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Caring about Preemies' Safe Sleep (CaPSS)

An Educational Program to Improve Adherence to Safe Sleep Recommendations by Mothers of Preterm Infants

Dowling, Donna A., PhD, RN; Barsman, Sarah Gutin, MN, MSN, MBE, RN, NNP-BC; Forsythe, Paula, MSN, CNS, RN; Damato, Elizabeth G., PhD, RN

The Journal of Perinatal & Neonatal Nursing: October/December 2018 - Volume 32 - Issue 4 - p 366–372
doi: 10.1097/JPN.0000000000000345
Feature Articles

Preterm infants born before 37 weeks' gestation die of sudden infant death syndrome (SIDS) at a rate more than double that of term infants. There is a need for SIDS prevention programs tailored to the specific needs of parents of high-risk infants. The purpose of this study was to pilot test an online educational module addressing SIDS risk-reduction recommendations (RRRs) for parents of preterm infants. This study was conducted in a 44-bed transitional care unit at a level IV NICU in the Midwest. A repeated-measures design was used. Two weeks before discharge, mothers completed a survey, addressing knowledge and plans for caring for their baby at home. Mothers then viewed the 5-section Caring about Preemies' Safe Sleep (CaPSS) education module and completed the postmodule evaluation. A discharge survey was completed 4 weeks postdischarge. Fifteen mothers, mean age 26.4 years, participated; 8 (53%) returned the postdischarge survey. Module evaluation rated clarity and completeness of information high. Mothers' ratings of SIDS knowledge were significantly higher after viewing the module (P = .000) and 4 weeks after discharge home (P = .012). Mothers found the use of a pacifier at sleep times to be new information and changed their plans for caring for their infant, with 28.6% of mothers always offering a pacifier before sleep after discharge compared with the 6.7% who had planned to do this before discharge. However, only 71% of infants slept in parents' room after discharge and only 41% were receiving at least some breast milk, which are not consistent with SIDS RRRs.

Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio (Drs Dowling and Damato and Ms Barsman); and UH Rainbow Babies and Children's Hospital, Cleveland, Ohio (Ms Forsythe).

Corresponding Author: Donna A. Dowling, PhD, RN, Frances Payne Bolton School of Nursing, Case Western Reserve University, 10900 Euclid Ave, Cleveland, OH 44106 (

This work was supported by a Research Initiative Grant from Frances Payne Bolton School of Nursing, Case Western Reserve University.

Disclosure: The authors have disclosed that they have no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Each author has indicated that he or she has met the journal's requirements for Authorship.

Submitted for publication: January 4, 2018; accepted for publication: April 14, 2018.

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