Child Safety Seat Intervention for Pacific Northwest Tribes

太平洋西北部落儿童安全座椅干预

基本信息

批准号：
7493816
负责人：
JODI A LAPIDUS
金额：
$ 57.7万
依托单位：
NORTHWEST PORTLAND AREA INDIAN HLTH BD
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-05-28 至 2013-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7493816
关键词：
4 year old Accounting Address Adopted Adult Age Age-Years 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 Numbers Pacific Northwest Parents Perception 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 symposium therapy design tribal community tribal member

项目摘要

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（由申请人提供）：机动车碰撞是美洲印第安人（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，但是，许多印第安人儿童仍然完全骑车旅行时不受约束或约束不当。最近在美国西北部 6 个部落进行的一项车辆观察研究显示，大多数 8 岁或以下的阿尔儿童在骑行时没有（41%）或不适当（30%）受到约束。虽然这些部落的成年司机通常不了解有关儿童车辆约束装置的法律，但他们愿意接受更多有关正确使用儿童安全座椅的信息和培训。 2010 年健康人民伤害预防目标之一是促进儿童安全座椅的广泛和一致使用。西北地区的部落优先考虑伤害预防，特别是降低其成员中机动车碰撞事故的发病率和死亡率。本申请的准备和提交是为了响应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。我们的合作伙伴团队来自西北部落、西北波特兰地区印第安人健康委员会和华盛顿大学港景伤害预防中心，采用基于社区的参与性研究模型，建议在 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措施的障碍，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。我们建议采用交错干预设计，一次在三个部落实施干预，并在每次干预前后比较所有六个部落的儿童乘客约束装置使用情况。部落将参与研究过程的各个方面，包括根据结果进行解释和未来规划。我们预计，精心设计、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。