Improving Pediatrician Counseling About Infant Safe Sleep Using the Electronic Medical Record
Sudden Infant Death, Sudden Unexplained Infant Death
About this trial
This is an interventional prevention trial for Sudden Infant Death focused on measuring Counseling, Motivational Interviewing, Medical Informatics, Clinical Decision Support, Electronic Medical Record
Eligibility Criteria
Inclusion Criteria:
- Parents and legal guardians bringing their infants to the Harriet Lane Clinic (pediatric primary care clinic) for any of their early well baby visits (between 3-5 days up to 4 weeks of age)
- Maryland recognizes teen parents as emancipated minors, so they will be eligible to provide consent and participate.
Exclusion Criteria:
- Infant is considered medically complex (e.g., serious congenital anomaly, requires cardiorespiratory monitoring, etc.)
- Parents who do not speak English will be excluded from this study since the focus is to assess the use of an EMR tool on provider communication and utilizing translators may impact parent-provider communication.
Sites / Locations
- Harriet Lane ClinicRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Other
Intervention Group: ISA-MI
Control Group: Standard of Care (SOC)
The ISA-MI study condition involves, in addition to the standard of care described for the SOC group, a clinician training activity related to using the ISA (Infant Sleep Assessment) tool. Clinicians assigned to the ISA-MI Group will view a 20-30-minute recorded video training session on infant safe sleep (including its epidemiology, risk factors and recommendations), use of the ISA tool, and use of motivational interviewing-inspired (MI) communication skills to respond to ISA parent responses. The ISA tool builds on the 2022 AAP infant sleep recommendations and will be implemented at the 2-month WBV. Parents/patients of physicians in the ISA-MI study condition will also be given several infant safe sleep related products that facilitate compliance with safe sleep recommendations, namely, a portable crib, a sleep sack and a pacifier.
The SOC study condition consists of WBVs that follow the usual practice of American Academy of Pediatrics (AAP) Bright Futures Health Supervision Guidelines and includes age- and developmentally based anticipatory guidance. As part of their training, pediatric residents receive formal teaching on core aspects of providing primary care to infants, including the AAP recommendations on safe sleep. This includes the recommended ABCS: babies should sleep Alone (no objects or people), on their Back (supine), in a Crib (or safe alternative including portable crib or bassinet), and in a Smoke-free environment.