Challenges parents encounter when implementing infant safe sleep advice.
Acta Paediatr
; 110(11): 3083-3093, 2021 Nov.
Article
em En
| MEDLINE
| ID: mdl-34297875
ABSTRACT
AIM:
To understand which safe sleep recommendations parents find most challenging to implement, identifying common barriers encountered; and investigate whether challenges are associated with practices employed.METHODS:
A cross-sectional survey of 3341 Australian families with young infants who birthed a live baby during April-May 2017. Caregivers were asked about infant care practices and family characteristics. Qualitative free-text items explored challenges faced with current safe sleep recommendations.RESULTS:
Nearly one-third (n = 1033, 31%) of caregivers reported difficulty with at least one safe sleep recommendation. Infant sleep position and avoiding bed-sharing were identified as the most challenging recommendations. Caregivers described barriers which influenced consistency in uptake of advice. Families who described difficulty with a recommendation were significantly less likely to consistently employ that advice compared to those who did not report difficulty (sleep position 198/473,42% vs 2548/2837,90% [p < 0.0001]; own sleep space (269/344,78% vs 1331/2884,46% [p < 0.0001]). When families encountered challenges, they often proposed alternate strategies with an inference their substitute action compensated potential increased risk.CONCLUSION:
Many families encounter difficulties implementing safe sleep advice; these challenges negatively impact care practices. Effective interventions meeting individual family needs, to provide safe sleep environments consistently, are necessary to improve sleep-related infant care and further reduce infant mortality.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Morte Súbita do Lactente
Tipo de estudo:
Guideline
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
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Qualitative_research
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Risk_factors_studies
Limite:
Child
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Humans
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Infant
País como assunto:
Oceania
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article