ArticleJournal for specialists in pediatric nursing : JSPN2020
Considerations in Safe to Sleep® messaging: Learning from African-American mothers.
Article in Journal for specialists in pediatric nursing : JSPN, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 16 citations in OpenAlex.
- Impact of PRECEDE-PROCEED model on enhancing neonatal sleep safety practices.Sleep & breathing = Schlaf & Atmung · 2025Trial
- Article
- Improving compliance with safe sleep practices among Black/African American infants discharged from a level III NICU: a quality improvement initiative.BMJ open quality · 2025Article
- Understanding parental choices related to infant sleep practices in the United States using a mixed methods approach.BMC pediatrics · 2025Article
- Beyond the rules: an integrative review of parental perspectives on safer infant sleep in shared environments.Frontiers in public health · 2025Review
- Sources of attitudes towards parent-child co-sleeping and their effects: A systematic scoping review.Family process · 2024Article
- The Relation of Maternal Psychosocial Risk Factors to Infant Safe Sleep Practices.Maternal and child health journal · 2024Article
- Perspectives of Infant Mortality from African American Community Members.Women's health reports (New Rochelle, N.Y.) · 2023Article
- Improving safe sleep practices in an urban inpatient newborn nursery and neonatal intensive care unit.Journal of perinatology : official journal of the California Perinatal Association · 2022Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
purposeThe purpose of this study was to identify why African-American mothers do not tend to follow the Safe to Sleep® recommendations and to begin to identify a way to frame the Safe to Sleep® message so that African-American mothers might be more likely to follow these recommendations.
designWe recruited African-American mothers with infants over the age of 6 months to participate in two focus groups facilitated by a community engagement manager experienced in focus group facilitation. We used ethnography to find shared patterns of behavior and beliefs in African-American women related to safe sleep.
resultsWe identified 14 concepts and formulated them into three categories: it's just easier; can't fight culture and grandma; and Effectively teaching mother. From these we were able to identify the shared value of multifaceted learning. PRACTICE IMPLICATIONS: African-American mothers say that they are generally aware of the Safe to Sleep® recommendations, even though the majority of mothers do not follow them. The reasons they give for not following them are that they are not comfortable doing so, they feel they are unable to do so, or find it unnecessary. Many of the mothers attempted to follow the Safe to Sleep® recommendations but abandoned the effort due to the stress of their crying infant. Trying to follow the Safe to Sleep® recommendations were stressful for the mothers, even though there was concern expressed by some that their infant could indeed suffocate or die from sudden infant death syndrome. The mothers gave suggestions on how they would change the message or the delivery of the message.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.