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Lookup NU author(s): Dr Simon BarrettORCiD, Professor Ruth McGovernORCiD
This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).
© 2024 Barrett et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.Introduction Despite a decline in Sudden Unexpected Death in Infancy in the UK since 2004, inequalities have widened with higher rates among families from deprived backgrounds and those known to child protection services. Almost all cases involve parents who had engaged in unsafe sleeping practices despite awareness of safer sleeping advice. Objective To understand the perspectives surrounding safer sleep of families supported by statutory child protection agencies, and use behavior change theory to inform how approaches to providing safer sleep advice to these families may be modified. Participants and setting We interviewed 14 mothers, 2 fathers and one grandmother, who had recent contact with child protection services in northeast England. Methods In-depth, semi-structured interviews, with purposive sampling. The COM-B model (Capability, Opportunity, and Motivation) structured our analysis. Results Parents described how anxiety, sleep deprivation, settling infants, illness, and a desire to bond with infants influence their decision making about sleep. Parents valued credible, trusted sources and understanding how safer sleep practices protect infants. Responses to questions about 'out of routine' situations suggested social pressures surrounding routines and 'good parenting' may preclude parents from acknowledging risks and planning for these situations. Conclusion Open conversations tailored to the needs of families, focused upon understanding why and when parent(s) do or do not follow safer sleep guidance seem a promising way of promoting safer sleep practices. Safer sleep discussions with these families are likely to be best delivered as part of wider infant care by professionals who have an established and continuing trusting relationship with parents. While advice and information should be provided by any professional in contact with the family with the necessary expertise, sensitive conversations around sleeping practices, particularly co-sleeping, may be more easily facilitated by professionals where the statutory responsibility for safeguarding is less apparent.
Author(s): Barrett S, Barlow J, Cann H, Pease A, Shiells K, Woodman J, McGovern R
Publication type: Article
Publication status: Published
Journal: PLoS ONE
Year: 2024
Volume: 19
Issue: 3
Online publication date: 08/03/2024
Acceptance date: 23/01/2024
Date deposited: 25/03/2024
ISSN (electronic): 1932-6203
Publisher: Public Library of Science
URL: https://doi.org/10.1371/journal.pone.0298383
DOI: 10.1371/journal.pone.0298383
Data Access Statement: We did not seek consent for depositing the anonymised interview transcripts in any data archive due to the sensitivities in recruiting families who had a social worker and/or had previous children removed from their care. Data cannot be shared publicly because they are sensitive and based on a small number of families which, because of their involvement with Social Care Services are potentially identifiable. Data are available from the Newcastle University Data Management Service (contact via rdm@ncl.ac.uk) for researchers who meet the criteria for access to confidential data. Requests will be considered on the basis of their scientific merit and any data release will be subject to a data sharing agreement.
PubMed id: 38457404
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