Evidence map›Paper›PMID 41814244›Full record

ArticleBMC pediatrics2026

Get Social Media and Risk-Reduction Training (GET SMART) to improve infant safe sleep practices through a mobile text message-delivered video safe sleep intervention for new parents: study protocol for a type 3 hybrid implementation-effectiveness cluster randomized trial in 20 US birth hospitals.

Rachel Y Moon, Sunah S Hwang, Fern R Hauck, Ann L Kellams, Paul R Shafer, Bryanne N Colvin, Hannah Karpman, Rebecca F Carlin, Michael J Corwin, Eve Colson and 1 more

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06618586 (Get Social Media and Risk-Reduction Training), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT06618586 narecruitingnot on this map

Get Social Media and Risk-Reduction Training (GET SMART)

TypeinterventionalSponsorUniversity of VirginiaRan2025 to 2028Enrolled10,000ConditionsInfant Death, Sudden Infant DeathArmsTodaysBaby
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Rachel Y MoonDepartment of Pediatrics, University of Virginia School of Medicine, PO Box 800386, Charlottesville, VA, 22908, USA. rym4z@virginia.edu.
Sunah S HwangDepartment of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA.
Fern R HauckDepartment of Family Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA.
Ann L KellamsDepartment of Pediatrics, University of Virginia School of Medicine, PO Box 800386, Charlottesville, VA, 22908, USA.
Paul R ShaferDepartment of Health Law, Policy, and Management, Boston University, Boston, MA, USA.
Bryanne N ColvinDepartment of Pediatrics, Washington University School of Medicine, St. Louis, MO, USA.
Hannah KarpmanDepartment of Psychiatry and Behavioral Sciences, University of Massachusetts Chan Medical School, Worcester, MA, USA.
Rebecca F CarlinDepartment of Pediatrics, Columbia University, New York, NY, USA.
Michael J CorwinSlone Epidemiology Center, Boston University, Boston, MA, USA.
Eve Colson *Department of Pediatrics, Washington University School of Medicine, St. Louis, MO, USA.
Margaret G Parker *Department of Pediatrics, University of Massachusetts Chan Medical School, Worcester, MA, USA.

Funding

Get Social Media and Risk-Reduction Training (GET SMART)R01HD110568 · NICHD · UNIVERSITY OF VIRGINIA · PI EVE R COLSON, RACHEL Y MOON · 2023 to 2026
$2.9M
NICHD NIH HHS R01 HD110568
6 · The paper itself

Abstract

backgroundAnnually, more than 3500 US infants die suddenly and unexpectedly. Many sudden unexpected infant deaths (SUID) are preventable with greater adherence to safe infant sleep guidelines. There are racial and socioeconomic disparities, both in adherence to these guidelines and in SUID rates. In the original Social Media and Risk-Reduction Training for Infant Care Practices (SMART) study in which 1600 mothers were randomized to receive short educational videos, focused on safe sleep vs. control, those receiving the safe sleep intervention had ~ 10% point higher rates of following safe sleep practices, with elimination of racial and socioeconomic disparities in safe sleep practices. GET SMART (Get Social Media and Risk-Reduction Training), a type 3 hybrid implementation-effectiveness cluster randomized trial, aims to determine optimal strategies to implement this safe sleep intervention in real-world conditions.

methodsWe have recruited 19 US birth hospitals in counties with high SUID rates. After a control phase, hospitals will complete, in a randomized, crossover design, both the “high touch” (HT) implementation strategy used in SMART (hospital staff introduced the program, obtained informed consent, and watched 2 videos with them) and a “low touch” (LT) strategy that uses a direct-to-consumer approach in which mothers use QR codes to sign up for the safe sleep video intervention. Implementation strategies and outcomes are grounded in the Proctor Conceptual Model of Implementation Research. We will compare the impact of the hospital-based HT and LT strategies with regards to differences in penetration (proportion of eligible mothers who sign up), equity of penetration according to income, race and ethnicity, and program cost per mother sign up. Effectiveness outcomes are adherence to 4 safe sleep practices (supine sleep position, sleep location [roomsharing without bedsharing], nonuse of soft bedding, pacifier use) after the 2-month intervention. DISCUSSION: Findings from this implementation-effectiveness study will inform strategies to broadly scale an easily replicated mobile-delivered video safe sleep intervention among groups with historically high rates of SUID.

trial registrationThis trial is registered on ClinicalTrials.gov (NCT06618586), registration date 2024-08-27.

Indexed as

Infant CareMothersRisk Reduction BehaviorSleepSocial MediaSudden Infant DeathCross-Over StudiesFemaleHumansInfantInfant, NewbornMulticenter Studies as TopicRandomized Controlled Trials as TopicUnited StatesVideo RecordingEffectivenessImplementationInfant sleepMobile healthSudden infant deathTrial

Identifiers

PMID41814244
PMCPMC13093993

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.