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：
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
项目类别：
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

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）：汽车撞车是美国印第安人（AL）儿童的主要死亡原因，适当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AL儿童在旅行时仍然完全不受限制地骑车或不当受到限制。在最近在美国西北部6个部落的一项车辆观察研究中，大多数8岁的AL儿童或骑马（41％）或不当（30％）受到约束。尽管这些部落的成年驾驶员通常不了解有关儿童车辆限制的法律，但他们可以接受更多信息和有关适当使用儿童安全座椅的培训。 2010年健康人的伤害预防目标之一促进了儿童安全席位的广泛和持续使用。西北部的部落优先考虑预防伤害，尤其是降低了汽车的发病率和死亡率。为了回应西北波特兰地区印度卫生委员会成员部落通过的决议，该申请已准备好并提交。我们的西北部落，西北波特兰地区印度卫生委员会和华盛顿大学的Harbourview伤害预防中心的合作伙伴团队使用基于社区的参与研究模型，建议在西北6个部落社区计划，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，以确定适当的约束使用障碍，与部落合作设计和进行文化适当的干预措施，并在五年中的三个时间点进行观察车辆调查。我们建议使用交错的干预设计，一次在三个部落中实施干预措施，并在每次干预之前和之后比较儿童乘客的约束用途。部落将参与研究过程的各个方面，包括基于结果的解释和未来计划。我们预计，设计良好的，由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。