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Not Applicable
Recruiting
Conditions
Infant Death
Sudden Infant Death
Registration Number
NCT06618586
Lead Sponsor
University of Virginia
Brief Summary

This study examines the implementation of the TodaysBaby™ mobile safe sleep intervention program in US hospitals. The main aims of this study are to examine: 1) differences in program penetration and the equity of penetration according to income and race/ethnicity; 2) differences in feasibility, acceptability, sustainability and fidelity top the intervention; and 3) the effectiveness of the intervention.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
Female
Target Recruitment
10000
Inclusion Criteria
  • Must speak English or Spanish
  • Must live in the United States
  • Must have given birth to a healthy, term infants (37 weeks or greater) and be discharged within 7 days of birth
  • Must plan to care for infant and live in the same household as infant after birth
  • Must enroll in the TodaysBaby program by the time their infant is 7 days of age
Exclusion Criteria
  • A prenatal diagnosis expected to have impact on infant care practices not compatible with study goals, such as supine infant sleep positioning.

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Primary Outcome Measures
NameTimeMethod
Penetration of sign up for TodaysBabyFirst week after birth

Rate of sign up for TodaysBaby among mothers that sign up during the different implementation strategies

Equity of sign up for TodaysBabyFirst week after birth

Differences in rate of sign up for TodaysBaby by maternal insurance status and race/ethnicity among mothers that sign up during different implementation strategies

Secondary Outcome Measures
NameTimeMethod
Feasibility of implementationWithin a year of participant enrollment (qualitative) and >60 day after birth survey

Staff perception that the implementation strategies were successfully used or carried out (measured through semi-structured interviews; Rate of maternal report that signing up for TodaysBaby was simple and fast

AcceptabilityWithin a year of participant enrollment

Staff perception that the delivery of the implementation strategies was satisfactory (measured through semi-structured interviews)

SustainabilityWithin a year of participant enrollment (qualitative) and during the 6-month study implementation periods

Staff perception that the implementation strategies could continue to be delivered after the end of the study (measured through semi-structured interviews); monthly penetration rates

FidelityFirst 60 days after birth

Number of videos viewed by mother, divided by total videos among mothers enrolled in the different implementation strategies

Effectiveness of TodaysBaby on safe sleep practices60-180 days (average 80 days) after birth survey

We will measure 4 sleep practices in the past 2 weeks among mothers enrolled in the different implementation strategies:

Sleep position: % reporting supine position only Sleep location: % reporting roomsharing not bedsharing only Soft bedding: % reporting no soft bedding in sleep space Pacifier: % reporting usual pacifier use when infant sleeping

Program cost of TodaysBaby60-180 days during the program sign up periods.

Differences in rate of sign up for TodaysBaby by maternal insurance status and race/ethnicity among mothers that sign up during different implementation strategies

Trial Locations

Locations (1)

Boston University

🇺🇸

Boston, Massachusetts, United States

Boston University
🇺🇸Boston, Massachusetts, United States
Sarah Roth
Contact
617-734-6006
saroth@bu.edu

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