IPRC supports UNC Healthy Solutions Team’s work with American Indians and Alaskan Natives (AI/AN)

About UNC Healthy Solutions’ work addressing injuries in American Indian/Alaskan Native communities

 The UNC Healthy Solutions team has provided capacity-building support to projects seeking to change the health of populations by preventing injury, violence, and chronic disease. The team translates evidence-based methods for communities and tribes. Team members conducted 25 projects for Indian Health Services (IHS), Tribes, and Centers for Disease Control and Prevention from 1997 to 2015 to address the burden of injuries faced by American Indian/Alaskan Native (AI/AN) people and support projects focusing on child and youth health. During these projects, they conducted on-site travel to 123 Tribes and tribal organizations across the 12 IHS Areas.

Current collaboration between UNC Healthy Solutions team and the Indian Health Services (IHS) Injury Prevention Program (IPP)

The UNC Healthy Solutions team in the Department of Health Behavior (DHB) at the University of North Carolina at Chapel Hill currently provides Academic Advisor Services to the IHS IPP. The project includes three primary project activities: 1) Injury Prevention Fellowship; 2) Course Curriculum Design and Evaluation, and 3) Consultation to IHS IPP Manager. The IPRC, along with 22 identified AI/AN health and injury and violence prevention experts, support the UNC Healthy Solutions team in implementing various aspects of the project.

Prior work conducted for injury and violence prevention (IVP) practitioners in AI/AN communities

As part of training and technical assistance services provided to American Indian & Alaska Native (AI/AN) Tribes and Tribal Organizations conducting community-based injury prevention from 1997 to 2015, UNC-Chapel Hill Department of Health Behavior faculty and staff (Dr. Carolyn E. Crump and Mr. Robert J. Letourneau, MPH) have developed a variety of tools and resources for injury prevention practitioners planning, implementing, and evaluating injury prevention program activities, particularly those focused on reducing motor vehicle crash injury.

Tribal Motor Vehicle Injury Prevention Resources

The resources below have been developed by Dr. Crump and Mr. Letourneau, part of the UNC Healthy Solutions Team, for projects funded by several entities:

  • Centers for Disease Control & Prevention: Tribal Motor Vehicle Injury Prevention Program (TMVIPP)
  • Indian Health Service: Tribal Injury Prevention Cooperative Agreements Program (TIPCAP); Ride Safe Program; and Child & Youth Program.
  • AI/AN Tribes and Tribal organizations: Ho-Chunk Nation, Tohono O’odham Nation, White Mountain Apache Tribe, and San Carlos Apache Tribe.

Resource list:

For questions about these resources, please contact Robert J. Letourneau at 919-966-3920 or robert_letourneau@unc.edu.

Resource Descriptions:

UNC-IHS Observational Seatbelt Use Survey Protocol (updated March 2011)

In 2003,  under contract to IHS, UNC faculty and staff pilot-tested a seat belt use observational survey protocol among several Tribal communities participating in TIPCAP to examine statistical and programmatic implications of observational location selection.  The purpose of the project was to recommend valid procedures to estimate seatbelt use in American Indian/Alaska Native communities.  Based on findings from the Seat Belt Observational Survey Protocol Development Project, UNC revised the Protocol in 2005, 2010, and in 2011.  This document summarizes four phases to follow the protocol:  1) Observation Location Identification and Traffic Volume Assessment; 2) Selecting Observation Locations to Survey; 3)  Conducting Observational Seat Belt Surveys; and 4) Summarize Annual Seat Belt Use Data.  The document also includes an appendix for estimating seatbelt use in small communities.

Ride Safe-Adapted Child Safety Seat Observation Survey Guide (February 2012)

This Guide was originally developed by a team of staff from the Indian Health Service and UNC for the Indian Health Service’s child passenger safety program called Ride Safe, a Tribal Head Start Center-based child passenger safety program that combines education and the distribution of child passenger safety seats to the families of Head Start aged children.  This adapted version of the guide was developed by UNC staff as a technical assistance tool for Tribes/Tribal organizations conducting child passenger safety initiatives for the Centers for Disease Control & Prevention’s 2010-2014 Tribal Motor Vehicle Injury Prevention Program and sought to help Tribal Injury Prevention Program coordinators in AI/AN communities make decisions about assessing child safety seat use rates in their communities.  The Guide provides instructions on conducting child safety seat use observational surveys.  The surveys described in this guide help to document the use of child safety seats.  They are not used to determine if the restraints are being used correctly.  Child Safety Seat ‘check’ events are used to assess proper use and, if necessary, make corrections to those using child safety seats incorrectly.

Traffic Safety Intervention Event Summary Templates

As part a four-year project to support the 2010-2014 CDC TMVIPP, UNC Team members developed four templates for use by community injury prevention coordinators to track consistent information about four types of traffic safety intervention activities promoted by TMVIPP.  Each of the following four templates includes an introduction, instructions on how to complete the template, a sample completed template, and a blank template:

  1. Enhanced Occupant Restraint Use Enforcement Events
  2. Enhanced Driving Under the Influence (DUI) Enforcement Events
  3. Child Safety Seat Events
  4. Use of Media Events

Sample Traffic Safety Formative Evaluation Surveys

As part of an evaluation contract to support the Ho-Chunk Nation in Wisconsin funded during the 2004-2009 CDC TMVIPP funding cycle, UNC Team members developed several formative evaluation surveys to assess knowledge, attitudes, and practices regarding child safety seat use and enforcement, occupant restraint use and traffic safety laws, and youth alcohol use.  The questions used in each of the three sample surveys should be modified, as needed, to best suit your project’s needs and for use in your community.

  1. Sample Child Safety Seat Law Enforcement Survey
  2. Sample Occupant Restraint Use Community Survey
  3. Sample Youth Alcohol Use Survey