing agency is providing more cribs
  than others, can adjust allocations

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Web-based Database

• All of the data will be entered onto a web-based
  database
• Adequate disk space
• Excellent security of data

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Questions?

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Conclusion SAFE SLEEP SAVES LIVES!