title: Formative evaluation to improve prevention of sudden infant death syndrome (SIDS): a prospective study.
abstract: OBJECTIVE
  To evaluate formative evaluation, a pedagogic method that sensitizes mothers to sudden infant death syndrome (SIDS), as a new way to improve prevention of SIDS.
  
  
  METHODS
  Prospective and randomized study. Mothers in a test group (n = 148) received an educative questionnaire about SIDS during maternity stay. Three months later, we evaluated, by a telephonic interview, their scores of knowledge and observance of the recommendations in comparison with a control group (n = 144).
  
  
  RESULTS
  Mothers' scores at the educative questionnaire was 5.12 (1.52) [mean(standard deviation)]. The scores performed 3 months later were better in test group for knowledge [7.64 (1.56) vs. 7.16 (1.61), p < 0.01] and for observance [8.28 (1.51) vs. 7.62 (1.72), p < 0.001]. Logistic regression analysis confirmed the benefits in test group regarding knowledge of SIDS risk factors [ORa = 1.69 (1.02-2.77), p < 0.05], of the advice to avoid overheating infants [ORa = 2.50 (1.43-4.38), p < 0.01] and of the risks of bed sharing [ORa = 2.7 (1.6-4.5), p < 0.001]. There was a significant association between non-compliance with the sleeping position recommendation and unemployment (p < 0.01) and absence of postsecondary school education (p < 0.01).
  
  
  CONCLUSIONS
  Formative evaluation using an educative questionnaire could improve maternal awareness on SIDS risk factors and their compliance with recommendations about SIDS prevention.
authors.affiliation: Pediatrics Department, CHU, Rennes, France. amelie.ryckewaert@chu-rennes.fr
authors.forename: Amélie Ryckewaert
authors.initials: AR
authors.lastname: D'Halluin
authors.forename: Michel
authors.initials: M
authors.lastname: Roussey
authors.forename: Bernard
authors.initials: B
authors.lastname: Branger
authors.forename: Anne
authors.initials: A
authors.lastname: Venisse
authors.forename: Patrick
authors.initials: P
authors.lastname: Pladys
mesh_terms: D000328:Adult; D004311:Double-Blind Method; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D016015:Logistic Models; D009035:Mothers / Q000193:education*; D010349:Patient Compliance / Q000706:statistics & numerical data; D010353:Patient Education as Topic / Q000379:methods*; D011446:Prospective Studies; D012959:Socioeconomic Factors; D013398:Sudden Infant Death / Q000517:prevention & control*; D011795:Surveys and Questionnaires