■婴儿突然意外死亡(SUID)仍然是婴儿死亡的主要原因;因此,了解父母在家婴儿睡眠的做法至关重要。由于社交媒体分析产生了宝贵的患者观点,通过Facebook母亲小组在安全睡眠建议的背景下理解睡眠实践对政策制定者很有帮助,卫生保健提供者,和研究人员。
这项研究旨在识别母亲分享的在线讨论SUID和安全睡眠的照片,并根据美国儿科学会(AAP)评估其与婴儿睡眠指南的一致性。我们假设这些照片与基于先前研究的指南以及在床上意外窒息和勒死的发生率不一致。
■数据是在2019年5月从Facebook母亲小组中提取的。在试用了各种搜索词后,在选定的Facebook群组上搜索“SIDS”一词导致了关于SUID和安全睡眠的最相关讨论。产生的数据,包括512位母亲中的20个帖子和912条评论,进行了定性的描述性内容分析。在完成提取和后续分析时,在讨论中确定了24张共享的个人照片。在照片中,14与婴儿睡眠环境有关。然后由2个独立的审阅者根据AAP标准评估婴儿睡眠环境的照片与安全睡眠指南的一致性。
■在与婴儿睡眠环境有关的共享照片中,86%(12/14)与AAP安全睡眠指南不一致。具体的不一致包括容易睡觉,睡眠环境中的异物,和使用婴儿睡眠装置。还确定了婴儿监测设备的使用。
■这项研究是独一无二的,因为照片来自家庭环境,在SUID和安全睡眠的背景下,并且是在没有研究人员干扰的情况下获得的。尽管研究有局限性,容易睡觉的共性,外来物体,以及婴儿睡眠和监测设备的使用(即,关于AAP安全睡眠指南的总体不一致)为未来关于父母进行婴儿安全睡眠障碍的调查奠定了基础,并对政策制定者产生了影响。临床医生,和研究人员。
UNASSIGNED: Sudden unexpected infant death (SUID) remains a leading cause of infant mortality; therefore, understanding parental practices of infant sleep at home is essential. Since social media analyses yield invaluable patient perspectives, understanding sleep practices in the context of safe sleep recommendations via a Facebook mothers\' group is instrumental for policy makers, health care providers, and researchers.
UNASSIGNED: This study aimed to identify photos shared by mothers discussing SUID and safe sleep online and assess their consistency with infant sleep guidelines per the American Academy of Pediatrics (AAP). We hypothesized the photos would not be consistent with guidelines based on prior research and increasing rates of accidental suffocation and strangulation in bed.
UNASSIGNED: Data were extracted from a Facebook mothers\' group in May 2019. After trialing various search terms, searching for the term \"SIDS\" on the selected Facebook group resulted in the most relevant discussions on SUID and safe sleep. The resulting data, including 20 posts and 912 comments among 512 mothers, were extracted and underwent qualitative descriptive content analysis. In completing the extraction and subsequent analysis, 24 shared personal photos were identified among the discussions. Of the photos, 14 pertained to the infant sleep environment. Photos of the infant sleep environment were then assessed for consistency with safe sleep guidelines per the AAP standards by 2 separate reviewers.
UNASSIGNED: Of the shared photos relating to the infant sleep environment, 86% (12/14) were not consistent with AAP safe sleep guidelines. Specific inconsistencies included prone sleeping, foreign objects in the sleeping environment, and use of infant sleeping devices. Use of infant monitoring devices was also identified.
UNASSIGNED: This study is unique because the photos originated from the home setting, were in the context of SUID and safe sleep, and were obtained without researcher interference. Despite study limitations, the commonality of prone sleeping, foreign objects, and the use of both infant sleep and monitoring devices (ie, overall inconsistency regarding AAP safe sleep guidelines) sets the stage for future investigation regarding parental barriers to practicing safe infant sleep and has implications for policy makers, clinicians, and researchers.