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Dr Anna Pease

Dr Anna Pease

Dr Anna Pease

CVI Project Lead and Senior Research Associate

Senior Research Associate

Area of research

SIDS: Safer sleep for babies at increased risk

Office 1.01
1-5 Whiteladies Road,
BS8 1NU
(See a map)

+44 (0) 117 42 83086

Summary

Overview

I completed my PhD at the University of Bristol in 2016, which investigated the decision-making processes of mothers with young babies from deprived backgrounds, in relation to the risk factors for SIDS. Following this I worked on the OASIS Study, a case control study designed to investigate whether any feature of the routinely collected newborn hearing screen, either alone or in combination with other risk factors, can be used to identify infants at increased risk of unexpected death in infancy. I am now working on two new projects: developing an intervention to improve infant safety and well-being and the CVI Project.

Developing an Intervention to Improve Infant Safety and Well-being

This work will investigate potential interventions related to improving infant safe sleep uptake among families at higher risk of Sudden Infant Death Syndrome. Using a coproductive approach, the project will work with key stakeholders to develop an intervention that can be tested under trial conditions. Our work with families, health professionals and commissioners will explore interventions that aim to improve uptake of safe sleep advice while supporting families with sleep related advice. Inspiration from international approaches including Finnish baby boxes, PepipodTM and Wahakura from New Zealand will help to develop an intervention with broad appeal but targeted effects for those babies most at risk. This project is being undertaken as part of a Launching Fellowship awarded to Dr Anna Pease, with supervision from Professor Peter Blair, Dr Jenny Ingram and Professor Peter Fleming. 

The CVI Project

Cerebral Visual Impairment (CVI) refers to impairment of vision due to malfunction of the brain, rather than the eyes. CVI is a feature of many neurodevelopmental conditions, affects an estimated 1% of children and results in learning, co-ordination and communication difficulties.

Descriptive studies report that simplifying visual input improves performance in children with CVI but robust data are lacking. CVI is often unrecognised as many affected children have good visual acuity and appear to “see” normally. 

The program of work involves refining and evaluating a complex intervention, involving school and hospital components, for children with CVI. 

The OASIS Study

The Oto Acoustic Signals Investigation Study (OASIS) is an innovative new study which could lead to identifying babies and young children at risk of sudden, unexpected deaths, by examining data from the newborn hearing screen.

If the results of this initial study prove conclusive, this could have potentially ground-breaking implications for the prevention of SIDS and unexpected deaths of older children in the future.

The study will investigate whether any feature of the routinely collected newborn hearing screen, either alone or in combination with other risk factors, can be used to identify infants at increased risk of unexpected death in infancy.

The design also means that the proposed study will be the first case-control study of unexpected infants deaths in England since the end of SWISS study in 2007, and will provide important information about the current risk factors for SIDS. The study is now complete and publications are in press. 

Personal details

I am originally from the North East of England, but grew up in Scotland. I have an MA in Applied Psychology and an MSc in Health Psychology as well as a PhD. I have previously worked in New Zealand on national strategies to reduce the incidence of unexpected infant deaths. I have also worked in Southampton developing the Healthy Conversation Skills training (RCT) to evaluate the effectiveness of brief motivational interventions on mothers diet and physical activity. 

I am married to Joshua and we have two children. I have worked, travelled and lived in quite a few other countries, including Brazil, The United States, New Zealand, Vietnam and Malaysia.

PhD Research

Factors Influencing Infant Care Practices in the Sleep Environment amongst Families at High Risk of SIDS

To advise parents (especially those at higher risk of SIDS) on whether and in what conditions they should or should not sleep with their infants we need to understand some of the factors that influence their decision-making process on how they sleep, feed and care for their infant. The purpose of this research was to begin to understand these processes and the relationship between breastfeeding and co-sleeping. This understanding will provide a basis for advice that aims to keep infants safe while they sleep without undermining the parents’ ability to breastfeed. The research also investigated other risk factors associated with SIDS, in particular swaddling, dummy use, sleeping position and how the bedclothes are arranged and looked at how these practices are affected when there is a change in the normal routine.   

This research hopes to advance our knowledge of how parental decisions and associated behaviours can contribute to the safety of sleeping babies.

The work was funded by The Lullaby Trust, a charity that promotes expert advice on safer baby sleep and provides special support for anyone bereaved through Sudden Infant Death Syndrome (SIDS)

PHD Publications

Pease, A. S., Fleming, P. J., Hauck, F. R., Moon, R. Y., Horne, R. S., L’Hoir, M. P., ... & Blair, P. S. (2016). Swaddling and the risk of sudden infant death syndrome: a meta-analysis. Pediatrics137(6), e20153275.

Pease, Anna S., et al. "Mothers’ knowledge and attitudes to sudden infant death syndrome risk reduction messages: results from a UK survey." Archives of disease in childhood103.1 (2018): 33-38.

 

Pease AIngram JBlair PS, et al. Factors influencing maternal decision-making for the infant sleep environment in families at higher risk of SIDS: a qualitative study. 
 

Biography

I am originally from the North East of England, and grew up in Scotland. I have an MA in Applied Psychology and an MSc in Health Psychology. I have previously worked in New Zealand on national strategies to reduce the incidence of unexpected infant deaths. I have also worked in Southampton developing the Healthy Conversation Skills training (RCT) to asses the effectiveness of brief motivational interventions on mothers diet and physical activity. 

I am married to Joshua and we have two children. I have worked, travelled and lived in quite a few other countries, including Brazil, The United States, New Zealand, Vietnam and Malaysia.

Publications:

Pease, A., Blair, P. S., Ingram, J., & Fleming, P. (2019). Conversations with families about reducing the risk of sudden infant death syndrome. Journal of Health Visiting7(5), 226-231.

Baddock SA, Purnell MT, Blair PS, Pease AS, Elder DE, Galland BC. The influence of bed-sharing on infant physiology, breastfeeding and behaviour: A
systematic review. Sleep Med Rev. 2019 Feb;43:106-117. doi: 10.1016/j.smrv.2018.10.007. Epub 2018 Nov 16. PubMed PMID: 30553183.


Blair PS, Pease A, Bates F, Ball H, Thompson JMD, Hauck FR, Moon R, McEntire B, Shatz A, Cohen M, Salm Ward TC, Fleming P. Concerns about the promotion of a cardboard baby box as a place for infants to sleep. BMJ. 2018 Oct 17;363:k4243. doi: 10.1136/bmj.k4243. PubMed PMID: 30333110.


Garstang J, Pease AS. A United Kingdom Perspective. In: Duncan JR, Byard RW, editors. SIDS Sudden Infant and Early Childhood Death: The Past, the Present and  the Future. Adelaide (AU): University of Adelaide Press; 2018 May. Chapter 18. PubMed PMID: 30035962.


Blair PS, Pease AS, Fleming PJ. Observational Investigations from England: The CESDI and SWISS Studies. In: Duncan JR, Byard RW, editors. SIDS Sudden Infant and Early Childhood Death: The Past, the Present and the Future. Adelaide (AU): University of Adelaide Press; 2018 May. Chapter 15.
PubMed PMID: 30035957.


Pease A, Ingram J, Blair PS, Fleming PJ. Factors influencing maternal decision-making for the infant sleep environment in families at higher risk of
SIDS: a qualitative study. BMJ Paediatr Open. 2017 Sep 4;1(1):e000133. doi: 10.1136/bmjpo-2017-000133. eCollection 2017. PubMed PMID: 29637151; PubMed Central PMCID: PMC5862195.


Fleming P, Blair P, Pease A. Why or how does the prone sleep position increase the risk of unexpected and unexplained infant death? Arch Dis Child Fetal
Neonatal Ed. 2017 Nov;102(6):F472-F473. doi: 10.1136/archdischild-2017-313331. Epub 2017 Aug 24. PubMed PMID: 28839107.

 

Pease AS, Blair PS, Ingram J, Fleming PJ. Mothers' knowledge and attitudes to sudden infant death syndrome risk reduction messages: results from a UK survey. Arch Dis Child. 2018 Jan;103(1):33-38. doi: 10.1136/archdischild-2017-312927. Epub 2017 Aug 16. PubMed PMID: 28814422.


Harrison S, Lennon R, Holly J, Higgins JPT, Gardner M, Perks C, Gaunt T, Tan V, Borwick C, Emmet P, Jeffreys M, Northstone K, Rinaldi S, Thomas S, Turner SD, Pease A, Vilenchick V, Martin RM, Lewis SJ. Does milk intake promote prostate cancer initiation or progression via effects on insulin-like growth factors
(IGFs)? A systematic review and meta-analysis. Cancer Causes Control. 2017 Jun;28(6):497-528. doi: 10.1007/s10552-017-0883-1. Epub 2017 Mar 30. Review. PubMed PMID: 28361446; PubMed Central PMCID: PMC5400803.


Pease AS, Fleming PJ, Hauck FR, Moon RY, Horne RS, L'Hoir MP, Ponsonby AL, Blair PS. Swaddling and the Risk of Sudden Infant Death Syndrome: A
Meta-analysis. Pediatrics. 2016 Jun;137(6). pii: e20153275. doi: 10.1542/peds.2015-3275. Epub 2016 May 9. Review. PubMed PMID: 27244847.


Knipe DW, Carroll R, Thomas KH, Pease A, Gunnell D, Metcalfe C. Association of socio-economic position and suicide/attempted suicide in low and middle income countries in South and South-East Asia - a systematic review. BMC Public Health. 2015 Oct 15;15:1055. doi: 10.1186/s12889-015-2301-5. Review. PubMed PMID: 26472204; PubMed Central PMCID: PMC4608117.


Fleming PJ, Blair PS, Pease A. Sudden unexpected death in infancy: aetiology, pathophysiology, epidemiology and prevention in 2015. Arch Dis Child. 2015
Oct;100(10):984-8. doi: 10.1136/archdischild-2014-306424. Epub 2015 Feb 19. Review. PubMed PMID: 25699563.


Fleming P, Pease A, Blair P. Bed-sharing and unexpected infant deaths: what is the relationship? Paediatr Respir Rev. 2015 Jan;16(1):62-7. doi:
10.1016/j.prrv.2014.10.008. Epub 2014 Nov 4. Review. PubMed PMID: 25464893.


Blair PS, Sidebotham P, Pease A, Fleming PJ. Bed-sharing in the absence of hazardous circumstances: is there a risk of sudden infant death syndrome? An
analysis from two case-control studies conducted in the UK. PLoS One. 2014 Sep 19;9(9):e107799. doi: 10.1371/journal.pone.0107799. eCollection 2014. PubMed PMID: 25238618; PubMed Central PMCID: PMC4169572.


Lawrence W, Black C, Tinati T, Cradock S, Begum R, Jarman M, Pease A, Margetts B, Davies J, Inskip H, Cooper C, Baird J, Barker M. 'Making every
contact count': Evaluation of the impact of an intervention to train health and social care practitioners in skills to support health behaviour change. J Health
Psychol. 2016 Feb;21(2):138-51. doi: 10.1177/1359105314523304. Epub 2014 Apr 8. PubMed PMID: 24713156; PubMed Central PMCID: PMC4678584.


Cowan S, Bennett S, Clarke J, Pease A. An evaluation of portable sleeping spaces for babies following the Christchurch earthquake of February 2011. J
Paediatr Child Health. 2013 May;49(5):364-8. doi: 10.1111/jpc.12196. Epub 2013 Apr 11. PubMed PMID: 23573948.


Cowan S, Pease A, Bennett S. Usage and impact of an online education tool for preventing sudden unexpected death in infancy. J Paediatr Child Health. 2013
Mar;49(3):228-32. doi: 10.1111/jpc.12128. Epub 2013 Feb 26. PubMed PMID: 23437780.


Tinati T, Lawrence W, Ntani G, Black C, Cradock S, Jarman M, Pease A, Begum R, Inskip H, Cooper C, Baird J, Barker M. Implementation of new Healthy
Conversation Skills to support lifestyle changes - what helps and what hinders? Experiences of Sure Start Children's Centre staff. Health Soc Care Community. 2012 Jul;20(4):430-7. doi: 10.1111/j.1365-2524.2012.01063.x. Epub 2012 Mar 27. PubMed PMID: 22452549; PubMed Central PMCID: PMC3679516.


Cowan SF, Pease AS. 6 + 1: a child survival pilot project. J Paediatr Child Health. 2008 Nov;44(11):677. doi: 10.1111/j.1440-1754.2008.01401.x. PubMed PMID: 19012647.

 

 

Keywords

  • SIDS
  • breastfeeding
  • co-sleeping
  • bed-sharing
  • infant care
  • parenting
  • decision-making Vision
  • children
  • evaluation
  • Feasibility RCTs

Skills

  • SIDS Cerebral Visual Impairment

Methodologies

  • Qualitative interviews
  • surveys
  • Case control
  • feasibility RCTs

Memberships

Organisations

Bristol Medical School (PHS)

Centres, collaborations and units

Recent publications

View complete publications list in the University of Bristol publications system

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