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What this Trial Is About

Researchers are evaluating the TodaysBaby mobile safe sleep intervention program in U.S. hospitals to understand its reach, fairness in access based on income and race/ethnicity, ease of use, acceptance, long-term use, accuracy in delivery, and overall effectiveness. The study focuses on reducing infant death and sudden infant death by promoting safe sleep practices. This research is sponsored by the University of Virginia and does not involve medication or invasive treatments. The study randomly assigns hospitals to one of three groups during two six-month intervention periods. One group receives a low-touch approach where mothers find TodaysBaby through ads and sign up themselves using a QR code. Another group receives a high-touch approach where hospital staff assist mothers in signing up and watching videos in a one-on-one setting. A third group serves as a control and receives standard postpartum care without the TodaysBaby intervention. The TodaysBaby program sends educational videos and text message questions about infant sleep practices during the first two months after birth. Mothers participate by enrolling in TodaysBaby within seven days after birth, completing surveys about infant care, and responding to text messages over several months. Researchers measure how many mothers sign up, the fairness of access, and how well the program is delivered and used. They also assess the program’s impact on safe sleep behaviors up to 180 days after birth. The study includes ongoing feedback about feasibility, acceptability, sustainability, and cost. Participation lasts through the intervention periods with ongoing data collection and follow-up.

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