Mediators of Improved Adherence to Infant Safe Sleep Using a Mobile Health Intervention.

ABSTRACT: To determine mediators of improvements in infant safe-sleep (SS) practices in a mobile health intervention. In a cluster-randomized controlled trial, mothers received SS intervention or breastfeeding control videos for 60 days. Maternal responses about infant sleep position and location (outcomes) and mediators (attitudes, perceived social norms, and perceived control) from the theory of planned behavior were assessed. Intervention effects on mediators and association between mediators and outcomes were examined. Of 1600 recruited, 1263 mothers participated. Mothers receiving SS videos were more likely to have positive attitudes and norms for supine sleep (attitudes: adjusted odds ratio [aOR] = 2.35 [95% confidence interval (CI) 1.72 to 3.20]; norms: aOR = 1.75 [95% CI 1.27 to 2.42]) and r

SUBMITTER: Moon RY 

PROVIDER: S-EPMC6564062 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature