A systematic review of community interventions to improve Aboriginal child passenger safety

Abstract

We evaluated evidence of community interventions to improve Aboriginal child passenger safety (CPS) in terms of its scientific merit and cultural relevance. We included studies if they reported interventions to improve CPS in Aboriginal communities, compared at least pre- and postintervention conditions, and evaluated rates and severity of child passenger injuries, child restraint use, or knowledge of CPS. We also appraised quality and cultural relevance of studies. Study quality was associated with community participation and cultural relevance. Strong evidence showed that multicomponent interventions tailored to each community improves CPS. Interventions in Aboriginal communities should incorporate Aboriginal views of health, involve the community, and be multicomponent and tailored to the community's circumstances and culture.

FIGURE 1—

Conceptual approach interventions to improve child passenger safety in Aboriginal communities: published and unpublished documents in English; Canada and the United States; February 2011–November 2012.

FIGURE 2—

Medicine wheel: published and unpublished documents in English; Canada and the United States; February 2011–November 2012.

FIGURE 3—

Search and study selection results: published and unpublished documents in English or Spanish; Canada, the United States, and Australia; February 2011–November 2012.

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Study quality and cultural relevance: published and unpublished documents in English; Canada and the United States; February 2011–November 2012.