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IHS IP Program Development Fellowship 2005 Stephen R. Piontkowski June 8, 2006

Child Occupant Restraint Use Campaign and Reasons for Non-use on a Southwestern Native American Reservation. IHS IP Program Development Fellowship 2005 Stephen R. Piontkowski June 8, 2006. Overview. Background Methods Results Discussion Conclusions/Recommendations. Background.

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IHS IP Program Development Fellowship 2005 Stephen R. Piontkowski June 8, 2006

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  1. Child Occupant Restraint Use Campaign and Reasons for Non-use on a Southwestern Native American Reservation IHS IP Program Development Fellowship 2005 Stephen R. Piontkowski June 8, 2006

  2. Overview • Background • Methods • Results • Discussion • Conclusions/Recommendations

  3. Background • MVCs 2nd leading cause of injury and injury death • <8.5% child safety seats use (2005) • Few local tribal programs distribute child safety seats to parents of infants and children 3-5 years of age • A need remained for child occupant protection

  4. Background Project Goals: Increase child safety seat use by 20% among children enrolled at a local child care center Identify barriers to child occupant restraint use

  5. Methods – Child Care Center • Observational surveys • Staff training • Parent training

  6. Methods – Child Care Center • Student training • Buckle Bear • Child safety seat distribution

  7. Methods – Barriers to Use • Focus groups and key informant interviews • determine knowledge and attitudes associated with child occupant restraint use • determine potential effective methods of marketing the importance of child occupant restraint use

  8. Results – Child Care Center • 15 staff attended SNAP • 12 staff trained to conduct observation surveys & Buckle Bear • 9 parents trained in class • 17 seats distributed

  9. Results – Barriers to Use • Two focus groups • Parents/childcare providers • 1 group met at night and 1 during noon hr • 12 participants (1 male, 8 parents, 4 grandparents) • 21-62 years old

  10. Results – Barriers to Use • Key informant interviews • 13 informants • PD, EMS, Tribal Council (5), school district administration, housing office, Head Start, WIC, Health Education, PHN • In their current positions 2-24 years • Interviews lasted 10-35 minutes

  11. Results – Barriers to Use • Barriers to child occupant restraint use Lack of enforcement of the child safety seat law “If I got a ticket, I would have gotten a car seat. I think we need better examples, even our own Tribal Police, there is no enforcement.” Public’s lack of understanding of the importance of child safety seats “[people are] lazy. To me it seems like they don’t care attitude…lets get in and go…they don’t see the importance in it”

  12. Results – Barriers to Use • Knowledge and Attitudes • Buckling up keeps children safe from injury and under control (not a distraction to driver) • Kids should ride in the back seat • Not sure what the law is or if there is one • Knew where to obtain child car seats and information from local programs

  13. Results – Barriers to Use • Potential marketing methods • More classes (when cited for violation, pre-natal) • Personal experiences from local people • Messages from children • Incentives for use • More car seat clinics/checkpoints • Show car seat videos in public places

  14. Discussion • Attitudes at the Child Care Center demonstrated what was being stated in the focus groups and key informant interviews… • Child safety seats are not viewed as important because people do not understand the consequences of unrestrained passengers in a motor vehicle crash

  15. Conclusions/Recommendations • Continue the child safety seat intervention at the Child Care Center • Include components that ensure the Center’s cooperation and detailed involvement in the project (e.g. written agreement that details the roles and responsibilities of each group involved)

  16. Conclusions/Recommendations • Make the existing child occupant restraint law more stringent • Increase enforcement of that law • Develop an enhanced public awareness campaign on the importance of child occupant restraint use • Ensure the provision child safety seats is sustained

  17. Acknowledgements • Gordon Tsatoke • Kenny Hicks • Jon Peabody • Christine Reede • Gilbert Patino • Larry Berger • David Wallace

  18. Child Occupant Restraint Use Campaign and Reasons for Non-use on a Southwestern Native American Reservation IHS IP Program Development Fellowship 2005 Stephen R. Piontkowski June 8, 2006

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