Assessment & Research

Infant positioning: A brief review

Vladescu et al. (2020) · Journal of Applied Behavior Analysis 2020
★ The Verdict

Behavior analysts have almost no research on helping caregivers follow safe infant positioning—an easy win for your next caregiver-training project.

✓ Read this if BCBAs who work with infants or coach new parents in home programs.
✗ Skip if Clinicians serving only school-age or adult clients.

01Research in Context

01

What this study did

Vladescu et al. (2020) looked for every behavior-analytic paper that tries to get caregivers to follow safe infant positioning.

They searched journals for studies on back-to-sleep and tummy-time routines.

The team found only a handful of reports, so they wrote a short map of what exists.

02

What they found

Almost no behavior analysts are working on this problem.

The few studies that exist use simple prompts and checklists to help parents place babies safely.

The authors say the field is wide open for new research.

03

How this fits with other research

Germansky et al. (2020) show parents can run full functional analyses at home with good fidelity.

That success story makes the infant-positioning gap look even bigger.

Williams et al. (2023) also mapped a thin literature, but for feeding interventions.

Together these reviews signal a pattern: ABA has barely touched basic caregiver safety routines.

04

Why it matters

If you serve families with new babies, you now know you are flying blind.

No standard ABA package exists to help parents stick to safe-sleep rules.

Try writing a simple task analysis for back-to-sleep and measure caregiver fidelity.

One small pilot could grow into the evidence base we need.

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Write a 5-step task analysis for safe-sleep setup and start recording parent fidelity during bedtime routines.

02At a glance

Intervention
not applicable
Design
scoping review
Population
neurotypical
Finding
not reported

03Original abstract

The American Academy of Pediatrics (2016a) has made several recommendations regarding the safe positioning of infants by caregivers, including placing infants in a supine position for sleep and in prone for supervised periods of tummy time. However, caregivers may have difficulty adhering with these recommendations. A small, but growing, number of behavior analytic studies have examined these infant safety recommendations and strategies for increasing adherence. This review describes behavior analytic research on infant positioning and provides suggestions for future research.

Journal of Applied Behavior Analysis, 2020 · doi:10.1002/jaba.746