Native Children Always Ride Safe (Native CARS) Study

描述（由申请人提供）：机动车伤亡对家庭和社区是毁灭性的。美国印第安人和阿拉斯加原住民儿童受到机动车死亡事故的严重影响，部分原因是乘坐车辆时受到不适当的约束。土著儿童始终乘坐安全研究（本土汽车），以社区为基础的参与性研究（CBPR）干预研究，已证明成功地提高儿童乘客的安全在所有三个部落实施干预措施，与更大的改善，在干预社区观察到的适当约束相比，控制（p=0.005）。鉴于本土汽车的成功，以及参与合作伙伴的经验，该项目处于有利地位，可以过渡到传播阶段，在该阶段，协议，工具和干预材料可以翻译为其他西北部落使用，并可能使全国各地的部落受益。有效的循证部落干预措施的制定以PRECEDE-PROCEED健康促进模式为基础，将通过实施《健康促进方案传播框架》指导下的计划加以调整和传播。我们将利用和扩大在上一个本土汽车周期中建立的部落能力，在整个阶段中让部落参与者作为专家参与。展示本土汽车干预措施在其他部落社区的转化潜力，是减少美国印第安人和阿拉斯加原住民儿童在机动车伤害和死亡方面差异的重要一步。

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.