Development of a Culturally Informed Child Safety Curriculum for American Indian Families
Development of a Culturally Informed Child Safety Curriculum for American Indian Families
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DOI：
10.1007/s10935-016-0459-y
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发表时间：
2017-04-01
影响因子：
1.7
通讯作者：
Adams, Alexandra K.
中科院分区：
文献类型：
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作者：
Berns, Ryan M.;Tomayko, Emily J.;Adams, Alexandra K.
美洲印第安人 (AI) 儿童受到意外伤害的影响尤为严重，伤害死亡率比美国所有儿童的总死亡率高出约 2.3 倍。尽管已知多种风险因素会导致这些增加，但该人群缺乏强调儿童安全的全面的、文化背景的课程。为了满足这一需求，学术和部落研究人员、部落社区成员、部落健康工作人员和国家儿童安全专家合作开发了新型儿童安全课程。本文描述了它的开发和社区交付。我们开发的安全课程是一项名为“健康儿童，坚强家庭 2”(HCSF2) 的大型随机对照试验的一部分，该试验是一项以家庭为基础的干预措施，旨在预防儿童早期（2-5 岁）肥胖。在 HCSF2 干预措施的制定过程中，参与的部落社区对将登记家庭随机分配到不接受干预的对照组表示担忧。为了解决这一问题以及人工智能儿童受伤和意外死亡率的显着差异，我们添加了一个积极的对照组（安全之旅），该小组将利用我们的安全课程。在干预的 12 个月时间点进行的满意度调查表明，94% 的参与者 (N = 196) 对儿童安全课程感到满意或非常满意。大多数参与者 (69%) 表示每月花在课程材料上的时间超过 15 分钟，83% 的人认为儿童安全通讯对于做出改变以改善家庭安全有帮助或非常有帮助。这些发现表明这些儿童安全材料受到 HCSF2 参与者的好评。使用社区参与的方法来开发该课程代表了一种可以适用于其他高危人群的模型，并且可以作为创建多层次儿童安全干预策略的第一步。
American Indian (AI) children are disproportionately affected by unintentional injuries, with injury mortality rates approximately 2.3 times higher than the combined rates for all children in the United States. Although multiple risk factors are known to contribute to these increased rates, a comprehensive, culturally informed curriculum that emphasizes child safety is lacking for this population. In response to this need, academic and tribal researchers, tribal community members, tribal wellness staff, and national child safety experts collaborated to develop a novel child safety curriculum. This paper describes its development and community delivery. We developed the safety curriculum as part of a larger randomized controlled trial known as Healthy Children, Strong Families 2 (HCSF2), a family-based intervention targeting obesity prevention in early childhood (2-5 years). During the development of the HCSF2 intervention, participating tribal communities expressed concern about randomizing enrolled families to a control group who would not receive an intervention. To address this concern and the significant disparities in injuries and unintentional death rates among AI children, we added an active control group (Safety Journey) that would utilize our safety curriculum. Satisfaction surveys administered at the 12-month time point of the intervention indicate 94% of participants (N = 196) were either satisfied or very satisfied with the child safety curriculum. The majority of participants (69%) reported spending more than 15 min with the curriculum materials each month, and 83% thought the child safety newsletters were either helpful or very helpful in making changes to improve their family's safety. These findings indicate these child safety materials have been well received by HCSF2 participants. The use of community-engaged approaches to develop this curriculum represents a model that could be adapted for other at-risk populations and serves as an initial step toward the creation of a multi-level child safety intervention strategy.