ClinicalTrials.gg
CompletedNCT03494621ICPUpdated Aug 12, 2022

Infant Care Practices Study

An interventional study of Protecting Babies While they Sleep Curriculum in Sudden Infant Death, sponsored by Avera McKennan Hospital & University Health Center. Completed at 1 site in United States. Open to female participants aged 14 Years to 49 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-08-12.

Sponsored by Avera McKennan Hospital & University Health Center · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
115
Allocation
Randomized
Ages
14 Years to 49 Years
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 51 studies in Sudden Infant Death with a site in United States — 10 open to participants now, 15 under way, 4 of them phase 3. Sudden Infant Death · United States.

Enrollment
16th of 37
115 · median 96
Started
2018
with 3 others
No phase
17 of 51
4 open now
Registered
29th of 51
by date

Among the 51 studies in Sudden Infant Death with a site in United States, this one is the 16th largest by enrollment of the 37 interventional ones that give a count, is one of 4 that started in 2018, is one of 17 with no phase, and was the 29th registered.

Sudden Infant Death

80 studies on the registry are indexed under Sudden Infant Death; 14 are open to participants now.

Browse Sudden Infant Death studies →

Open to participants now

10 of the 51 studies in Sudden Infant Death with a site in United States are open now. Recruiting first, the newest first:

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All 10 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 9 Sudden Infant Death studies recruiting now, 4 (44%) set no upper age limit and 5 (56%) stop at 75 or younger; 7 take children under 18; 2 take healthy volunteers.

This study: 14 Years to 49 Years · female · healthy volunteers too.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 51 studies in Sudden Infant Death with a site in United States, or all of them as a file.
02

Study summary

This proposed project will engage American Indian communities through existing partnerships, utilizing a Community Based Participatory Research (CBPR) methodology to design a group intervention program to increase the safety of infant sleep environments. Compelling evidence from research in other racial populations suggests that family and cultural norms, attitudes and personal beliefs about infant sleep, safety and comfort are strongly associated with the choice of infant sleep environment. It may be possible that the current safe sleep messages are in conflict with inherent cultural beliefs within these communities. This conflict with the scientific recommendations regarding safe sleep may influence behavior, even in the presence of adequate knowledge about safe sleep practices. Preliminary discussions with many tribal leaders and elders suggest that this chasm between culture and scientific recommendations can be bridged with an intervention incorporating culture, education and resources. However, there is limited research on factors influencing infant safe sleep practices of American Indian mothers. This study will test the effectiveness of incorporating cultural beliefs and practices into an intervention package based on the American Academy of Pediatrics safe sleep guidelines that incorporates both education and provision of resources. Therefore, the research question is: "Does a culturally specific safe sleep intervention, developed using CBPR, reduce the risk of unsafe infant sleep practices in Northern Plains American Indian communities?"

Read the detailed description

The proposed study is a two-group randomized trial with a total sample size of 150. Pregnant women from Western South Dakota who meet eligibility criteria will be randomly assigned to an intervention or a control group and will be followed through their pregnancy and postnatal period until their infant reaches one year of age. They will remain in their randomized group throughout the course of the study.

Intervention group: Participants randomly assigned to the intervention group will have three prenatal contacts at study site offices. These contacts will include collection of covariate data, engagement with the Protecting Babies While They Sleep curriculum and activities (described below) led by trained study staff, and assessment of the overall session quality and acceptability. Participants will be allowed to invite up to two family members or other support persons to attend the third prenatal contact. The research coordinator will review the consent form and request consent for each guest of the participant. Guests will be asked to provide a subset of the covariate data provided by the primary participant, engage with the curriculum and associated activities, and assess the overall session quality and acceptability.

The intervention curriculum derives from information gathered at previously conducted focus groups and interviews, which aimed to ascertain the role of caregiver knowledge, beliefs, and access to resources in implementation of infant safe sleep practices. The study investigators worked with a Community Advisory Board (CAB) to design the focus group and interview questions, interpret the resulting qualitative data, and guide development of the intervention curriculum. The curriculum combines culturally-based prenatal and infant care education with current safe sleep recommendations from the American Academy of Pediatrics (AAP). The main components include: brief videos featuring medical professionals and American Indian elders, discussion guided by Motivational Interviewing principles, and culturally-based activities designed to reinforce the curriculum objectives.

03

Conditions studied

  • Sudden Infant Death

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04

Who can participate

Ages eligible
14 Years to 49 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Self-identified as American Indian
  2. Able to provide or assent
  3. Mother's age 14 years or older
  4. If emancipated minor, not living in group home or care facility
  5. Gestational age 20 weeks or less
  6. No planned relocation outside the catchment area
  7. Fluency in English

Exclusion criteria

Exclusion Criteria:

  1. Not self-identified as American Indian
  2. Unable to provide or assent
  3. Mother's age less than 14 years
  4. Emancipated minor living in group home or care facility
  5. Gestational age more than 20 weeks
  6. Planned relocation outside of the catchment area
  7. Not fluent in English
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
115 participants (actual)

Study arms

  • No intervention
    Control group

    Participants randomly assigned to the control group will have three prenatal contacts at the same gestational ages as the intervention participants. These contacts will include collection of covariate data, review of locally available educational materials on pregnancy/infant care led by trained study staff, and assessment of the overall session quality and acceptability. The educational materials provided during these sessions are drawn from materials currently available at local health care facilities

  • Experimental
    Protecting Babies While They Sleep

    The intervention curriculum derives from information gathered at previously conducted focus groups and interviews, which aimed to ascertain the role of caregiver knowledge, beliefs, and access to resources in implementation of infant safe sleep practices. The protocol for the focus groups and interviews has been reviewed by the Tribal Institutional Review Board. The focus groups were conducted in Rapid City and a western Tribal reservation with pregnant adult women and pregnant, parenting, or other interested adolescent women; fathers (adult men); and elder women. Two focus groups were held for each category of individuals. Additional qualitative data was collected via key informant interviews with individuals vested and experienced in maternal and child health.

    Behavioral: Protecting Babies While they Sleep Curriculum

Interventions

  • BehavioralProtecting Babies While they Sleep Curriculum

    The intervention curriculum derives from information gathered at previously conducted focus groups and interviews, which aimed to ascertain the role of caregiver knowledge, beliefs, and access to resources in implementation of infant safe sleep practices. .

06

What researchers measure

Primary outcomes

  1. Implementation of safe sleeping practices

    Primary outcome will be measured by participant report about infant sleep location and sleep position. Infant location is considered safe if participant reports a 'no' response to if the participant shared a sleep location with baby. INfant sleep position is considered safe if the participant provides a 'yes' response to whether the baby was put on its back to sleep for every sleep. The two responses will be aggregated together to derive that the participant is practicing safe sleep habits.If either question indicates unsafe sleeping habits, the participant will be counted as not practicing safe sleeping habits.

    Time frame: Three months

Secondary outcomes

  1. Change in Safe Sleep knowledge

    The impact of the intervention on the participant's knowledge of safe sleep will be assessed through participant self report.

    Time frame: prenatal, 3 months postnatal, 6 months postnatal, 1 year

  2. Change in beliefs regarding infant safe sleep

    The impact of the intervention on the participants' belief regarding infant safe sleep will be measured through self report

    Time frame: prenatal, 3 months postnatal, 6 months postnatal, 1 year

  3. Change in safe sleep practice

    The impact of the intervention on the participants' practice of safe sleep will be measured through self report

    Time frame: prenatal, 3 months postnatal, 6 months postnatal, 1 year

07

Study locations

1 site
  • Avera Research Institute
    Rapid City, South Dakota 57701, United States
08

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided — The investigators understand that sharing of research data with the broad research community promotes collaboration and further development of the scientific field. The investigators intend to share de-identified data with NIH in accordance with tribal policies and regulations. The investigators anticipate that a detailed plan will be in place to allow for sharing of data after analysis and publication of the primary hypothesis.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2018 to primary completion in Oct 2021, 43 months.

Of 15 interventional studies with no phase under Sudden Infant Death, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 10 and three quarters within 45. This study's 43 months is above that.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 19, 2018
First posted
Apr 11, 2018
StartActual
Mar 28, 2018
Primary completionActual
Oct 30, 2021
CompletionActual
May 30, 2022
Last update
Aug 12, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 12, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03494621
Lead sponsor
Avera McKennan Hospital & University Health Center
Responsible party
Sponsor
First posted
Apr 11, 2018
Start date
Mar 28, 2018
Primary completion
Oct 30, 2021
Completion
May 30, 2022
Last update
Aug 12, 2022

Study contacts

Amy Elliott, PhD
principal investigator · Avera Research Institute

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2022. You cannot join it, but the record below documents what was studied.

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