Evaluation of a Safe Sleep Training for Home Visitors and Their Clients.

Home visiting services Infant mortality Infant safe sleep Motivational interviewing

Journal

Journal of clinical psychology in medical settings
ISSN: 1573-3572
Titre abrégé: J Clin Psychol Med Settings
Pays: United States
ID NLM: 9435680

Informations de publication

Date de publication:
09 2022
Historique:
accepted: 28 07 2021
pubmed: 12 8 2021
medline: 26 8 2022
entrez: 11 8 2021
Statut: ppublish

Résumé

Sleep-related deaths are a common preventable cause of death, and such deaths occur disproportionately in families of color. Home visitors provide families with education about infant safe sleep guidelines; however, families face many barriers to engaging in safe sleep practices. This study evaluated the efficacy of a program to train home visitors to talk to clients about infant safe sleep using Motivational Interviewing and cultural sensitivity. We examined the effects of the intervention on home visitors' (n = 23) knowledge, MI skill use, and cultural sensitivity using a single group pre-post design. We also examined home visiting clients' (n = 78) knowledge, attitudes, and behaviors using a quasi-experimental design. Home visitors were primarily female (97%), had a college degree (86%), and were primarily white (50%) or African American (43%). The home visiting clients were all female and were primarily African American (43%) and Caucasian (36%). Most clients (59%) earned less than 30,000 dollars per year. Home visitors showed significant improvement in MI skill use and cultural sensitivity from pre- to post-test. Regarding client outcomes, our results indicate a significant group by time interaction when predicting changes in client knowledge such that the treatment group showed larger gains than the control group. There were no significant differences between groups when predicting changes in client attitudes or behavior. MI may be an effective technique for home visitors to help increase families' safe sleep knowledge. Additional research is needed to examine whether such training can translate to changes in families' safe sleep behavior.

Identifiants

pubmed: 34378161
doi: 10.1007/s10880-021-09811-2
pii: 10.1007/s10880-021-09811-2
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

477-488

Informations de copyright

© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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Auteurs

Summer Chahin (S)

Western Michigan University, Kalamazoo, USA. summer.s.chahin@wmich.edu.

Amy Damashek (A)

Western Michigan University, Kalamazoo, USA.

Fernando Ospina (F)

Western Michigan University, Kalamazoo, USA.

Cheryl Dickson (C)

Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, USA.

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