Evidence map›Paper›PMID 39773421›Full record

ArticleBMC pediatrics2025

Understanding parental choices related to infant sleep practices in the United States using a mixed methods approach.

Hannah Sahud, Rachel P Berger, Megan Hamm, Emily Heineman, Flor Cameron, Julia Wasilewski, Ashley Griffin, Gysella B Muniz

Abstract read
In one paragraph

Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Hannah SahudSchool of Medicine, Division of Child Advocacy, University of Pittsburgh, UPMC Children's Hospital of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA, 15224, USA.
Rachel P BergerSchool of Medicine, Division of Child Advocacy, University of Pittsburgh, UPMC Children's Hospital of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA, 15224, USA. rachel.berger@chp.edu.
Megan HammUniversity of Pittsburgh Center for Research On Health Care, Pittsburgh, PA, USA.
Emily HeinemanSchool of Medicine, Division of Child Advocacy, University of Pittsburgh, UPMC Children's Hospital of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA, 15224, USA.
Flor CameronUniversity of Pittsburgh Center for Research On Health Care, Pittsburgh, PA, USA.
Julia WasilewskiUniversity of Pittsburgh Center for Research On Health Care, Pittsburgh, PA, USA.
Ashley GriffinSchool of Medicine, Division of General Academic Pediatrics, University of Pittsburgh, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.
Gysella B MunizSchool of Medicine, Division of General Academic Pediatrics, University of Pittsburgh, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to gather information about parental practices, knowledge, and attitudes regarding infant sleep habits and environments, among families who practice non-recommended sleep practices.

methodsWe conducted one-on-one phone interviews with parents who had practiced non-recommended sleep methods with their infant and had or had not experienced an undesirable sleep event such as a fall. Interviews were recorded and coded with MAXQDA software. Intercoder reliability was assessed for consistency.

resultsThirty-one parents consented, and 21 interviews were conducted. Parents were aware of current American Academy of Pediatrics (AAP) sleep recommendations for infants, knew about the sleep risks of non-recommended practices and had access to a recommended sleep environment. Parents reported developing modifications to the sleep environment which they perceived made their infant's sleep safer. Many parents felt that they could not be honest with their primary care provider about utilizing a non-recommended sleep environment; many had not had a detailed conversation with their primary care provider about safe sleep.

conclusionsOur data are consistent with previous studies which demonstrate that lack of access to a recommended sleep space or lack of knowledge about AAP sleep guidelines are not the primary reasons for practicing non-recommended sleep habits. Our data highlights the disconnect between the current AAP safe sleep recommendations and what parents feel is feasible to do on a daily basis. Evaluating the impact of a risk elimination strategy which is used in the US compared with a risk mitigation strategy which is used in other countries on parental practice and ability to communicate honestly with primary care providers is a future area of research.

Indexed as

Health Knowledge, Attitudes, PracticeParentsSleepAdultChoice BehaviorFemaleHumansInfantInfant CareInterviews as TopicMaleSudden Infant DeathUnited StatesSleep-related eventSudden unexpected infant death

Identifiers

PMID39773421
PMCPMC11706075

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.