Evidence map›Paper›PMID 41030357›Full record

ReviewFrontiers in public health2025

Beyond the rules: an integrative review of parental perspectives on safer infant sleep in shared environments.

Carly Grubb, Jeanine Young, Terri Downer, Levita D'Souza

Abstract readReview
In one paragraph

Review in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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

4 authors.

Carly GrubbSchool of Health, University of the Sunshine Coast, Murrumba Downs, QLD, Australia.
Jeanine YoungSchool of Health, University of the Sunshine Coast, Murrumba Downs, QLD, Australia.
Terri DownerSchool of Health, University of the Sunshine Coast, Murrumba Downs, QLD, Australia.
Levita D'SouzaSchool of Educational Psychology and Counselling, Monash University, Melbourne, VIC, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Despite public health campaigns promoting infant sleep safety, SUDI (including SIDS and fatal sleep accidents) remains one of the most significant contributors to post-neonatal infant death in many high-income countries. Bedsharing remains common despite predominant risk elimination guidelines, with many families struggling to follow rigid rules of avoidance. Risk minimisation considers the complexities of family life and recognises most infant deaths in shared sleep environments are associated with additional risk factors. Purpose and methods: Integrative review methodology was used to investigate the information parents need to minimise risk for infants under 12 months who share a sleep surface. Database searches included Scopus, CINAHL, PubMed, PsycNET and Emcare to identify peer-reviewed publications published January 2013-March 2025. Quality appraisal was undertaken using the QuADs tool. Results: A total of 60 articles met eligibility criteria. Twelve themes were generated from the data and grouped under four key domains: 1. Challenges in creating safer shared sleep environments, 2. Solutions/strategies used by parents to address challenges, 3. Family experiences when risk factors are present, and 4. Information needs of parents and caregivers. Families reported sharing sleep with infants, intentionally and accidentally, including those at a higher risk of SUDI. Bedsharing often occurs outside of a conscious parental 'choice', while families frequently refrain from disclosing bedsharing practices to health professionals. In the absence of formal guidance on safer shared sleep strategies, families generated their own solutions potentially increasing risk. Conclusion: Parents need universal access to non-judgmental, neutrally-worded support that allows them to 'prepare to share' and employ strategies to enhance infant sleep safety wherever, and whenever it occurs.

Indexed as

Infant CareParentsSleepSudden Infant DeathBedsHumansInfantInfant, NewbornRisk Factorshealth disparitiesinfant sleep safetymaternal healthnewborn healthpublic health interventionssleep healthsocial determinants of healthsudden unexpected death in infancy

Identifiers

PMID41030357
PMCPMC12477138

What OpenQuestion holds

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Registered trials

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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.