Piloting Eyes on the Baby: A Multiagency Training and Implementation Intervention Linking Sudden Unexpected Infant Death Prevention and Safeguarding

IF 2 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Helen L. Ball, Laura M. Grieve, Alice-Amber Keegan, Louise Cooper, Sophie Lovell-Kennedy, Dorothy Newbury-Birch, Nicola Cleghorn, Amanda Healy
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Abstract

We describe the coproduction, pilot implementation, and user evaluation of an evidence-based training intervention addressing prevention of Sudden Unexpected Deaths in Infancy (SUDI) for the multiagency workforce supporting vulnerable families with babies in a northern English county. We aimed in this pilot study to improve knowledge, skills, and engagement of professionals and support staff providing services for vulnerable families with increased risk of SUDI. The training intervention was co-produced by the academic team and the project Steering Committee which comprised senior leaders from the local authority, health and care sectors, and third-sector organisations, and rolled out to multiagency teams between November 2022 and March 2023. Evaluation data were collected using a post-training questionnaire, followed up by the Normalisation Process Theory (NPT) NoMAD survey issued at two time-points post-training, and interviews with stakeholders. The evaluation, conducted from January to May 2023, aimed to assess how well the multiagency workforce accepted SUDI prevention as part of their remit and incorporated SUDI prevention activities into their everyday work. Most multiagency professionals and support staff were enthusiastic about the training and their role in SUDI prevention. Fewer health professionals completed the training than expected. Forty percent (397/993) of invited staff completed the training. Our results revealed initial lack of knowledge and confidence around SUDI prevention and targeted provision for vulnerable families which improved following the Eyes on the Baby training. The proportion of nonhealth professionals rating their knowledge of SUDI prevention as good or excellent increased significantly from 28% before training to 57% afterwards. Self-rated confidence in discussing SUDI prevention with families increased significantly from 71% to 97%. Health professionals’ ratings increased significantly for knowledge from 62% to 96%, and confidence from 85% to 100%. Use of NPT allowed us to identify that by the time of evaluation, the earliest adopters were cognitively involved with the programme and engaged in collective action, while later adopters had not yet reached this stage. We conclude that effective implementation of multiagency working for SUDI prevention can be accomplished by providing clear training and guidance for all staff who have regular or opportunistic contact with vulnerable families. Our next step is to evaluate the sustainability of MAW SUDI prevention over the medium to long term and assess the responses of recipient families to this approach.

试点 "关注婴儿":将婴儿意外猝死预防和保障联系起来的多机构培训和实施干预措施
我们介绍了一项以证据为基础的培训干预措施的共同制作、试点实施和用户评估,该干预措施旨在预防婴儿期意外猝死(SUDI),针对的是英国北部某郡为有婴儿的弱势家庭提供支持的多机构工作人员。在这项试点研究中,我们旨在提高为婴幼儿意外猝死风险增加的弱势家庭提供服务的专业人员和辅助人员的知识、技能和参与度。培训干预措施由学术团队和项目指导委员会共同制定,项目指导委员会由来自地方当局、医疗和护理部门以及第三部门组织的高级领导组成,并在 2022 年 11 月至 2023 年 3 月期间向多机构团队推广。评估数据通过培训后问卷、培训后两个时间点发布的正常化过程理论(NPT)NoMAD 调查以及与利益相关者的访谈收集。该评估于 2023 年 1 月至 5 月进行,旨在评估多机构工作人员在多大程度上接受了将预防 SUDI 作为其职责的一部分,并将预防 SUDI 活动纳入其日常工作。大多数多机构专业人员和辅助人员都对培训及其在预防 SUDI 方面的作用充满热情。完成培训的卫生专业人员少于预期。40%(397/993)的受邀人员完成了培训。我们的结果表明,在 "关注婴儿 "培训之后,最初对预防 SUDI 和有针对性地为弱势家庭提供服务缺乏了解和信心的情况有所改善。非保健专业人员中将其对预防 SUDI 的知识评为良好或优秀的比例从培训前的 28% 显著增加到培训后的 57%。在与家庭讨论预防 SUDI 方面的自我评价信心从 71% 显著增加到 97%。卫生专业人员对知识的评价从 62% 大幅提高到 96%,对信心的评价从 85% 提高到 100%。通过使用 NPT,我们可以发现,在进行评估时,最早采用该计划的人已经对计划有了认知,并参与了集体行动,而较晚采用该计划的人尚未达到这一阶段。我们的结论是,通过为所有定期或不定期接触弱势家庭的工作人员提供明确的培训和指导,可以有效地实施多机构合作预防 SUDI。我们的下一步工作是评估 "多机构工作 "预防青少年毒品依赖的中长期可持续性,并评估受助家庭对这一方法的反应。
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来源期刊
CiteScore
4.50
自引率
8.30%
发文量
423
期刊介绍: Health and Social Care in the community is an essential journal for anyone involved in nursing, social work, physiotherapy, occupational therapy, general practice, health psychology, health economy, primary health care and the promotion of health. It is an international peer-reviewed journal supporting interdisciplinary collaboration on policy and practice within health and social care in the community. The journal publishes: - Original research papers in all areas of health and social care - Topical health and social care review articles - Policy and practice evaluations - Book reviews - Special issues
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