Child Safety Seat Intervention for Pacific Northwest Tribes

太平洋西北部落儿童安全座椅干预

• 批准号: 8220930
• 负责人: JODI A LAPIDUS
• 金额: $ 47.72万
• 依托单位: NORTHWEST PORTLAND AREA INDIAN HLTH BD
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-05-28 至 2013-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8220930
• 关键词: 4 year old; 8 year old; Accounting; Address; Adopted; Adult; Age; American Indian and Alaska Native; American Indians; Area; Awareness; Behavioral; Belief; Caregivers; Cause of Death; Cessation of life; Child; Childhood Injury; Collaborations; Communities; Community Trial; Data; Death Rate; Economic Factors; Effectiveness of Interventions; Face; Family; Focus Groups; Funding; Future; Geographic Locations; Goals; Government; Grant; Health; Health behavior change; Healthy People 2010; Infant; Injury; Intervention; Interview; Knowledge; Law Enforcement; Laws; Modeling; Morbidity - disease rate; National Center on Minority Health and Health Disparities; Northwest Tribe; Pacific Northwest; Parents; Police; Process; Published Comment; Qualitative Research; Reporting; Research; Research Methodology; Research Personnel; Reservations; Resolution; Resources; Risk; Safety; Seat Belts; Secure; Structure; Surveys; System; Technology; Testing; Theoretical model; Time; Toddler; Training; Travel; Tribes; United States; United States National Institutes of Health; Universities; Vehicle crash; Washington; Work; base; community based participatory research; community intervention; design; health disparity; improved; injured; injury prevention; intervention program; knowledge of results; member; minority health; mortality; motor vehicle injury; programs; response; restraint; risk perception; symposium; therapy design; tribal community; tribal member; working group

DESCRIPTION (provided by applicant): Motor vehicle crashes are the leading cause of death for American Indian (Al) children, proper use of age-appropriate child restraint systems can substantially reduce the number of fatal injuries, however, many Al children still ride completely unrestrained or improperly restrained when traveling. In a recent vehicle observation study in 6 Northwestern US tribes, the majority of Al children age 8 or under rode un- (41%) or improperly (30%) restrained. While adult drivers in these tribes were commonly unaware of laws regarding vehicle restraints for children, they were receptive to receiving more information and training on proper use of child safety seats. One of the Healthy People 2010 injury prevention goals promotes the widespread and consistent use of child safety seats. Tribes in the Northwest have prioritized injury prevention, in particular, reducing morbidity and mortality from motor vehicles crashes among their membership. It is in response to a resolution passed by the member tribes of the Northwest Portland Area Indian Health Board that this application was prepared and submitted. Using a community based participatory research model, our team of partners from Northwest tribes, Northwest Portland Area Indian Health Board and Harborview Injury Prevention Center at University of Washington, propose to plan, implement, and evaluate child safety interventions in 6 Northwestern tribal communities. We plan to conduct qualitative interviews and focus groups to determine barriers to appropriate restraint use, work with tribes to design and carry out culturally appropriate interventions, and conduct observational vehicle surveys at three time points over the five years. We propose to use a staggered intervention design, implementing interventions in three tribes at a time, and comparing child passenger restraint use in all six tribes before and after each intervention. Tribes will be involved in every facet of the research process, including interpretation and future planning based on results. We anticipate that well designed, tribe-implemented programs will eliminate barriers, increase knowledge, and result in a sustained increase in child safety seat use.

描述(申请人提供)：机动车碰撞是导致美国印第安人(Al)儿童死亡的主要原因，正确使用适合年龄的儿童约束系统可以大大减少致命伤害的数量，但许多Al儿童在旅行时仍然完全不受约束或约束不当。在最近对美国西北部6个部落进行的一项车辆观察研究中，大多数8岁或8岁以下的Al儿童骑自行车时没有(41%)或没有适当地约束(30%)。虽然这些部落的成年司机通常不知道有关儿童车辆约束的法律，但他们愿意接受更多关于正确使用儿童安全座椅的信息和培训。2010年健康人预防伤害的目标之一是促进广泛和一致地使用儿童安全座椅。西北部的部落把预防伤害放在首位，特别是在他们的成员中减少机动车碰撞的发病率和死亡率。这项申请是根据西北波特兰地区印第安人健康委员会成员部落通过的一项决议而准备和提交的。 我们来自西北部落、西北波特兰地区印第安人健康委员会和华盛顿大学哈博维尤伤害预防中心的合作伙伴团队使用基于社区的参与式研究模式，提议在6个西北部落社区规划、实施和评估儿童安全干预措施。我们计划进行定性访谈和焦点小组，以确定适当使用约束的障碍，与部落合作设计和实施文化上适当的干预措施，并在五年内的三个时间点进行观察性车辆调查。我们建议使用交错干预设计，一次在三个部落实施干预，并比较所有六个部落在每次干预前后儿童乘客安全带的使用情况。各部落将参与研究过程的方方面面，包括基于结果的解释和未来规划。我们预计，精心设计的部落实施的计划将消除障碍，增加知识，并导致儿童安全座椅使用的持续增加。