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PRAAIS (Project for African American Infant Safety) defines the specific barriers to infant supine sleep encountered by African American parents and how parents of supine sleeping infants overcame them.

Intervention group parents receive a two dose tailored intervention (brochures and DVDs) mailed to them at infant ages 4-6 weeks old and 4 months. Control group parents receive brochures encouraging supine sleep published by the CDC and AAP mailed at the same time intervals as the intervention materials.


Aim 1. Determine whether a significantly greater proportion of AA parents who receive tailored multi-media educational and motivational materials promoting infant supine sleep use the supine infant sleep position at infant ages three and six months than parents who receive the currently available non-tailored materials.

Aim 2. Determine whether the intervention effect is enhanced when the intervention materials portray an AA physician-model instead of a NHW physician-model.

Aim 3. Examine moderators and mediators of the intervention effect, especially household composition, parental ethnic identity and stressors.

Hypothesis 1. Providing peer-tested practical solutions to parents' perceived barriers to infant supine sleep and motivational messages in a tailored, multi-media intervention will enhance AA parental self-efficacy and motivation in using the supine position for the first six months of life to a greater degree than standard non-tailored materials.

Hypothesis 2. The tailored intervention will increase the proportion of supine sleeping infants at infant ages three and six months by 10 - 15% above control group rates.

Hypothesis 3. The intervention effect will be greater in parents who strongly embrace their AA identity and receive intervention materials portraying a race-concordant physician-model.


350 parents of newborns in Detroit, Michigan