Sleep-related infant deaths remain a major public health issue.
Sleep-related infant deaths remains a major public health problem. Several interventions have been implemented to increase compliance with safe sleep recommendations.
We performed a systematic review of the international research literature to synthesize research on interventions aimed at reducing the risk of sleep-related mortality and their effectiveness in changing patterns of sleep.
29 articles were included for review. The studies focused on caregivers of infants, health care professionals, peers, and child care professionals.
Targeted behaviours include sleeping position, position, removing items from crib, breastfeeding, exposure to second-hand smoke, clothing, pacifier use, and sudden death syndrome awareness in infants.
Most articles describe multifaceted interventions that include: individual or group education, printed materials, visual presentations, videos, and provide resources such as cribs, pacifiers, and blankets that can wearable and t-shirts for babies.
Two public education campaigns are described, one using educational questionnaires and the other encouraging pre-schoolers to take notes.
Healthcare professionals interventions include implementing safe sleep policies, providing on-the-job training, providing printed materials to providers, and reaching agreement on factual claims.
Methods of data collection include self-report through survey and incubator audit observations. More than half of the studies used comparison groups to help determine efficacy.
Most articles have reported success in modifying some of the targeted behaviours. No studies reported complete compliance with the recommendations.
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