This document was printed from the website of the California Evidence-Based Clearinghouse for Child Welfare (CEBC), which you can access at http://www.cebc4cw.org/
This document was printed from the website of the California Evidence-Based Clearinghouse for Child Welfare (CEBC), which you can access at http://www.cebc4cw.org/
Child Welfare Outcomes: Safety and child/family well-being.
Type of Maltreatment: Physical abuse
Target Population: Mothers, fathers, or father figures.
Brief Description:(The information in this program outline is provided by the program representative and edited by the CEBC staff.)
The Upstate New York Shaken Baby Syndrome (SBS) Education Program has been rated by the CEBC in the area of Prevention (Secondary). The Upstate New York SBS Education Program is a research study begun in December 1998 with the purpose of educating both parents of all infants about the dangers of violent infant shaking. The premise was that parents needed to be reminded at the correct time and, if educated, could be effective advocates in disseminating this information to all who care for their child. The parents receive both written and video materials about SBS before leaving the hospital. Both parents are then asked to voluntarily sign a commitment statement affirming their receipt and understanding of this material; these commitment statements are returned and tracked by the investigators. The Upstate New York SBS Education Program formed a partnership with the pediatric care providers. Additional educational materials are provided at the first doctor's office visit. The program has demonstrated a sustained and consistent reduction of over 50% in incidence of SBS.
Five Essential components as related to New York law:
Seven key elements:
The Upstate New York Shaken Baby Syndrome Education Program was not designed to be conducted in a group.
The Upstate New York Shaken Baby Syndrome Education Program has not been tested for use in a group setting.
Recommended intensity: One contact with parents by the RN in the maternity unit. Parents see video, receive brochure on Shaken Baby Syndrome (SBS), and discuss material just seen with the RN so she/he can answer any questions about SBS. This contact lasts an average of 15 minutes per family. The nurse does not, however, need to be present during parents’ viewing of the 8-minute video.
Recommended duration: Typically one contact
The Upstate New York Shaken Baby Syndrome Education Program does not include a homework component.
The Upstate New York Shaken Baby Syndrome Education Program is typically conducted in a(n): Hospital.
The Upstate New York Shaken Baby Syndrome Education Program was designed with a Parent Component.
The Upstate New York Shaken Baby Syndrome Education Program addresses the following presenting problems and symptoms: Parents of newborns
The Upstate New York Shaken Baby Syndrome Education Program was not designed with a Child Component.
The Upstate New York Shaken Baby Syndrome Education Program was not developed for children with developmental delays.
The Upstate New York Shaken Baby Syndrome Education Program has not been tested for children with developmental delays.
The Upstate New York Shaken Baby Syndrome Education Program does not have materials available in a language other than English.
There is not a manual that describes how to implement this program.
There is training available for The Upstate New York Shaken Baby Syndrome Education Program.
Training contact: New York program training contacts: Kathleen DeGuehery and Kim Smith at 716-878-7441. The Pennsylvania Shaken Baby Syndrome Education Program is also a very successful implementation of the upstate New York program. Training information for that program is listed here: Carroll M. Rottmund RN, BSN, CCRN, CLNC, Pennsylvania Shaken Baby Syndrome Education Program, Penn State Milton Hershey Medical Center, 500 University Drive, Mail Code G-130, Hershey, PA 17033, Phone: 717-531-7498 or Kelly Cappos RN, BSN, CPUR, CLNC, Pennsylvania Shaken Baby Syndrome Education Program, Penn State Milton Hershey Medical Center, 500 University Drive, Mail Code G-130, Hershey, PA 17033, Phone: 717-531-7498. Training on program implementation is available
Number of days/hours: One hour in servicing available for registered nurses and hospital nurse managers on program implementation.
Training is obtained: Provided on site or regional setting as requested. Contact hours available from Pennsylvania Nurses Association for registered nurses.
There currently are additional qualified resources for training.
List of additional qualified resources: Pennsylvania Chapter of the American Academy of Pediatrics
The typical resources for implementing The Upstate New York Shaken Baby Syndrome Education Program are: Nurse coordinators for the program educate hospital nursing staff via a Power Point presentation, which is given on site; educational Video presentation on Shaken Baby Syndrome (SBS) at time of hospital staff in servicing; and educational brochures on SBS from the Department of Health and the Pennsylvania American Academy of Pediatrics.
Strongly recommended that registered nurses or nursing educators deliver program.
The Upstate New York Shaken Baby Syndrome Education Program is rated a "3 - Promising Research Evidence" on the Scientific Rating Scale based on the published, peer-reviewed research available. The practice must have at least one study utilizing some form of control (e.g., untreated group, placebo group, matched wait list) establishing the practice's benefit over the placebo, or found it to be comparable to or better than an appropriate comparison practice. For more information on the rating of a “3 – Promising Research Evidence,” please see the Scientific Rating Scale.
Dias, M. S., Smith, K., deGuehery, K., Mazur, P., Li, V., & Shaffer, M. L. (2005). Preventing abusive head trauma among infants and young children: A hospital-based parent education program. Pediatrics, 115, e470-e477.
Type of Study: Historical control group
Number of participants: 65,205 parents signed commitment statements (see below).
Population:
Location/Institution: All hospitals providing maternity care.
Summary: (To include comparison groups, outcomes, measures, notable limitations) The program was administered to parents of all newborn infants before the infants’ discharge from the hospital. The hospitals were asked to provide both parents with information describing the dangers of violent infant shaking and providing alternative responses to persistent infant crying and to have both parent sign a commitment statement (CS) affirming their receipt and understanding of the materials. Program compliance was assessed by documenting the number of CS’s signed by parents. Follow-up telephone interviews were conducted with a randomized 10% subset of parents, 7 months after the child’s birth, to assess recall of the information. Finally, the regional incidence of abusive head injuries among infants and children <36 months of age during the program (study group) was contrasted with the incidence during the 6 preceding years (historical control group). CSs were documented representing 69% of the live births in the region during that time; 96% were signed by mothers and 76% by fathers/father figures. Telephone surveys suggested that >95% of parents remembered having received the information. The incidence abusive head injuries decreased by 47% during the 5.5 year study period. No comparable decrease was seen in the Commonwealth of Pennsylvania during the years which bracketed the study and control periods in New York State.
Length of post-intervention follow-up: Parent interview at 7 months post-intervention. Program duration of 5.5 years.
There are currently no references articles for The Upstate New York Shaken Baby Syndrome Education Program.
Contact name: Mark Dias, MD
Affiliation/Agency: Penn State Hershey Medical Center
Email: mdias@psu.edu
Phone: 717-531-7498
Fax: 717-531-0177