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Evaluation of the Period of PURPLE Crying: An Abusive Head Trauma Prevention Programme.

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Title: Evaluation of the Period of PURPLE Crying: An Abusive Head Trauma Prevention Programme.
Authors: Groisberg, Shaina, Hashmi, S. Shahrukh, Girardet, Rebecca
Source: Child Abuse Review. May/Jun2020, Vol. 29 Issue 3, p291-300. 10p. 1 Diagram, 1 Chart, 4 Graphs.
Subjects: Prevention of child abuse, Head injury prevention, Chi-squared test, Confidence intervals, Crying in children, Fathers, Fisher exact test, Frustration, Mothers, Psychology of parents, Poisson distribution, Questionnaires, Statistical sampling, Thematic analysis, Randomized controlled trials, Health literacy, Parenting education, Data analysis software, Mann Whitney U Test, Children
Abstract: Abusive head trauma (AHT) in infants is thought to be triggered by caregiver frustration with persistent crying. The Period of PURPLE Crying (POPC) is designed to educate parents about normal infant crying, strategies to use when infants cry and the dangers of shaking in an effort to decrease AHT. Studies evaluating the POPC have measured changes in parent knowledge and behaviour regarding infant crying. Our objective was to evaluate the POPC's effect on caregiver frustration with infant crying compared to standard discharge information (SDI). We taught paediatric interns and medical students rotating in the newborn nursery to deliver the POPC and discuss infant crying. New parents were pseudo‐randomised to receive SDI or the POPC plus SDI. Parents were contacted five‐to‐eight weeks after discharge and asked knowledge questions about infant crying as well as the number of times that they were frustrated by their infant's crying in the preceding week. Of 271 parents who consented to participate, 164 (61%) completed the survey. The POPC group answered two of the knowledge questions correctly more often than the control group (score differences: 17%, 95% confidence interval (CI) 3–32% and 21%, 95% CI 7–36%). However, parents reported frustration due to infant crying at similar rates between the control (55/80, 69%) and POPC (60/84, 71%) groups. Our results support previous findings that the POPC improves caregiver knowledge concerning infant crying. The POPC does not appear to affect caregiver frustration with crying. 'Our objective was to evaluate the POPC's effect on caregiver frustration with infant crying compared to standard discharge information' Key Practitioner Messages: Instructing new parents about normal infant crying and the dangers of shaking an infant remains an important part of anticipatory guidance.The POPC is not more effective at reducing caregiver frustration with infant crying than standard discharge instructions.Future investigations should specifically aim to include male caregivers as recipients of the programme. [ABSTRACT FROM AUTHOR]
Copyright of Child Abuse Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Evaluation of the Period of PURPLE Crying: An Abusive Head Trauma Prevention Programme.
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  Data: <searchLink fieldCode="AR" term="%22Groisberg%2C+Shaina%22">Groisberg, Shaina</searchLink><br /><searchLink fieldCode="AR" term="%22Hashmi%2C+S%2E+Shahrukh%22">Hashmi, S. Shahrukh</searchLink><br /><searchLink fieldCode="AR" term="%22Girardet%2C+Rebecca%22">Girardet, Rebecca</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Child+Abuse+Review%22">Child Abuse Review</searchLink>. May/Jun2020, Vol. 29 Issue 3, p291-300. 10p. 1 Diagram, 1 Chart, 4 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22Prevention+of+child+abuse%22">Prevention of child abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Head+injury+prevention%22">Head injury prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Crying+in+children%22">Crying in children</searchLink><br /><searchLink fieldCode="DE" term="%22Fathers%22">Fathers</searchLink><br /><searchLink fieldCode="DE" term="%22Fisher+exact+test%22">Fisher exact test</searchLink><br /><searchLink fieldCode="DE" term="%22Frustration%22">Frustration</searchLink><br /><searchLink fieldCode="DE" term="%22Mothers%22">Mothers</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+parents%22">Psychology of parents</searchLink><br /><searchLink fieldCode="DE" term="%22Poisson+distribution%22">Poisson distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Health+literacy%22">Health literacy</searchLink><br /><searchLink fieldCode="DE" term="%22Parenting+education%22">Parenting education</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Mann+Whitney+U+Test%22">Mann Whitney U Test</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Abusive head trauma (AHT) in infants is thought to be triggered by caregiver frustration with persistent crying. The Period of PURPLE Crying (POPC) is designed to educate parents about normal infant crying, strategies to use when infants cry and the dangers of shaking in an effort to decrease AHT. Studies evaluating the POPC have measured changes in parent knowledge and behaviour regarding infant crying. Our objective was to evaluate the POPC's effect on caregiver frustration with infant crying compared to standard discharge information (SDI). We taught paediatric interns and medical students rotating in the newborn nursery to deliver the POPC and discuss infant crying. New parents were pseudo‐randomised to receive SDI or the POPC plus SDI. Parents were contacted five‐to‐eight weeks after discharge and asked knowledge questions about infant crying as well as the number of times that they were frustrated by their infant's crying in the preceding week. Of 271 parents who consented to participate, 164 (61%) completed the survey. The POPC group answered two of the knowledge questions correctly more often than the control group (score differences: 17%, 95% confidence interval (CI) 3–32% and 21%, 95% CI 7–36%). However, parents reported frustration due to infant crying at similar rates between the control (55/80, 69%) and POPC (60/84, 71%) groups. Our results support previous findings that the POPC improves caregiver knowledge concerning infant crying. The POPC does not appear to affect caregiver frustration with crying. 'Our objective was to evaluate the POPC's effect on caregiver frustration with infant crying compared to standard discharge information' Key Practitioner Messages: Instructing new parents about normal infant crying and the dangers of shaking an infant remains an important part of anticipatory guidance.The POPC is not more effective at reducing caregiver frustration with infant crying than standard discharge instructions.Future investigations should specifically aim to include male caregivers as recipients of the programme. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Child Abuse Review is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1002/car.2625
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 291
    Subjects:
      – SubjectFull: Prevention of child abuse
        Type: general
      – SubjectFull: Head injury prevention
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Crying in children
        Type: general
      – SubjectFull: Fathers
        Type: general
      – SubjectFull: Fisher exact test
        Type: general
      – SubjectFull: Frustration
        Type: general
      – SubjectFull: Mothers
        Type: general
      – SubjectFull: Psychology of parents
        Type: general
      – SubjectFull: Poisson distribution
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Statistical sampling
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      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Health literacy
        Type: general
      – SubjectFull: Parenting education
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Mann Whitney U Test
        Type: general
      – SubjectFull: Children
        Type: general
    Titles:
      – TitleFull: Evaluation of the Period of PURPLE Crying: An Abusive Head Trauma Prevention Programme.
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            NameFull: Groisberg, Shaina
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            NameFull: Hashmi, S. Shahrukh
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            NameFull: Girardet, Rebecca
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            – D: 01
              M: 05
              Text: May/Jun2020
              Type: published
              Y: 2020
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              Value: 09529136
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              Value: 29
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            – TitleFull: Child Abuse Review
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