Florida Maternal, Infant and Early Childhood Home Visiting (MIECHV) Infant Sleep Evaluation – Analysis of Coping with Crying, Infant Sleep Practices, and Choosing Safe Caregivers




Igbagbosanmi Oredein, Marshara Fross, Dogeli Rojas, Bola Yusuf, Temitope Bello, Cedrick Ade, Vidya Chandran, and Jennifer Marshall

Brief Type




Sudden Unexpected Infant Death is a leading cause of infant mortality in Florida, with county rates as high as 8 per 1,000 live births – eight times the state rate. The Florida MIECHV Initiative provides evidence-based home visiting services and encourages adherence to AAP safe infant sleep guidelines. This evaluation assesses infant sleep practices, coping with infant crying, and choosing safe caregivers among MIECHV-enrolled families. Among 226 enrolled caregivers of infants ages 0-4 months, 195 who were reachable by phone were invited to complete a survey via text, email, or telephone. A total of 61 English, Spanish and Haitian-Creole responses were collected. The survey included closed and open-ended questions to record behaviors and context/reasons for them. Thematic and quantitative analyses were conducted. Despite nearly universal knowledge and commitment to safe sleep guidelines, some unsafe practices were reported, including: soft bedding in the crib (39%), placing babies on stomach or side to sleep (20%), and occasional or frequent co-sleeping/bed sharing (48%). Common reasons for not adhering to guidelines included convenience, feeding, safety concerns, and furnishing limitations. Caregivers reported confidence in comforting their infants’ needs and used strategies to cope with infant crying such as taking deep breaths, short walks, playing music or handing baby to another caregiver. Additionally, 61% discussed infant sleep safety with other caregivers. Knowledge of safe sleep practices is high among MIECHV-enrolled caregivers. Home visitors should continue reinforcing education, address barriers to consistently implementing safe practices at all times, and encourage transmission of infant sleep safety to all caregivers. [author abstract]

Data Collection Methods



For More Information

Oredein, I., Fross, M., Rojas, D., Yusuf, B., Bello, T., Ade, C., Chandran, V., & Marshall, J. (2019, November 5). Florida Maternal, Infant and Early Childhood Home Visiting (MIECHV) infant sleep evaluation – Analysis of coping with crying, infant sleep practices, and choosing safe caregivers. Maternal and Child Health [Panel presentation] American Public Health Association Annual Meeting and Expo, Philadelphia, PA, United States. https://apha.confex.com/apha/2019/meetingapp.cgi/Paper/435195


  • Participant, Family, and Program Outcomes