Health IT to Reduce Disparities in Risks for Sleep-related Infant Deaths SAFE Start 2.0 Project

What this Trial Is About

This research focuses on reducing unsafe infant sleep practices that increase the risk of Sudden Unexplained Infant Death (SUID), including Sudden Infant Death Syndrome and Accidental Suffocation. The study evaluates how a special Infant Sleep Assessment (ISA) tool combined with Motivational Interviewing (MI) communication training affects conversations between clinicians and parents during 2-month Well Baby Visits. The goal is to see if using this tool helps clinicians better communicate safe sleep practices and if parents then follow safer sleep routines compared to standard care. Parents in the intervention group will have their infant sleep practices assessed using the ISA tool either before or during the visit, which generates tailored feedback for clinicians via the electronic medical record. Clinicians trained in MI will use this information to guide counseling. The intervention also includes giving parents safe sleep products like a portable crib, sleep sack, and pacifier. The control group receives standard care based on American Academy of Pediatrics guidelines without the ISA tool or additional training. Participants will attend Well Baby Visits at 2 and 4 months where recorded visits and surveys will assess the quality of clinician counseling and parent satisfaction. Clinicians' experiences with the ISA tool will be collected through surveys at the end of their participation. The study monitors infant sleep practices and clinician-parent communication, with follow-up lasting an average of 2 to 3 years. The study involves English and Spanish-speaking parents and legal guardians of infants aged from a few days up to 4 weeks old at enrollment.

Improving Pediatrician Counseling About Infant Safe Sleep Using the Electronic Medical Record