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The Massachusetts Shaken Baby Syndrome Prevention Center currently is able to provide some of our educational materials at no cost to the hospital, organization or individual requesting them.

Our Spanish & Portuguese "Infant Crying and Soothing..." brochures are free for Massachusetts hospitals, health care centers, non-profit organizations, and any individual requesting 5 or less. Requestors outside of Massachusetts, for-profit organizations, and individual requesting larger amounts are decided on a case-by-case basis. English versions of this brochure are not available for free.

Our SBS Prevention Training for Health Care Providers is currently available for free to all Greater Boston Hospitals, health care center/clinics, and Pediatric offices as well as our SBS Center affiliated hospitals all over Massachusetts. We simply ask for your organization to cover the cost of shipping and handling. 

You can also call the following number to request materials: 617-742-8555.

About The Shaken Baby Syndrome Prevention Center
What Organizations, Hospitals, Family Serving Professionals, Health Care Providers and Communities Need to Know

Since the early 1990s, MassKids has been a leader for Shaken Baby Syndrome (SBS) prevention in Massachusetts and in the country. Through its Massachusetts SBS Prevention Center, MassKids is reaching thousands of parents, caregivers, professionals and the public through comprehensive SBS prevention education programs within birthing hospitals and in a wide range of family-serving organizations in the community.

At the core of the Shaken Baby Syndrome Prevention Center's efforts is the concept that Shaken Baby Syndrome/Abusive Head Trauma is preventable. In cases of SBS/AHT the most frequently cited trigger for shaking is infant crying, or more precisely, the caregiver’s inability to either stop the crying or cope with the stress of inconsolable crying.  Seeing this link between frustrated caregivers and SBS/AHT – and recognizing a gap in parent education materials – the Shaken Baby Prevention Center set out to create high quality, comprehensive educational tools that could be easily distributed to new parents to educate without overwhelming them.  Our parent education tools focus on educating parents and caregivers about infant crying, teaching them strategies to soothe crying or fussy infants, and telling new parents and caregivers what they can do when those strategies don’t always work.

However, in order to be effective, this education can’t just happen once in a casual setting.  Taking our cue from Dias and other researchers we implemented a 3 part strategy, called our 3 Inoculation Strategy.

  • The first inoculation consists of in-hospital SBS/AHT prevention: maternity nurses are taught about SBS and its prevention and they, in turn, educate new parents using one-on-one instruction and enhanced by our educational tools – a brochure and a short movie presentation.  The parents are then asked to sign a commitment statement, saying they received and understood the education materials – an active rather than passive commitment.

  • The second inoculation ensures that the key messages of SBS prevention are repeated and reinforced during the postpartum period when infant crying begins to peak and increase.  By reaching out to and educating family-serving professionals such as pediatricians, pre-natal instructors, child protective service workers, home visitors, child-care providers, parent groups and community health centers the SBS Prevention Center ensures that key members of caregivers' support system are aware of the dangers of SBS/ AHT, the warning signs, and what can be done to prevent abuse.

  • Finally, the third inoculation: the SBS Center's public education activities ensures that everybody, not only parents, is educated about SBS/AHT.  After all, children are not raised in isolation but rather as part of a larger community; they are looked after by boyfriends, girlfriends, grandparents, neighbors and close friends and relatives – all of whom should know that it is never okay to shake, slam, throw, hit or yell at a child.

The Shaken Baby Syndrome Prevention Center’s evaluated training tools for maternity nurses, health care providers, community professionals and parents have been widely recognized for their high quality and comprehensiveness and have been adopted in several states. Over one million of its "Never Shaken a Baby" brochures and its latest "Infant Crying and Soothing: What You Need to Know to Keep Your Baby Safe" brochures have been distributed in Massachusetts and across the country and Canada.

Here you can learn more about our in-hospital prevention trainings, our 3 Inoculation strategy, and how you may be able to receive free SBS/AHT prevention materials

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SBS Prevention Center Services

The Massachusetts SBS Prevention Center is seeking to provide technical assistance, training and prevention materials to interested communities. The Center can provide:

  • Training of Trainers sessions for family-serving professionals
  • Project coordination of local SBS prevention efforts
  • Training of nurses by nurse educators skilled in SBS training
  • Nurses Training protocol developed by MassKids and reviewed by SBS experts working in hospital settings
  • In-hospital SBS parent education tools, including evaluated DVDs, brochures, parent certificates (available in English, Spanish and Portuguese)
  • Public relations and SBS in-hospital and community prevention awareness events
  • SBS Remembrance Quilt rental to community groups and individuals

 

For more information, contact:

Jetta Bernier, Executive Director
Massachusetts Citizens for Children
14 Beacon Street, Boston, MA 02108
617-742-8555 ext. 2  
This email address is being protected from spambots. You need JavaScript enabled to view it.

The 3 Inoculation Strategy

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The First Inoculation - Core Elements of the In-Hospital SBS Prevention Program

The In-Hospital Prevention Education Program consists of a standardized training for nurses as well as a standardized parent education protocol:

 

Standardized Nurses' Training Curriculum

Using the Dias approach demonstrated in Western New York State as the foundation, a more standardized and thus a more replicable in-hospital program evolved over a multi-year pilot in Central Massachusetts. It included the development of a comprehensive one-hour nurses' training curriculum by MCC. The curriculum includes comprehensive medical information about SBS, the history of the Syndrome, and why SBS is under-detected, under-reported and often misdiagnosed. It identifies precipitating adult and infant factors that can lead to shaking and the types of caregivers who are most frequently represented in such cases. In addition, it includes key prevention messages nurses can share with their patients about infant crying, a range of infant soothing strategies, ways to respond when soothing doesn't work, and how to ensure the safety of infants when left in the care of others. The curriculum has been approved for 1.2 contact hours by the Massachusetts Association of Registered Nurses (MARN). MCC has three MARN-approved presenters who are available to deliver the nurses' training.

MCC has developed a narrated version of the one-hour nurses' training to be used by the trained Nurse Manager at each of the hospitals to manage their ongoing training needs for nurses. The two-CD set includes all the references, forms, and materials needed to support implementation of the program.

 

Parent Education Program

The In-Hospital SBS Prevention Education Program for parents of newborns includes the following components:

  • one-to-one instruction of parents by a nurse who has completed the one-hour nurses training;
  • viewing of a video by parents stressing the dangers of shaking;
  • distribution of MCC's comprehensive brochure on SBS, that includes information about infant crying, infant soothing and key prevention messages that parents take home with them;
  • signing an Acknowledgement Form by each parent/caregiver educated to document they have received each component of the education program and that they will share the information learned with all of their child's caregivers.

Using all of the above methods of education provides an opportunity to reinforce key messages, as well as allows for varying adult learning styles.

 

Data Analysis and Evaluation

Through funding from The Health Foundation of Central Massachusetts and the support of a Worcester-based child abuse prevention collaborative, formal evaluation of both the nurses training curriculum and the parent education program were conducted. The following is a summary of the evaluation protocol and data analysis:

The Acknowledgement Form serves as a quality control tool to document that parents have received all components of the education. Parents indicate whether s/he received one-on-one instruction from their nurse, were given the brochure and materials, and viewed the video. In the Central Massachusetts program, parents could also indicate on the Form if they wished to participate in a follow-up telephone survey to express their views of the training. One copy of the triplicated Acknowledgement Form is kept by the hospital and placed in the patient's medical record or other file. Patients receive one copy and the third is sent to MCC for review and data entry.

The hospital provides MCC with the total number of births each month. By comparing total births to the total number of infants' whose parents/caregivers received SBS prevention education, MCC is able to document the percentage of parents each hospital is reaching.

Parents who indicated their willingness to participate in the telephone survey were contacted by MCC staff three to four months after the birth of their child. A series of questions were asked in an effort to measure what they remember, whether or not they utilized the information learned and whether or not they found the training helpful in caring for their child. See data reported below.

 

Demonstrated Program Effectiveness

Nurses' Training

The effectiveness of the nurses' training curriculum has been established. Two analyses were conducted. The first was to measure the knowledge gained by nurses once trained by the Nurse Educator/Trainer. A pre- and post-survey was administered to the nurses. Based on a sample of 150 nurses who completed both the pre- and post- test who were trained at St. Vincent Hospital and UMass Memorial Medical Center, the average score from pre- to post-test rose from 66.9% (± 14.6%) correct to 82.1% (± 14.7%) correct. This is a statistically significant increase in their knowledge scores (t(144) = 13.79, p < .0005). Given their increase in knowledge, nurses are effectively trained and fully prepared to successfully educate parents.

Second, nurses must also complete an evaluation of the training curriculum and of the trainer. On a 5 point scale where 5 is excellent, the average training curriculum and trainer evaluation score has been consistently high between 4.7 and 4.8. Nurses are required to complete the evaluation in order to receive their contact hours.

Parent Education

Approximately one-half of parents educated in the program indicated their willingness to receive a call-back. A sample of 217 parents contacted from July, 2006 - May, 2007 provided the basis for the following data.

 

  n

 

Proportions
Total Called
(217)
Specific to Questions
Recalled Nurse Discussing Calming
and Dangers of Shaking a Baby
208 95.90%  
Remembered Viewing Video 193 88.90% 193 Related to the Video
Found Video of Interest Some or A Lot 191 88.00% 99.00%
Remembered Receiving the Brochure 201 92.60% 201 Remembered Brochure
Read the Brochure 179 82.50% 89.00%
      179 Read Brochure
Found the Brochure
Somewhat or Very Useful
175 80.60% 97.80%
Shared Brochure Information
with Others
162 74.60% 90.50%
How Helpful Was the SBS
Information for Caring for Your Baby?
    213 Answered This Question
Very Helpful 146 67.30% 68.50%
Somewhat Helpful 66 30.40% 31.00%
Not At All Helpful 1 0.50% 0.50%
SBS Information was
Somewhat or Very Helpful
212 97.70%  


Participating Hospitals:

Beth Israel Hospital- Boston
Baystate Children's Hospital- Springfield
Emerson Hospital- Concord
Harrington Hospital- Southbridge
Heywood Hospital- Gardner
Holyoke Medical Center – Holyoke
Lowell General – Lowell
Mary Lane Hospital – Ware
Melrose-Wakefield –  Melrose
Mercy Medical Center – Springfield
Milford Regional Medical Center- Milford
St. Vincent Hospital – Worcester
UMass Memorial Medical Center – Worcester
UMass Health Alliance – Leominster
Winchester Hospital – Winchester

"Through the comprehensive, high-quality training provided to Heywood Hospital nurses by the MA SBS Prevention Center, we have been providing this life- saving information to the parents of newborns since 2003.  We value the Center's expertise and enthusiastically recommend its services to other Massachusetts hospitals."

Daniel Moen, Immediate Past Chair,  MassachusettsHospital Association
President and CEO, HeywoodHospital, Gardner, MA

 

“Massachusetts Shaken Baby Syndrome Prevention Center has developed a professional teaching tool for nurse, as well as an easy-to-follow parent education program that has assisted our hospital in maintaining its commitment to shaken baby syndrome prevention education.  The expert instruction and materials provided makes it very easy for any hospital to initiate a program.”

Deborah Chouinard, RNC, MSN, Clinical Nurse Specialist
Center for Women and Infants, Saint VincentHospital, Worcester, MA

“You should give this (training) to all new parents”………. “My baby’s a high-pitched screamer, but now I know how to handle it.  The tips and video really helped”……. “Great guide for family and first-time parents”…..“I use the brochure tips; they all really work!”

Comments taken from surveys of parents conducted 3 to 4 months post partum

 

The Second Inoculation - Reinforcing Prevention Messages in Post Partum Settings

The project has clearly documented that in-hospital education of parents about SBS and its prevention is viewed positively by those educated. Preliminary data from Dias and other researchers are indicating that parents can benefit further when key messages about SBS prevention are reinforced during the postpartum period when infant crying begins to increase and peak.

MCC secured private funds and developed a training tool to more effectively and more cost-efficiently reach thousands of parents and caregivers in the community. It has produced a narrated two-DVD set which includes: a 25-minute training for family-serving professionals or paraprofessionals working in community-based settings with parents/caregivers of infants and small children; and a 20- minute version for parents and a range of other caregivers.

These tools contain information about the dangers of SBS, the latest research information about infant crying as well as infant soothing information about traditional Western strategies, documented effective strategies from other cultures, and soothing techniques promoted by pediatrician Dr. Harvey Karp. It includes specific information about what parents and caregivers can do when soothing doesn't work and the crying is making them frustrated or angry. Finally, it helps parents understand how they can better protect their children when left in the care of others.

The narrated products are intended for a wide range of community organizations that can use the tool directly with their parent clients without having to invest in or securing and scheduling a trainer/presenter. By having an easily accessible and high quality tool, agencies will be supported in routinely educating the many parents and caregivers they serve, both individually and in group settings. While the stand-alone tool is intended to convey all the key prevention messages on its own, post-viewing discussions facilitated by agency professionals is encouraged so that after viewing, parents and caregivers can share their experiences and receive support.

The Hampden County SBS Prevention Task Force is working with MCC to distribute these tools through a variety of post partum community settings. Both the Central MA SBS Prevention Campaign and the Middlesex County SBS Prevention Task Force are also moving ahead to expand their education efforts beyond the hospitals and into the broader community.

By providing this continuum of support, we hope to increase the likelihood that parents and caregivers will be better supported to cope with their infant's crying or fussiness and thus less likely to jeopardize their child's safety by shaking.

 

The Third Inoculation - Public Education Activities

Reinforcing key prevention messages in the general community has been accomplished through a variety of strategies including: newspaper feature articles on SBS prevention, Op Editorials, regional television programs, local community cable TV programs, radio PSAs, press conferences, hospital program launching press events, and community fairs.

MCC has presented its work at several National North American Conferences on Shaken Baby Syndrome, National Prevent Child Abuse America Conferences on Child Abuse Prevention, at the Rhode Island Summit on Shaken Baby Syndrome, as well as other local conferences co-sponsored by MCC and District Attorney Offices. It sponsors with Kohl's and The Boston Parents' Paper the "Annual Stroll for Shaken Baby Prevention" which raises funds to support the organization's SBS prevention activities.

 

Community Trainings

Shaken Baby Symposium

The Center has provided coordination of SBS prevention activities in Worcester County since 2002 and in Hampden County since 2006. It is also working with community agencies in Middlesex County and across the state to support SBS prevention education for local community professionals and the parents they serve. To date, hundreds of trainings reaching thousands of parents and professionals have been conducted and evaluations document that new knowledge and skills are being built.

Support to develop and deliver SBS prevention trainings and materials has come from numerous private funders including, Fallon Community Health Care, Hedge Funds Care, the The Health Foundation of Central Massachusetts, the Community Foundation of Western Massachusetts, and the Irene E. and George A. Davis Foundation. We are grateful for their commitment to improving the lives of the children of our state.

For information about how to establish an SBS prevention training program in your community or for your organization, write to us at This email address is being protected from spambots. You need JavaScript enabled to view it. or by calling 617-742-8555 ext.3.

In-Hospital SBS Prevention Program

doctorThe Center offers training to implement a comprehensive, evidence-based program for hospitals based on an enhancement of the Dias model, the gold standard for In-Hospital SBS Prevention Education in the field. This is the only in-hospital program with documented effectiveness in reducing cases of SBS. In a 5 year study, it was found to reduce SBS cases by 47%.

The Center's program teaches maternity nurses about SBS and its prevention and supports them, in turn, to educate the parents of newborns they serve using one-on-one instruction by the nurse and enhanced by an SBS video and brochure which discusses SBS and key prevention messages.

The training is carried out by the Center's nurse educators who have extensive training background in SBS prevention. They utilize the 1-hour training curriculum developed by the Center and approved by the Massachusetts Association of Registered Nurses for 1.2 nursing contact hours. The training has documented statistically significant increases in nurses' knowledge and is consistently rated highly (4.8 on a 5 point scale) by nurses for meeting its stated learning objectives. Data from telephone surveys of parents who received the in-hospital training have documented the program's efficacy on several measures.

Hospitals trained by the Center to date include:

  • Beth Israel Deaconess Medical Center - Boston
  • Baystate Children's Hospital - Springfield
  • Harrington Hospital - Southbridge
  • Heywood Hospital - Gardner
  • Holyoke Medical Center - Holyoke
  • Lowell General Hospital - Lowell
  • Mary Lane Hospital - Ware
  • Hallmark Health Care - Melrose
  • Mercy Medical Center - Springfield
  • Milford Regional Medical Center- Milford
  • St. Vincent Hospital - Worcester
  • UMass Health Alliance - Leominster
  • UMass Memorial Medical Center - Worcester
  • Winchester Hospital - Winchester

inhospital2"Through the comprehensive, high-quality training provided to Heywood Hospital nurses by the MA SBS Prevention Center, we have been providing this life- saving information to the parents of newborns since 2003. We value the Center's expertise and enthusiastically recommend its services to other Massachusetts hospitals."

Daniel Moen, Immediate Past Chair, Massachusetts Hospital Association
President and CEO, Heywood Hospital, Gardner, MA

"Massachusetts Shaken Baby Syndrome Prevention Center has developed a professional teaching tool for nurse, as well as an easy-to-follow parent education program that has assisted our hospital in maintaining its commitment to shaken baby syndrome prevention education. The expert instruction and materials provided makes it very easy for any hospital to initiate a program."

Deborah Chouinard, RNC, MSN, Clinical Nurse Specialist
Center for Women and Infants, Saint Vincent Hospital, Worcester, MA


"You should give this (training) to all new parents".......... "My baby's a high-pitched screamer, but now I know how to handle it. The tips and video really helped"....... "Great guide for family and first-time parents"....."I use the brochure tips; they all really work!"

Comments from surveys of parents conducted 3 to 4 months post partum

 

SBS Prevention Center Services

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The Massachusetts SBS Prevention Center is seeking to provide technical assistance, training and prevention materials to interested communities. The Center can provide:

  • Project coordination of local SBS prevention efforts
  • Training of nurses by nurse educators skilled in SBS training
  • Nurses Training protocol developed by MCC and reviewed by SBS experts working in hospital settings
  • In-hospital SBS parent education tools, including evaluated videos, brochures, parent certificates (all in English and Spanish)
  • Training of Trainers sessions for professionals from various disciplines
  • SBS Training Kit, including comprehensive curriculum, television and video tools, articles, etc.
  • Collection, entry and analysis of SBS project evaluation data
  • Public relations and SBS in-hospital and community prevention awareness events

 

For more information, contact:

Jetta Bernier, Executive Director
Massachusetts Citizens for Children
14 Beacon Street, Boston, MA 02108

617-742-8555 ext. 2   .   This email address is being protected from spambots. You need JavaScript enabled to view it.