Infant Drowning Prevention: Insights from a New Ecological Psychology Approach

Drowning causes significant mortality and morbidity globally, and infants (0-4 years of age) are disproportionately impacted. In a groundbreaking approach to pediatric drowning prevention, ecological psychology has been used to investigate the relationship between infants' perceptual-motor development and their behavior around bodies of water. In this review, we summarize recent research findings in the field of ecological psychology and apply these to the prevention of infant drowning. Studies have linked infants' avoidance of falls into the water with locomotor experience and type of accessway into bodies of water. Through crawling experience, infants learn to perceive the risk of falling into water and start adapting their behavior to avoid drop-offs leading into water. Infants tend to enter deep water more when the access is via a slope than via a drop-off. We propose that ecological psychology can enhance infant drowning prevention interventions. The aim is to create an additional layer of protection, the perceptual information layer, in addition to existing strategies, such as supervision and barriers. This new protective layer can be a powerful tool to further highlight the risk of entering the water and reduce infant drowning-related mortality and morbidity.

Do infants avoid a traversable slope leading into deep water?

Ramps used to access swimming pools are designed with a shallow slope that affords easy access for all including infants. Locomotor experience has been linked to infants' avoidance of falling into the water from drop-offs; however, the effect of such experience on infants' behavior when a slope is offered to access the water has not been addressed. Forty-three crawling infants (M_age  = 10.63 ± 1.91 months; M_crawling  = 2.38 ± 1.77 months) and 34 walking infants (M_age  = 14.90 ± 2.18 months; M_walking  = 2.59 ± 1.56 months) were tested on a new Water Slope paradigm, a sloped surface (10°) leading to deep water. No association between infants' avoidance of submersion and locomotor experience was found. Comparison with the results of infants' behavior on the water cliff revealed that a greater proportion of infants reached the submersion point on the water slope than fell into the water cliff. Collectively, these results indicate a high degree of specificity in which locomotor experience teaches infants about risky situations. Importantly, sloped access to deep water appears to increase the risk of infants moving into the water thereby making them more vulnerable to drowning.