| Do educational materials change knowledge and behaviour about crying and shaken baby syndrome? A randomized controlled trial. | |
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MedLine Citation:
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PMID: 19255065 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Shaken baby syndrome often occurs after shaking in response to crying bouts. We questioned whether the use of the educational materials from the Period of PURPLE Crying program would change maternal knowledge and behaviour related to shaking. METHODS: We performed a randomized controlled trial in which 1279 mothers received materials from the Period of PURPLE Crying program or control materials during a home visit by a nurse by 2 weeks after the birth of their child. At 5 weeks, the mothers completed a diary to record their behaviour and their infants' behaviour. Two months after giving birth, the mothers completed a telephone survey to assess their knowledge and behaviour. RESULTS: The mean score (range 0-100 points) for knowledge about infant crying was greater among mothers who received the PURPLE materials (63.8 points) than among mothers who received the control materials (58.4 points) (difference 5.4 points, 95% confidence interval [CI] 4.1 to 6.5 points). The mean scores were similar for both groups for shaking knowledge and reported maternal responses to crying, inconsolable crying and self-talk responses. Compared with mothers who received control materials, mothers who received the PURPLE materials reported sharing information about walking away if frustrated more often (51.5% v. 38.5%, difference 13.0%, 95% CI 6.9% to 19.2%), the dangers of shaking (49.3% v. 36.4%, difference 12.9%, 95% CI 6.8% to 19.0%), and infant crying (67.6% v. 60.0%, difference 7.6%, 95% CI 1.7% to 13.5%). Walking away during inconsolable crying was significantly higher among mothers who received the PURPLE materials than among those who received control materials (0.067 v. 0.039 events per day, rate ratio 1.7, 95% CI 1.1 to 2.6). INTERPRETATION: The receipt of the Period of PURPLE Crying materials led to higher maternal scores for knowledge about infant crying and for some behaviours considered to be important for the prevention of shaking. |
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Authors:
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Ronald G Barr; Marilyn Barr; Takeo Fujiwara; Jocelyn Conway; Nicole Catherine; Rollin Brant |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't Date: 2009-03-02 |
Journal Detail:
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Title: CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne Volume: 180 ISSN: 1488-2329 ISO Abbreviation: CMAJ Publication Date: 2009 Mar |
Date Detail:
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Created Date: 2009-03-31 Completed Date: 2009-05-04 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 9711805 Medline TA: CMAJ Country: Canada |
Other Details:
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Languages: eng Pagination: 727-33 Citation Subset: AIM; IM |
Affiliation:
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Centre for Community Child Health Research, Child and Family Research Institute, University of British Columbia, Vancouver, BC. |
| Data Bank Information | |
Bank Name/Acc. No.:
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ClinicalTrials.gov/NCT00175422 |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Confidence Intervals Crying* Female Follow-Up Studies Health Education / organization & administration Health Knowledge, Attitudes, Practice Humans Incidence Infant Infant, Newborn Male Maternal Behavior* Patient Education as Topic Probability Program Development Program Evaluation Reference Values Risk Factors Shaken Baby Syndrome / epidemiology, prevention & control* Teaching Materials / supply & distribution* |
| Comments/Corrections | |
Comment In:
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CMAJ. 2009 Mar 31;180(7):703-4
[PMID:
19332746
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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