321 - Safe Sleep Instructor Training: Outcome Evaluation Using the RE-AIM Framework

The Kansas Infant Death and SIDS (KIDS) Network facilitates a two-day conference certifying Safe Sleep Instructors (SSI) to provide standardized trainings based on the American Academy of Pediatrics (AAP) Safe Sleep Recommendations. Within one-year, certified SSIs are tasked with a) providing safe sleep training to at least 10 professionals or parent/caregivers and b) hosting either one Safe Sleep Community Baby Shower (group education event) or 10 Safe Sleep Crib Clinics (individual education events). Historically, the SSI certification trainings focused on building educational infrastructure in Kansas. Beginning in 2021 with conference funding from the Agency for Healthcare Research and Quality (AHRQ), the training expanded to include additional states and has expanded the evaluation.

Objective: To assess the impact of the FY22 SSI training using the RE-AIM framework.

Design/Methods: Reach, Effectiveness (R-E) and Maintenance (M) are evaluated at the conference and recertification webinars. Outcomes related to Adoption (A) and Implementation (I) are collected through data submitted to the KIDS Network by SSIs. Adoption includes who SSIs trained (professionals, parent and caregivers) and whether they facilitated a Safe Sleep Community Baby Shower or 10 Crib Clinics. Implementation (I) is evaluated by the change in knowledge and/or intention pre- to post-training for participants. Professional knowledge was evaluated with 10-items and parent and caregivers with 4-items.

Results: During FY22, 49 new SSIs from four states were certified (Table 1); 21 in Fall 2021 and 28 in Spring 2022. Since certification, 12 (24%) SSIs have conducted professional trainings, 10 (20%) parent and caregiver trainings, 10 (20%) Safe Sleep Community Baby Showers and 11 (22%) Crib Clinics; only 4 completed the post-conference trainings at levels requested. However, completion deadline for Spring trainees is April 2023. SSIs trained 164 professionals, 117 parent and caregivers, and 300 pregnant or recently delivered women; significant increases in knowledge/intentions were observed between pre- and post-test.

Conclusion(s): Overall, the SSI certification training was successful in terms of Reach, Effectiveness, Implementation and Maintenance. However, Adoption was less than expected with only four SSIs from Kansas meeting the criteria of providing safe sleep training to 10 professionals or parent and caregivers and hosting either one Safe Sleep Community Baby shower or 10 Safe Sleep Crib Clinics. To increase Adoption, additional infrastructure is being developed to provide additional post-conference support for SSIs.