SynthesisBMJ paediatrics open2021
Decision-making for the infant sleep environment among families with children considered to be at risk of sudden unexpected death in infancy: a systematic review and qualitative metasynthesis.
Synthesis in BMJ paediatrics open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Interventions to Improve Safer Sleep Practices in Families With Children Considered to Be at Increased Risk for Sudden Unexpected Death in Infancy: A Systematic Review.Frontiers in pediatrics · 2021Pooled it
- Exploring infant safe sleeping practice in a multicultural setting: findings from the maternal and infant health monitoring system in Abu Dhabi.BMC pregnancy and childbirth · 2026Article
- Caregiver lived experiences attempting to follow safe sleep recommendations to sleep their baby in a cot: a qualitative directed content analysis.Primary health care research & development · 2026Article
- Supporting families and building relationships: Evaluation of a home and sleep safety equipment scheme for impoverished communities.Public health in practice (Oxford, England) · 2026Article
- Patterns of Infant Sleep and Care Practices: 2016-2020.Pediatrics · 2025Article
- "Okay in theory": a qualitative study of safer sleep advice in families with infants at risk and families reporting risky sleep practices.BMJ paediatrics open · 2025Article
- Preventing Infant Mortality Through Medicaid-Administered Prenatal Care Coordination: Evidence From Wisconsin.Health services research · 2025Article
- Baby Sleep Project Protocol: a realist evaluation of an intervention to reduce preventable infant mortality.BMJ open · 2025Article
- Beyond the rules: an integrative review of parental perspectives on safer infant sleep in shared environments.Frontiers in public health · 2025Review
- Navigating the complex link between infant sleep and development: feels like decoding the Escher labyrinth.Sleep · 2024Article
- Practices and Awareness Regarding an Infant's Sleep Environment among Japanese Caregivers: A Cross-Sectional Survey.International journal of environmental research and public health · 2024Article
- A Risk Assessment and Planning Tool to Prevent Sudden Unexpected Death in Infancy: Development and Evaluation of The Baby Sleep Planner.JMIR pediatrics and parenting · 2024Article
- Changes in background characteristics and risk factors among SIDS infants in England: cohort comparisons from 1993 to 2020.BMJ open · 2023Article
- Infant sleep as a topic in healthcare guidance of parents, prenatally and the first 6 months after birth: a scoping review.BMC health services research · 2022Article
- Infant Care Practices, Caregiver Awareness of Safe Sleep Advice and Barriers to Implementation: A Scoping Review.International journal of environmental research and public health · 2022Article
- Missed Opportunities: Healthcare Encounters Prior to Sudden Unexpected Infant Death.Frontiers in pediatrics · 2022Article
- Epidemiology of sudden infant death syndrome in Mexico, 2005-2020.Frontiers in pediatrics · 2022Article
- Infant Safe Sleep Promotion: Increasing Capacity of Child Protective Services Employees.International journal of environmental research and public health · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Advice to families to sleep infants on their backs, avoid smoke exposure, reduce excess bedcovering and avoid specific risks associated with cosleeping has greatly reduced sudden unexpected death in infancy (SUDI) rates worldwide. The fall in rates has not been equal across all groups, and this advice has been less effective for more socially deprived families. Understanding decision-making processes of families with infants at risk would support the development of more effective interventions. Aim: To synthesise the qualitative evidence on parental decision-making for the infant sleep environment among families with children considered to be at increased risk of SUDI. Methods: This study was one of three related reviews of the literature for the Child Safeguarding Practice Review Panel's National Review in England into SUDI in families where the children are considered at risk of harm. A systematic search of eight online databases was carried out in December 2019. Metasynthesis was conducted, with themes extracted from each paper, starting with the earliest publication first. Results: The wider review returned 3367 papers, with 16 papers (across 13 studies) specifically referring to parental decision-making. Six overall themes were identified from the synthesis: (1) knowledge as different from action; (2) external advice must be credible; (3) comfort, convenience and disruption to the routine; (4) plausibility and mechanisms of protection; (5) meanings of safety and risk mitigation using alternative strategies; and (6) parents' own expertise, experience and instincts. Conclusion: Interventions that are intended to improve the uptake of safer sleep advice in families with infants at risk of sleep-related SUDI need to be based on credible advice with mechanisms of protection that are understandable, consistent with other sources, widened to all carers of the infant and fit within the complex practice of caring for infants.
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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.