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Safe Sleep EducationSMART PreemieNCT07420686

Social Media and Risk-reduction Training for Preterm Infant Care Practices

A study testing Safe Sleep NICU Quality Improvement Campaign, Shared Reading NICU Quality Improvement Campaign and Safe Sleep TodaysNICUBaby videos and messages in people with Safe Sleep Education and SUID, run by University of Massachusetts, Worcester at 1 site in United States.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

SMART Preemie is a cluster randomized trial that will investigate the effectiveness of NICU-based and post-discharge interventions to improve adherence to safe sleep practices among mothers of preterm infants. Read more about this study

Who is it for?
Ages 13 years and older, women onlyHealthy volunteers can take part
What is being tested?
Safe Sleep NICU Quality Improvement Campaign, Shared Reading NICU Quality Improvement Campaign and Safe Sleep TodaysNICUBaby videos and messages
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,600 participants
Where
1 siteUnited States
Study dates
1 Jan 2027to 31 Dec 2028
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 13 years and older
  • Women only
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • English- or Spanish- speaking mothers of preterm infants (gestational age <37 weeks' weeks)
  • Infant must have been admitted to one of the 16 participating NICUs for at least 7 days
  • Infant must be discharged home from one of the 16 participating NICUs within 56 weeks post-menstrual age (>95% of preterm infants)
  • Infant must be discharged to the care of the mother (not a foster family) who intends to care for the child in the US for the first 6 months post-discharge
  • Must have a phone that can receive text messages and view videos

Who cannot join

  • Known or reported mental health or other issues that would preclude custody of the infant or being able to participate in the informed consent process.
  • Infant has contraindications to safe sleep positioning (e.g. extremely rare conditions of the airway or lower spine)
  • Meets the definition of a minor according to applicable state law.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

United States1 site
  • University of Massachusetts Chan Medical School

    Worcester, Massachusetts, 01545

    Mayra Rojas, 5083346180, mayra.rojascorrea@umassmed.edu

Other trials in United States

About this study

SMART Preemie is a cluster randomized trial that will investigate the effectiveness of NICU-based and post-discharge interventions to improve adherence to safe sleep practices among mothers of preterm infants. This study includes two complementary, culturally competent, intervention strategies and will test the effectiveness of each strategy, as well as both strategies in combination. The attention matched-control intervention will focus on shared reading.

The SMART Preemie study will have four arms in which 16 hospitals are randomly assigned to one of the following study groups: 1) Safe Sleep NICU Quality Improvement Campaign and Shared Reading TodaysNICUBaby videos and messages; 2) Shared Reading NICU Quality Improvement Campaign and Safe Sleep TodaysNICUBaby videos and messages; 3) Safe Sleep NICU Quality Improvement Campaign and Safe Sleep TodaysNICUBaby videos and messages; 4) Shared Reading NICU Quality Improvement Campaign and Shared Reading TodaysNICUBaby videos and messages. A total of 1600 mothers will be recruited (100/hospital), with 400 in each study group.

The primary aim is to assess the effectiveness of the interventions aimed at promoting safe sleep practices compared with the shared reading control interventions. The secondary aim is to assess potential mediating factors that may explain the intervention effects on infant care practices and that may inform areas for future improved intervention approaches. The tertiary aim is to assess key implementation outcomes which will be used for future scale-up. With the successful completion of the SMART Preemie study, effectiveness, mechanism, and implementation data will have been provided for two interventions to improve adherence to safe sleep practices that are practical to disseminate nationally in multiple diverse settings.

Being tested
Safe Sleep NICU Quality Improvement Campaign, Shared Reading NICU Quality Improvement Campaign, Safe Sleep TodaysNICUBaby videos and messages, Shared Reading TodaysNICUBaby videos and messages
Medical subject headings
Sudden Infant Death

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Safe Sleep NICU Quality Improvement CampaignBehavioural

    We will train NICU staff working in hospitals randomized to the safe sleep intervention to:

    (1) Model safe sleep practices when infants achieve medical stability according to AAP guidelines ; and (2) Provide education to parents about safe sleep throughout the NICU hospitalization, as it relates to their infants reaching medical stability and readiness to be placed in supine positions in a sleep area without any unsafe objects in the NICU and in the home environment.

  • Shared Reading NICU Quality Improvement CampaignBehavioural

    We will train NICU staff working in hospitals randomized to the shared reading intervention to:

    1. Model shared reading practices with book distribution, and
    2. Provide education to parents about shared reading. Hospital staff may use any materials from our toolkits as needed and we ask for staff to provide education to parents, and model shared reading, when distributing a new book to the family within the first week of admission, and then every 2 weeks while their child is in the NICU.
  • Safe Sleep TodaysNICUBaby videos and messagesBehavioural

    The TodaysNICUBaby mHealth program is comprised of:

    1. text message-delivered, short educational videos in the first 8 weeks after NICU discharge and
    2. text queries regarding safe sleep or shared reading practices, which collect data on these practices in near real-time and provide reinforcement of adherence.
  • Shared Reading TodaysNICUBaby videos and messagesBehavioural

    The Shared Reading TodaysNICUBaby mHealth program is comprised of:

    1. text message-delivered, short educational videos in the first 8 weeks after NICU discharge and
    2. text queries regarding shared reading, which collect data on these practices in near real-time and provide reinforcement of adherence.
Study groups in NCT07420686
Study groupRoleWhat they receive
Safe Sleep NICU Quality Improvement Campaign and Shared Reading TodaysNICUBaby videos and messagesExperimentalNot described
Receives: Behavioral: Safe Sleep NICU Quality Improvement Campaign; Behavioral: Shared Reading TodaysNICUBaby videos and messages
Shared Reading NICU Quality Improvement Campaign and Safe Sleep TodaysNICUBaby videos and messagesExperimentalNot described
Receives: Behavioral: Shared Reading NICU Quality Improvement Campaign; Behavioral: Safe Sleep TodaysNICUBaby videos and messages
Safe Sleep NICU Quality Improvement Campaign and Safe Sleep TodaysNICUBaby videos and messagesExperimentalNot described
Receives: Behavioral: Safe Sleep NICU Quality Improvement Campaign; Behavioral: Safe Sleep TodaysNICUBaby videos and messages
Shared Reading NICU Quality Improvement Campaign and Shared Reading TodaysNICUBaby videos and messagOtherNot described
Receives: Behavioral: Shared Reading NICU Quality Improvement Campaign; Behavioral: Shared Reading TodaysNICUBaby videos and messages

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Impact of the NICU safe sleep intervention on safe infant sleep position

    Percent with exclusive supine sleep in the previous 2 weeks

    Measured: 60 days post-discharge

  2. Impact of the NICU safe sleep intervention on safe infant sleep location

    Percent with exclusive room sharing without bedsharing in the previous 2 weeks

    Measured: 60 days post-discharge

  3. Impact of the NICU safe sleep intervention safe sleep space

    Percent with exclusive sleep in a crib/bassinet in the previous 2 weeks (and no sleep in another sleep space- swing, car seat, boppy, adult bed, etc.)

    Measured: 60 days post-discharge

  4. Impact of the NICU safe sleep intervention on safe infant sleep environment

    Percent with absence of loose objects in the sleep area in the previous 2 weeks

    Measured: 60 days post-discharge

  5. Impact of the mHealth post-discharge safe sleep intervention on safe infant sleep position

    Percent with exclusive supine sleep in the previous 2 weeks

    Measured: 60 days post-discharge

  6. Impact of the mHealth post-discharge safe sleep intervention on safe infant sleep location

    Percent with exclusive room sharing without bedsharing in the previous 2 weeks

    Measured: 60 days post-discharge

  7. Impact of the mHealth post-discharge safe sleep intervention safe sleep space

    Percent with exclusive sleep in a crib/bassinet in the previous 2 weeks (and no sleep in another sleep space- swing, car seat, boppy, adult bed, etc.)

    Measured: 60 days post-discharge

  8. Impact of the mHealth post-discharge safe sleep intervention on safe infant sleep environment

    Percent with absence of loose objects in the sleep area in the previous 2 weeks

    Measured: 60 days post-discharge

  9. Impact of the NICU and mHealth post-discharge safe sleep intervention on safe infant sleep position

    Percent with exclusive supine sleep in the previous 2 weeks

    Measured: 60 days post-discharge

  10. Impact of the NICU and mHealth post-discharge safe sleep intervention on safe infant sleep location

    Percent with exclusive room sharing without bedsharing in the previous 2 weeks

    Measured: 60 days post-discharge

  11. Impact of the NICU and mHealth post-discharge safe sleep intervention safe sleep space

    Percent with exclusive sleep in a crib/bassinet in the previous 2 weeks (and no sleep in another sleep space- swing, car seat, boppy, adult bed, etc.)

    Measured: 60 days post-discharge

  12. Impact of the NICU and mHealth post-discharge safe sleep intervention on safe infant sleep environment

    Percent with absence of loose objects in the sleep area in the previous 2 weeks

    Measured: 60 days post-discharge

Secondary outcomes (41)
  1. Safe infant sleep position by maternal race/ethnicity

    Percent with exclusive supine sleep in the previous 2 weeks, by maternal race (Black, White, Other) and ethnicity (Hispanic vs. non-Hispanic)

    Measured: 60 days post-discharge

  2. Safe infant sleep location by maternal race/ethnicit

    Percent with exclusive room sharing without bedsharing in the previous 2 weeks by maternal race (Black, White, Other) and ethnicity (Hispanic vs. non-Hispanic)

    Measured: 60 days post-discharge

  3. Safe sleep space by maternal race/ethnicity

    Percent with exclusive sleep in a crib/bassinet in the previous 2 weeks (and no sleep in another sleep space- swing, car seat, boppy, adult bed, etc.) by maternal race (Black, White, Other) and ethnicity (Hispanic vs. non-Hispanic)

    Measured: 60 days post-discharge

  4. Safe infant sleep environment by maternal race/ethnicity

    Percent with absence of loose objects in the sleep space in the previous 2 weeks by maternal race (Black, White, Other) and ethnicity (Hispanic vs. non-Hispanic)

    Measured: 60 days post-discharge

  5. Safe infant sleep position by infant gestational age

    Percent with exclusive supine sleep in the previous 2 weeks, by infant gestational age (<29 weeks vs 29-36 weeks)

    Measured: 60 days post-discharge

  6. Safe infant sleep location by infant gestational age

    Percent with exclusive room sharing without bedsharing in the previous 2 weeks infant gestational age (<29 weeks vs 29-36 weeks)

    Measured: 60 days post-discharge

  7. Safe sleep space by infant gestational age

    Percent with exclusive sleep in a crib/bassinet in the previous 2 weeks (and no sleep in another sleep space- swing, car seat, boppy, adult bed, etc.) infant gestational age (<29 weeks vs 29-36 weeks)

    Measured: 60 days post-discharge

  8. Safe infant sleep environment by infant gestational age

    Percent with absence of loose objects in the sleep space in the previous 2 weeks by infant gestational age (<29 weeks vs 29-36 weeks)

    Measured: 60 days post-discharge

  9. Impact of the NICU safe sleep intervention on intention for safe infant sleep position

    Percent with intention for exclusive supine sleep after NICU discharge

    Measured: Baseline and 60 days post-discharge

  10. Impact of the NICU safe sleep intervention on intention for safe infant sleep location

    Percent with intention for exclusive room sharing without bedsharing after NICU discharge

    Measured: Baseline and 60 days post-discharge

  11. Impact of the NICU safe sleep intervention on intention for safe infant safe sleep space

    Percent with intention for exclusive sleep in a crib/bassinet after NICU discharge (and no sleep in another sleep space- swing, car seat, boppy, adult bed, etc.)

    Measured: Baseline and 60 days post-discharge

  12. Impact of the NICU safe sleep intervention on intention for safe infant sleep environment

    Percent with intention for no loose objects in the sleep area after NICU discharge

    Measured: Baseline and 60 days post-discharge

  13. Impact of the mHealth post-discharge sleep intervention on intention for safe infant sleep position

    Percent with intention for exclusive supine sleep after NICU discharge

    Measured: 60 days post-discharge

  14. Impact of the mHealth post-discharge safe sleep intervention on intention for safe infant sleep location

    Percent with intention for exclusive room sharing without bedsharing after NICU discharge

    Measured: 60 days post-discharge

  15. Impact of the mHealth post-discharge safe sleep intervention on intention for safe infant safe sleep space

    Percent with intention for exclusive sleep in a crib/bassinet after NICU discharge (and no sleep in another sleep space- swing, car seat, boppy, adult bed, etc.)

    Measured: 60 days post-discharge

  16. Impact of the mHealth post-discharge safe sleep intervention on intention for safe infant sleep environment

    Percent with intention for no loose objects in the sleep area after NICU discharge

    Measured: 60 days post-discharge

  17. Impact of the NICU and mHealth post-discharge sleep intervention on intention for safe infant sleep position

    Percent with intention for exclusive supine sleep after NICU discharge

    Measured: 60 days post-discharge

  18. Impact of the NICU and mHealth post-discharge safe sleep intervention on intention for safe infant sleep location

    Percent with intention for exclusive room sharing without bedsharing after NICU discharge

    Measured: 60 days post-discharge

  19. Impact of the NICU and mHealth post-discharge safe sleep intervention on intention for safe infant safe sleep space

    Percent with intention for exclusive sleep in a crib/bassinet after NICU discharge (and no sleep in another sleep space- swing, car seat, boppy, adult bed, etc.)

    Measured: 60 days post-discharge

  20. Impact of the NICU and mHealth post-discharge safe sleep intervention on intention for safe infant sleep environment

    Percent with intention for no loose objects in the sleep area after NICU discharge

    Measured: 60 days post-discharge

  21. Impact of the NICU safe sleep intervention on time to unsafe sleep position

    Time to place infant in an unsafe sleep position (any side or prone)

    Measured: 0 to 60 days post-discharge

  22. Impact of the mHealth post-discharge safe sleep intervention on time to unsafe sleep position

    Time to place infant in an unsafe sleep position (any side or prone)

    Measured: 0 to 60 days post-discharge

  23. Impact of the NICU and mHealth post-discharge safe sleep intervention on time to unsafe sleep position

    Time to place infant in an unsafe sleep position (any side or prone)

    Measured: 0 to 60 days post-discharge

  24. Impact of the NICU safe sleep intervention on time to unsafe sleep location

    Time to place infant in an unsafe sleep location (any bedsharing)

    Measured: 0 to 60 days post-discharge

  25. Impact of the mHealth post-discharge safe sleep intervention on time to unsafe sleep location

    Time to place infant in an unsafe sleep location (any bedsharing)

    Measured: 0 to 60 days post-discharge

  26. Impact of the NICU and mHealth post-discharge safe sleep intervention on unsafe sleep location

    Time to place infant in an unsafe sleep location (any bedsharing)

    Measured: 0 to 60 days post-discharge

  27. Impact of the NICU shared reading intervention on reading

    Score on the READ scale of the STIM-Q

    Measured: 60 days post-discharge

  28. Impact of the post-discharge mHealth shared reding intervention on reading

    Score on the READ scale of the STIM-Q

    Measured: 60 days post-discharge

  29. Impact on the NICU and post-discharge mHealth shared reading interventions on reading

    Score on the READ scale of the STIM-Q

    Measured: 60 days post-discharge

  30. Impact of the NICU shared reading intervention on early relational health

    Score on the post-partum bonding questionnaire

    Measured: 60 days post-discharge

  31. Impact of the post-discharge mHealth shared reding intervention on early relational health

    Score on the post-partum bonding questionnaire

    Measured: 60 days post-discharge

  32. Impact on the NICU and post-discharge mHealth shared reading interventions on early relational health

    Score on the post-partum bonding questionnaire

    Measured: 60 days post-discharge

  33. Reading by maternal race/ethnicity

    Score on the READ scale of the STIM-Q by maternal race (Black, White, Other) and ethnicity (Hispanic vs. non-Hispanic)

    Measured: 60 days post-discharge

  34. Early relational health by race/ethnicity

    Score on the READ scale of the STIM-Q by maternal race (Black, White, Other) and ethnicity (Hispanic vs. non-Hispanic)

    Measured: 60 days post-discharge

  35. Reading by infant gestational age

    Score on the post-partum bonding questionnaire by infant gestational age ( <29 weeks vs 29-36 weeks)

    Measured: 60 days post-discharge

  36. Early relational health by infant gestational age

    Score on the post-partum bonding questionnaire by infant gestational age (<29 weeks vs 29-36 weeks)

    Measured: 60 days post-discharge

  37. Feasibility of NICU interventions

    Mean score reported by NICU staff on the Feasibility of Intervention Measure (FIM), a 4-item measure of perceived intervention feasibility

    Measured: In year 4-5 of study period, after completion of enrollment on subjects

  38. Acceptability of NICU interventions

    Mean score reported by NICU staff on the Acceptability of Intervention Measure (AIM), a 4-item measure of perceived intervention acceptability. Scores are calculated as the mean

    Measured: In year 4-5 of study period, after completion of enrollment on subjects

  39. Fidelity to NICU safe sleep intervention

    Percentage of mothers reporting observed modeling of safe sleep practices (supine sleep position and absence of objects in the sleep environment) and receipt of safe sleep education while in the NICU

    Measured: Baseline

  40. Fidelity to NICU shared reading intervention

    Percentage of mothers reporting participation in shared reading and receipt of shared reading education while in the NICU

    Measured: Baseline

  41. Fidelity to mHealth interventions

    Percentage of videos opened by mothers as a proxy for videos watched

    Measured: Days 1-60 post-discharge

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Feb 2026
  2. Study start1 Jan 2027 (estimated)
  3. Primary completion30 Jun 2028 (estimated)
  4. Study completion31 Dec 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Factorial
Masking
None (open label)
Enrolment
1,600 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07420686
Sponsor's protocol ID
STUDY00002732
Other IDs
2R01HD095060-06
Acronym
SMART Preemie
Status last verified
Feb 2026
First submitted
12 Feb 2026
Last updated
13 May 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Safe Sleep NICU Quality Improvement Campaign, Shared Reading NICU Quality Improvement Campaign and Safe Sleep TodaysNICUBaby videos and messages in people with Safe Sleep Education and SUID, run by University of Massachusetts, Worcester at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 13 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Margaret Parker, MD, MPH (5083343180, Margaret.Parker@umassmemorial.org), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Impact of the NICU safe sleep intervention on safe infant sleep position (time frame: 60 days post-discharge). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 May 2026.

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