This paper reports part of a wider systematic review commissioned by the English National Safeguarding Panel on Sudden Unexpected Death in Infancy (SUDI). The wider review covered three areas: interventions to improve safer sleep practices in high-risk families, interventions to improve engagement with services and decision making by parents at high risk of SUDI about infant sleep environments. Here, we report the qualitative and quantitative studies reviewed under the engagement strand. Parental engagement is understood to be a multidimensional task for health and social care professionals comprising attitudinal, relational and behavioural components. Following a PROSPERO registered systematic review synthesizing the three strands outlined, 28 papers were found to be relevant in the review of interventions to improve engagement with services in families with children at risk of significant harm through abuse or neglect. No studies were found that specifically focused on engagement of families at high risk for SUDI, so these wider engagement studies were included. The different types of intervention reported in the included studies are described under two broad themes: Enablers (including parental motivation and working with families) and Barriers. Given the focus in the studies on interventions that support parental engagement, the Enablers theme is more extensive than the Barriers reported although all studies noted well-understood barriers. The evidence underpinning these interventions and approaches are reviewed in this paper. We conclude that effective engagement is facilitated by experienced professionals given time to develop supportive non-judgemental relationships with families in their homes, working long-term, linking with communities and other services. While these conclusions have been drawn from wider studies aimed at reducing child maltreatment, we emphasize lessons to be drawn for SUDI prevention work with families with children at risk of significant harm.

中文翻译：

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改善对服务的参与，以防止有可能遭受重大伤害的儿童的家庭发生婴儿猝死 (SUDI)：证据的系统审查

本文报告了由英国国家婴儿猝死保障小组 (SUDI) 委托进行的更广泛系统审查的一部分。更广泛的审查涵盖三个领域：改善高风险家庭更安全睡眠实践的干预措施、改善服务参与度的干预措施以及有 SUDI 高风险的父母对婴儿睡眠环境的决策。在这里，我们报告了在参与链下审查的定性和定量研究。父母参与被理解为健康和社会护理专业人员的多维任务，包括态度、关系和行为组成部分。在 PROSPERO 注册的系统评价综合了概述的三个方面之后，发现 28 篇论文与干预措施的审查有关，这些干预措施旨在改善因虐待或忽视而面临重大伤害风险的儿童的家庭参与服务。没有发现专门针对 SUDI 高风险家庭参与的研究，因此纳入了这些更广泛的参与研究。纳入研究中报告的不同类型的干预在两大主题下进行了描述：促成因素（包括父母动机和与家庭合作）和障碍。鉴于支持父母参与的干预研究的重点，尽管所有研究都指出了众所周知的障碍，但促成因素主题比障碍报告的主题更广泛。本文回顾了支持这些干预措施和方法的证据。我们的结论是，经验丰富的专业人士有时间与家中的家人建立支持性的非评判性关系，长期工作，与社区和其他服务建立联系，从而促进了有效参与。虽然这些结论是从旨在减少虐待儿童的更广泛的研究中得出的，但我们强调要为有儿童面临重大伤害风险的家庭的 SUDI 预防工作吸取经验教训。