Wednesday, January 15, 2025 1/15/2025

Social Media and Risk-reduction Training for Preterm Infant Care Practices (SMART Preemie)

Award Number: R01HD095060
ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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PROJECT SUMMARY The rate of sudden unexpected infant death (SUID) is 2-3-fold higher among preterm infants (born < 37 weeks gestation), compared to term infants (born ≥ 37 weeks gestation). To combat this, the American Academy of Pediatrics (AAP) and US Preventive Services Task Force recommend parental adherence to modifiable SUID reducing infant care practices, including safe sleep practices, breastfeeding, and avoidance of prenatal and postnatal tobacco smoke. Despite the higher risk of SUID among preterm infants and extended opportunities for health-related education during the neonatal hospitalization and early post-discharge period, adherence to these modifiable risk factors is suboptimal. The investigators previously conducted a nationally-representative surveillance study among >3300 mothers of term infants to identify prevalences of infant care practices and characterize the array of factors impacting adherence to these practices, which directly led to a successful interventional trial. The investigators used the Theory of Planned Behavior (TPB) as a framework to study health behavior. The goal of this research plan is to replicate previous qualitative and national surveillance methods among mothers of preterm infants. The focus in the proposed study will be on unique characteristics of mother-preterm infant dyads that may impact adherence to infant care practices, such as the medical complexities of the preterm infant and psychological distress of the mother. This will fill a critical knowledge gap which is needed to inform intervention development to reduce SUID mortality among this vulnerable population. In Aim 1, qualitative methods will be used to explore domains of the TPB (attitudes, perceived subjective norms, and perceived control) and the array of perceived barriers and facilitators of adherence to AAP recommended infant care practices in the home among mothers of preterm infants. Results will inform the development of a nationally representative survey of 1500 mothers of preterm infants discharged from neonatal intensive care units and special care nurseries across the US. The survey will be conducted using a variety of query techniques, including media sources, and will enable completion of Aims 2-4. Aim 2 will determine prevalence of maternal adherence to AAP recommended infant care practices and determine variation in prevalence based on maternal characteristics and degree of infant medical complexity. Aim 3 will determine the extent to which TPB domains are associated with intention to perform and actual performance of AAP recommended infant care practices. Aim 4 will determine the extent to which maternal, infant, and other factors identified in our qualitative analysis are associated with TPB domains and adherence to AAP recommended practices.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = $804,485 )
2024	2024	UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL	55 LAKE AVE N	WORCESTER	MA	01655	WORCESTER	USA	Child Health and Human Development Extramural Research	002	6	7/8/2024	COMPETING CONTINUATION	$804,485
2024	2022	UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL	55 LAKE AVE N	WORCESTER	MA	01655	WORCESTER	USA	Child Health and Human Development Extramural Research	001	5	7/1/2024	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
2024	2022	UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL	55 LAKE AVE N	WORCESTER	MA	01655	WORCESTER	USA	Child Health and Human Development Extramural Research	000	5	4/4/2024	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
														Subtotal = $804,485

Issue Date FY: 2023 ( Subtotal = $0 )
2023	2022	UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL	55 LAKE AVE N	WORCESTER	MA	01655	WORCESTER	USA	Child Health and Human Development Extramural Research	001	5	5/26/2023	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$237,953
2023	2021	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CTR PL	BOSTON	MA	02118	SUFFOLK	USA	Child Health and Human Development Extramural Research	000	4	5/26/2023	NON-COMPETING CONTINUATION	-$237,953
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = $566,813 )
2022	2022	UNIVERSITY OF MASSACHUSETTS	55 LAKE AVE NORTH	WORCESTER	MA	01655	WORCESTER	USA	Child Health and Human Development Extramural Research	001	5	8/17/2022	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$566,813
2022	2021	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CTR PL STE 1	BOSTON	MA	02118	SUFFOLK	USA	Child Health and Human Development Extramural Research	000	4	8/17/2022	NON-COMPETING CONTINUATION	$0
														Subtotal = $566,813

Issue Date FY: 2021 ( Subtotal = $611,244 )
2021	2021	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CENTER PL STE 1	BOSTON	MA	02118	SUFFOLK	USA	Child Health and Human Development Extramural Research	000	4	4/12/2021	NON-COMPETING CONTINUATION	$611,244
														Subtotal = $611,244

Issue Date FY: 2020 ( Subtotal = $631,629 )
2020	2020	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CENTER PL STE 1	BOSTON	MA	02118	SUFFOLK	USA	Child Health and Human Development Extramural Research	000	3	5/5/2020	NON-COMPETING CONTINUATION	$631,629
														Subtotal = $631,629

Issue Date FY: 2019 ( Subtotal = $655,321 )
2019	2019	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CENTER PL STE 1	BOSTON	MA	02118	SUFFOLK	USA	Child Health and Human Development Extramural Research	000	2	5/10/2019	NON-COMPETING CONTINUATION	$655,321
														Subtotal = $655,321

Issue Date FY: 2018 ( Subtotal = $717,285 )
2018	2018	BOSTON MEDICAL CENTER CORPORATION	1 BOSTON MEDICAL CENTER PL STE 1	BOSTON	MA	02118	SUFFOLK	USA	Child Health and Human Development Extramural Research	000	1	8/16/2018	NEW	$717,285
														Subtotal = $717,285

Grand Total All Awards = $3,986,777

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Social Media and Risk-reduction Training for Preterm Infant Care Practices (SMART Preemie)

Award Number: R01HD095060

ORGANIZATION: NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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