Social Media and Risk-reduction Training for Infant Care Practices (SMART study)

Grantee: Boston University Medical Campus
Project Title: Social Media and Risk-reduction Training for Infant Care Practices (SMART study)
Principal Investigators: Eve R. Colson, MD, Michael J. Corwin, MD, Fern Hauck, MD, MS, Rachel Moon, MD

The purpose of this project is to address serious and ongoing challenges related to adherence to public health recommendations known to reduce the risk of SIDS. Adherence has reached a plateau at an unacceptably low level both in the overall US population and especially in Black infants, leading to a halt in the decline in infant mortality and a widening in the racial disparity in infant mortality.

This project is a collaborative effort that will capitalize on the extensive experience of the investigators in studying barriers to adherence to safe sleep practices to develop two complementary, culturally competent, intervention strategies and to test the effectiveness of each strategy, as well as both strategies in combination. The SMART study will have four arms in which 16 hospitals are randomly assigned to one of four study groups. A total of 1600 mothers will be recruited (100/hospital), with 400 in each study group. The primary aim is to assess the effectiveness of the interventions aimed at promoting safe sleep practices compared with the breastfeeding control interventions. The secondary aim is to assess potential mediating factors that may explain the intervention effects on infant care practices and that may inform areas for future improved intervention approaches. With the successful completion of the SMART study, effectiveness data will have been provided for two interventions to improve adherence to safe sleep practices that are practical to disseminate nationally in multiple diverse settings.