reported an increase in behaviors such as walking away when the infant is inconsolable (Nocera et al., 2016) Readers can also follow NEONATOLOGY TODAY via our Twitter Feed @NEOTODAY “The Centers for Disease Control and Prevention (CDC) reports previously describe how “excessive frustration and exhaustion can lead individuals to a breaking point,” leading to Shaken Baby Syndrome (SBS) and Abusive Head Trauma (AHT) in infants (n.d., p. 4) (1).” “ After delivering the intervention for approximately four to six weeks, participants received the postintervention survey link via email or text message with the same six Likertstyle questions on the pre-intervention survey plus an additional three questions specific to the PURPLE program content.” NEONATOLOGY TODAYtwww.NeonatologyToday.nettJune 2021 4 (5). Despite these findings, just eighteen states across the U.S. have adopted the program statewide; see figure 1 in Appendix C (National Center on Shaken Baby Syndrome, 2021) (2). The universal adoption of this program among healthcare and community settings across the nation may improve coping methods for parents and caregivers, offer ongoing support, and reduce the incidence of SBS and AHT. Cost Implications: The cost of SBS and AHT per case accounts for millions in healthcare spending (National Center on Shaken Baby Syndrome, 2020) (2). Visits to the emergency department are one of the key drivers of cost for SBS and AHT. Barr et al. (2015) (6) found that the implementation of the PURPLE program in British Columbia decreased E.D. visits related to crying episodes for well babies by 29.5%. This program contributes to better health outcomes for families and reduces the overall cost of such visits for the healthcare system. Study Purpose: The purpose of this project was to evaluate the usefulness of the PURPLE program in a high-acuity Neonatal Intensive Care Unit (NICU) at The University of Chicago Comer Children’s Hospital. Before implementing this pilot study, SBS and AHT were routinely discussed as a part of patient education; however, this practice was carried out with minimal guidance, standardization, or clearly defined objectives. Methods Study Design: The study utilized a Likert-style pretest-posttest survey design to evaluate how the PURPLE program was perceived by NICU nurses who agreed to utilize the PURPLE program content to educate parents and caregivers. The Likert scale ranged from one (strongly disagree) to seven (strongly agree). See Appendix A for complete survey content. Surveys were developed for this study and distributed using the Qualtrics software. The proposal was approved by the University of Chicago Institutional Review Board (IRB) as well as DePaul University’s IRB. The University of Chicago’s IRB served as the lead site for overseeing this project. IBM SPSS statistics software was used to analyze data. Implementation: Recruitment was completed by following a script asking nurses to partake in an in-service education aimed to teach participants how to utilize the PURPLE program materials to educate families about SBS. At the start of the in-service presentation, participants completed a confidential, Likert-style pre-intervention survey on an iPad or personal smartphone device that evaluated their perception of SBS, knowledge surrounding this topic area, and demographics. The in-service education reviewed the most common cause of SBS and AHT, timeframes of increased infant crying, and data on the incidence of such trauma in correlation with periods of increased infant crying. Nurses were asked to give parents and caregivers the PURPLE program pamphlet, review the education and direct them to the smartphone application to watch the program’s video content. After delivering the intervention for approximately four to six weeks, participants received the postintervention survey link via email or text message with the same six Likert-style questions on the pre-intervention survey plus an additional three questions specific to the PURPLE program content. Participants were given a link to a free CEU related to the program content after completion of the study as an appreciation for participating in this project. Resources: The purchase of the PURPLE program materials was required to deliver this project. The cost of these materials was $2.00 per pamphlet and app code couplet. Five hundred copies of these materials were purchased for a total cost of $1,000. Measures: Measurable objectives for this project included: (1) nursing knowledge about SBS and AHT (pretest-posttest question one), (2) nursing confidence in delivering SBS and AHT education (pretestposttest question two), (3) accessibility to resources related to SBS and AHT (pretest-posttest question six), (4) functionality and efficacy of SBS/AHT education (pretest-posttest question four, post-test questions eight and nine), (5) perception of the value of SBS and AHT education in the NICU (pretest-posttest questions three and five), and (6) message consistency when delivering education about SBS and AHT (post-test question seven). See Appendix A for complete survey content used to measure these objectives. Results The study results are summarized in this section. Each participant did not respond to every question on the pre-test and post-test surveys. See Appendix B for all frequencies and means. Study