Safe Babies New York Program

Scientific Rating:
3
Promising Research Evidence
See scale of 1-5
Child Welfare System Relevance Level:
High
See descriptions of 3 levels

About This Program

The information in this program outline is provided by the program representative and edited by the CEBC staff. Safe Babies New York Program has been rated by the CEBC in the area of: Prevention of Child Abuse and Neglect (Primary) Programs.

Target Population: Mothers, fathers, or father figures of babies just born

For parents/caregivers of children ages: 0 – 0

Brief Description

Safe Babies New York (previously the Upstate New York Shaken Baby Syndrome Education Program) is a universal, hospital based, post-natal intervention for parents of all newborn infants about Shaken Baby Syndrome (SBS). Both parents receive written materials and are asked to view a video about SBS before leaving the hospital. Both parents are then asked to voluntarily sign a commitment statement affirming their receipt of this material; signed commitment statements are returned monthly from nurse managers at each hospital and are tracked by the investigators. Safe Babies New York formed a partnership with the pediatric care providers. Additional educational materials are provided at the first doctor's office visit. In 2014, the program added information about Safe Sleep which informs parents about safe sleeping environments to prevent sleep-related infant deaths.

Program Goals:

The overall goals of Safe Babies New York are:

  • Educate parents (mothers and whenever possible fathers or father figures) about the normalcy of infant crying, the dangers of violent infant shaking, how to calm a crying infant and reduce caregiver frustration and anger, and how to wisely select other caregivers for the infant
  • Reduce the frequency of abusive head trauma
  • Educate parents about safe sleeping environments, the dangers of co-sleeping, and Sudden Unexplained Deaths in Infancy (SUDI)

Essential Components

The essential components of Safe Babies New York include:

  • Shaken Baby Syndrome (SBS) education/materials, that per New York law:
    • Must be given to parents of all infants born in New York
    • Must be presented at the time of the baby’s birth and be given separate from other education
    • Should be easy to understand and be available in multiple languages
    • Must be provided free-of-charge to the patient
    • Should include a commitment statement to be discussed prior to hospital discharge
  • Eight key elements of Safe Babies New York:
    • Occurs in a hospital and delivered by healthcare professionals
    • Is universal (primary prevention effort)
    • Occurs within a consistent time frame (perinatal period)
    • Targets both parents, but especially fathers/father figures since these account for over half of the perpetrators
    • Provides education in verbal, written, and video formats
    • Provides information separately from other education and parents participate during hospital stay (not taken home)
    • Affirms parent participation by having them voluntarily sign a commitment statement
    • Is easy and takes little time to implement
  • Safe Sleep messages are also included in the brochure and video:
    • Alone – baby sleeps alone with no one and nothing that can accidentally smother them (pillows, stuffed animals, crib bumpers, blankets
    • On the Back – no tummy or side sleeping and no wedges or props
    • In a Crib – clutter free environment, firm mattress
  • There is one contact with parents by the RN in the maternity unit during the immediate postnatal period. Parents see two videos (one on Shaken Baby and one on Safe Sleep), receive a brochure that describes both Shaken Baby Syndrome (SBS) and Safe Sleep, and discuss material just seen with the registered nurse (RN) so they can answer any questions about SBS and safe sleep. This contact lasts an average of 25 minutes per family. The nurse does not, however, need to be present during parents' viewing of the videos.

Parent/Caregiver Services

Safe Babies New York Program directly provides services to parents/caregivers and addresses the following:

  • Parents of newborns

Delivery Setting

This program is typically conducted in a(n):

  • Hospital

Homework

This program does not include a homework component.

Languages

Safe Babies New York Program has materials available in a language other than English:

Spanish

For information on which materials are available in this language, please check on the program's website or contact the program representative (contact information is listed at the bottom of this page).

Resources Needed to Run Program

The typical resources for implementing the program are:

  • Nurse coordinators for the program to educate hospital nursing staff via a Power Point presentation, which is given on site
  • Educational video presentation on Shaken Baby Syndrome (SBS) and Safe Sleep, shown at time of hospital staff in-service
  • Educational brochures on SBS and Safe Sleep from the Department of Health and the American Academy of Pediatrics

Minimum Provider Qualifications

Strongly recommended that registered nurses or nursing educators deliver program

Education and Training Resources

There is not a manual that describes how to implement this program; but there is training available for this program.

Training Contact:
  • Marie Killian, BSN, RN, MEd
    Pennsylvania Shaken Baby Syndrome Education Program
    dept.: Penn State Milton Hershey Medical Center
    phone: (717) 531-7498
    500 University Drive, Mail Code G-130
    Hershey, PA 17033, USA
Training is obtained:

Provided on site or regional setting as requested. Contact hours available from Pennsylvania Nurses Association for registered nurses.

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-service available for registered nurses and hospital nurse managers on program implementation.

    Additional Resources:

    There currently are additional qualified resources for training:

    • Pennsylvania Chapter of the American Academy of Pediatrics

    Implementation Information

    Since Safe Babies New York Program is rated on the Scientific Rating Scale, information was requested from the program representative on available pre-implementation assessments, implementation tools, and/or fidelity measures.

    Show implementation information...

    Pre-Implementation Materials

    There are no pre-implementation materials to measure organizational or provider readiness for Safe Babies New York Program.

    Formal Support for Implementation

    There is no formal support available for implementation of Safe Babies New York Program.

    Fidelity Measures

    The program representative did not provide information about fidelity measures of Safe Babies New York Program.

    Implementation Guides or Manuals

    There are no implementation guides or manuals for Safe Babies New York Program.

    Research on How to Implement the Program

    The program representative did not provide information about research conducted on how to implement Safe Babies New York Program.

    Relevant Published, Peer-Reviewed Research

    This 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 study) establishing the practice's benefit over the placebo, or found it to be comparable to or better than an appropriate comparison practice. Please see the Scientific Rating Scale for more information.

    Child Welfare Outcomes: Safety and Child/Family Well-Being

    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:

    • Age — Not Specified
    • Race/Ethnicity — Not Specified
    • Gender — Not Specified
    • Status — Participants were parents of all infants born in an 8-county region of New York.

    Location/Institution: All hospitals providing maternity care.

    Summary: (To include comparison groups, outcomes, measures, notable limitations)
    The program [now called Safe Babies New York] was administered to parents of all newborn infants before the infants’ discharge from the hospital. 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, to provide alternative responses to persistent infant crying, and to have both parents sign a commitment statement (CS) affirming their receipt and understanding of the materials. Program compliance was assessed by documenting the number of CSs 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 95% of parents remembered having received the information. The incidence of 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 postintervention follow-up: 7 months post-intervention and up to 5.5 years.

    References

    No reference materials are currently available for Safe Babies New York Program.

    Contact Information

    Name: Mark Dias, MD, FAANS, FAAP
    Agency/Affiliation: Penn State Hershey Medical Center
    Department: Department of Neurosurgery
    Website: www.safebabiesny.com
    Email:
    Phone: (717) 531-8807
    Fax: (717) 531-3858

    Date Research Evidence Last Reviewed by CEBC: October 2016

    Date Program Content Last Reviewed by Program Staff: September 2016

    Date Program Originally Loaded onto CEBC: January 2008