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- Title
Development of a Culturally Informed Child Safety Curriculum for American Indian Families.
- Authors
Berns, Ryan; Tomayko, Emily; Cronin, Kate; Prince, Ronald; Adams, Alexandra; Parker, Tassy; Berns, Ryan M; Tomayko, Emily J; Cronin, Kate A; Prince, Ronald J; Adams, Alexandra K
- Abstract
American Indian (AI) children are disproportionately affected by unintentional injuries, with injury mortality rates approximately 2.3 times higher than the combined rates for all children in the United States. Although multiple risk factors are known to contribute to these increased rates, a comprehensive, culturally informed curriculum that emphasizes child safety is lacking for this population. In response to this need, academic and tribal researchers, tribal community members, tribal wellness staff, and national child safety experts collaborated to develop a novel child safety curriculum. This paper describes its development and community delivery. We developed the safety curriculum as part of a larger randomized controlled trial known as Healthy Children, Strong Families 2 (HCSF2), a family-based intervention targeting obesity prevention in early childhood (2-5 years). During the development of the HCSF2 intervention, participating tribal communities expressed concern about randomizing enrolled families to a control group who would not receive an intervention. To address this concern and the significant disparities in injuries and unintentional death rates among AI children, we added an active control group (Safety Journey) that would utilize our safety curriculum. Satisfaction surveys administered at the 12-month time point of the intervention indicate 94% of participants (N = 196) were either satisfied or very satisfied with the child safety curriculum. The majority of participants (69%) reported spending more than 15 min with the curriculum materials each month, and 83% thought the child safety newsletters were either helpful or very helpful in making changes to improve their family's safety. These findings indicate these child safety materials have been well received by HCSF2 participants. The use of community-engaged approaches to develop this curriculum represents a model that could be adapted for other at-risk populations and serves as an initial step toward the creation of a multi-level child safety intervention strategy.
- Subjects
UNITED States; NATIVE American children; FAMILY services; HEALTH education -- Social aspects; NATIVE American families; CHILD mortality; HEALTH care intervention (Social services); RANDOMIZED controlled trials; SAFETY; PREVENTION; EDUCATION of Native Americans; EDUCATION of parents; PREVENTION of injury; SAFETY standards; CHILD care; CHILD welfare; CLINICAL trials; CURRICULUM; PSYCHOLOGY of Native Americans; MEDICAL care research; RESEARCH funding; CULTURAL competence; HUMAN services programs; EVALUATION of human services programs
- Publication
Journal of Primary Prevention, 2017, Vol 38, Issue 1/2, p195
- ISSN
0278-095X
- Publication type
journal article
- DOI
10.1007/s10935-016-0459-y