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Mean shaking knowledge was greater for intervention subjects (84.8) compared with controls (83.5). The mean infant crying knowledge score was greater in the intervention group (69.5) compared with controls (63.3). These included 2 knowledge scales about crying and the dangers of shaking 3 scales about behavioral responses to crying generally and to unsoothable crying, and caregiver self-talk in response to unsoothable crying and 3 questions concerning the behaviors of sharing of information with others about crying, walking away if frustrated, and the dangers of shaking. Primary outcomes were measured by telephone 2 months after delivery. There were 1374 mothers of newborns randomly assigned to the PURPLE intervention and 1364 mothers to the control group. This study was a randomized, controlled trial conducted in prenatal classes, maternity wards, and pediatric practices. To determine if parent education materials ( The Period of PURPLE Crying ) change maternal knowledge and behavior relevant to infant shaking. Infant crying is an important precipitant for shaken-infant syndrome.
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