Native Children Always Ride Safe (Native CARS) Study

本土儿童始终安全骑行（本土汽车）研究

• 批准号: 8687738
• 负责人: JODI A LAPIDUS
• 金额: $ 43.59万
• 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 2016-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8687738
• 关键词: Address; Affect; Age; Alaska Native; American Indian and Alaska Native; Area; Atlases; Caregivers; Cause of Death; Cessation of life; Child; Communities; Data Collection; Development; Ethnic group; Evidence based intervention; Evidence based program; Family; Funding; Goals; Health; Health Personnel; Health Promotion; Injury; Intervention; Intervention Studies; Law Enforcement; Leadership; Legal; Measurable; Measures; Methods; Modeling; Morbidity - disease rate; Motor Vehicles; Names; Northwest Tribe; Parents; Participant; Phase; Policies; Positioning Attribute; Prevention Research; Principal Investigator; Process; Protocols documentation; Public Health; Race; Readiness; Resources; Risk; Safety; Secure; Surveys; Translating; Translations; Tribes; United States; United States Indian Health Service; Universities; Vehicle crash; Washington; community based participatory research; community intervention; evidence base; experience; improved; injury prevention; mortality; motor vehicle injury; multi-component intervention; programs; restraint; success; tool; tribal community

DESCRIPTION (provided by applicant): Motor vehicle injuries and deaths are devastating to families and communities. American Indian and Alaska Native children are disproportionally affected by motor vehicle fatalities, partly due to riding improperly restrained in vehicles. The Native Children Always Ride Safe study (Native CARS), a community-based participatory research (CBPR) intervention study, has demonstrated success at improving child passenger safety among all three tribes that have implemented the interventions, with far greater improvements in proper restraint observed in intervention communities compared to control (p=0.005). Given the success of Native CARS, and the experience of the partners involved, this project is well-positioned to transition into a dissemination phase where the protocols, tools and intervention materials can be translated for use by other Northwest tribes and potentially benefit tribes nationwide. Effective evidence-based tribal interventions, whose development is grounded in the PRECEDE-PROCEED model of health promotion, will be adapted and disseminated via plans guided by the application the HPRC Dissemination Framework. We will leverage and expand upon tribal capacity built during the previous Native CARS cycle, by engaging the tribal participants as experts throughout this phase. Demonstrating the translation potential of Native CARS interventions into other tribal communities is an essential step toward reducing the disparity in motor vehicle injuries and fatalities experienced by American Indian and Alaska Native children in the U.S.

描述（由申请人提供）：机动车伤害和死亡对家庭和社区来说是毁灭性的。美洲印第安人和阿拉斯加原住民儿童受到机动车辆死亡的影响尤为严重，部分原因是乘坐车辆时受到不当约束。原住民儿童始终安全骑行研究 (Native CARS) 是一项基于社区的参与性研究 (CBPR) 干预研究，已证明已实施干预措施的所有三个部落在改善儿童乘客安全方面取得了成功，与对照组相比，干预社区中观察到的适当约束方面的改善要大得多 (p=0.005)。鉴于 Native CARS 的成功以及相关合作伙伴的经验，该项目处于有利地位，可以过渡到传播阶段，其中协议、工具和干预材料可以转化为其他西北部落使用，并可能使全国部落受益。有效的循证部落干预措施的制定以健康促进的 PRECEDE-PROCEED 模式为基础，将通过 HPRC 传播框架应用指导的计划进行调整和传播。我们将通过在整个阶段让部落参与者作为专家参与，利用并扩展上一个 Native CARS 周期中建立的部落能力。展示土著 CARS 干预措施向其他部落社区转化的潜力，是缩小美国印第安人和阿拉斯加土著儿童所经历的机动车辆伤害和死亡差异的重要一步。