Baby business : a randomised controlled trial of a universal parenting program that aims to prevent early infant sleep and cry problems and associated parental depression

Cook, Fallon, Bayer, Jordana, Le, Ha D. N., Mensah, Fiona, Cann, Warren and Hiscock, Harriet 2012, Baby business : a randomised controlled trial of a universal parenting program that aims to prevent early infant sleep and cry problems and associated parental depression, BMC pediatrics, vol. 12, no. 13, pp. 1-29.

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Title Baby business : a randomised controlled trial of a universal parenting program that aims to prevent early infant sleep and cry problems and associated parental depression
Author(s) Cook, Fallon
Bayer, Jordana
Le, Ha D. N.
Mensah, Fiona
Cann, Warren
Hiscock, Harriet
Journal name BMC pediatrics
Volume number 12
Issue number 13
Start page 1
End page 29
Total pages 29
Publisher BioMed Central
Place of publication London, U. K.
Publication date 2012-02-06
ISSN 1471-2431
Summary Background
Infant crying and sleep problems (e.g. frequent night waking, difficulties settling to sleep) each affect up to 30% of infants and often co-exist. They are costly to manage and associated with adverse outcomes including postnatal depression symptoms, early weaning from breast milk, and later child behaviour problems. Preventing such problems could improve these adverse outcomes and reduce costs to families and the health care system. Anticipatory guidance - i.e. providing parents with information about normal infant sleep and cry patterns, ways to encourage self-settling in infants, and ways to develop feeding and settling routines before the onset of problems - could prevent such problems. This paper outlines the protocol for our study which aims to test an anticipatory guidance approach.

Methods
750 families from four Local Government Areas in Melbourne, Australia have been randomised to receive the Baby Business program (intervention group) or usual care (control group) offered by health services. The Baby Business program provides parents with information about infant sleep and crying via a DVD and booklet (mailed soon after birth), telephone consultation (at infant age 6-8 weeks) and parent group session (at infant age 12 weeks). All English speaking parents of healthy newborn infants born at >32 weeks gestation and referred by their maternal and child health nurse at their first post partum home visit (day 7-10 postpartum), are eligible. The primary outcome is parent report of infant night time sleep as a problem at four months of age and secondary outcomes include parent report of infant daytime sleep or crying as a problem, mean duration of infant sleep and crying/24 hours, parental depression symptoms, parent sleep quality and quantity and health service use. Data will be collected at two weeks (baseline), four months and six months of age. An economic evaluation using a cost-consequences approach will, from a societal perspective, compare costs and health outcomes between the intervention and control groups.

Discussion
To our knowledge this is the first randomised controlled trial of a program which aims to prevent both infant sleeping and crying problems and associated postnatal depression symptoms. If effective, it could offer an important public health prevention approach to these common, distressing problems. Trial Registration: Current Controlled Trials ISRCTN63834603
Language eng
Field of Research 111403 Paediatrics
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2012, Cook et al.
Persistent URL http://hdl.handle.net/10536/DRO/DU:30042601

Document type: Journal Article
Collection: Population Health
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Created: Wed, 22 Feb 2012, 13:33:10 EST by Jane Moschetti

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