![]() Interventions and promotional campaigns to increase compliance with recommendations from the American Academy of Pediatrics (AAP) to reduce sleep-related deaths in infants have focused primarily on maternal perspectives. Targeted messaging towards male caregivers that includes factual information and statistics along with representing males in a positive light is desired. Male caregivers demonstrate some knowledge base about infant sleep safety, but are not fully practicing all aspects of safe sleep. Potential distribution venues included sporting events, home improvement and/or automotive stores, and social media from trusted sites (e.g. ![]() Suggestions included portraying positive images of fathers and male caregivers acting to promote safety and the incorporation of statistics about the hazards of unsafe sleep to better engage fathers. Participants voiced concerns that current advertising portrays males as incompetent caregivers. Lack of perceived risk, comfort, and/or resources, and disagreement among family members about safety practices were identified as barriers. Caregivers acknowledged the importance of recommended safe sleep behavior, but admitted to unsafe practices, such as co-sleeping and unsafe daytime sleep. Participants were more likely to describe safe location (57% of participants) and supine position behaviors (42%) than an uncluttered bed environment (26%). Inconsistent adherence to safe sleep practices was reported. Ten focus groups were conducted with 46 participants. The transcribed data were coded to identify significant themes. Transcript-based analysis was used, and data were managed using HyperRESEARCH (version 2.8.3). The Health Belief Model of behavior change framed a moderator guide. Methodsįocus groups were conducted in Arkansas with male caregivers of infants ages 2–12 months to discuss infant sleep routines, parental roles, sources for safe sleep information, and messaging suggestions for safe sleep promotion. This study aimed to explore the determinants of safe sleep practices among male caregivers. Paternal caregiver’s attitudes toward infant safe sleep messages are largely unaddressed, despite established differences between female and male caregiver perceptions. ![]() Sudden Unexpected Infant Death (SUID) results in 3400 sleep-related deaths yearly in the United States, yet caregivers’ compliance with safe sleep recommendations remains less than optimal.
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