Arch Pediat Adol Med
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Arch Pediat Adol Med · Nov 2001
Randomized Controlled Trial Clinical TrialThe influence of grandmothers and other senior caregivers on sleep position used by African American infants.
To describe beliefs about infant sleep position among African American grandmothers and other older caregivers (senior caregivers [SCGs]) and to measure the incremental effect on the rates of prone sleep after educating a group of African American SCGs. ⋯ Most African American women and SCGs endorsed the supine sleeping position for infants. Among a group of African American infants, prenatal teaching of their grandmothers and other SCGs did not have a statistically significant incremental effect on the rates of the usual prone sleeping position. Contrary to our starting hypothesis, the SCGs of pregnant women who receive prenatal care seemed responsive to messages about supine sleeping. The Back-to-Sleep message should be delivered prenatally, but special prenatal interventions should attempt to reach women who do not receive prenatal care and SCGs who persist in their opposition to the supine sleeping position.
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To determine the effect of primary care status on decision making in the pediatric emergency department (ED). ⋯ In this patient population, ED physicians may vary their assessment and management decisions based on primary care status.