Keay Lisa, Hunter Kate, Ralph Martyn, Porykali Bobby, Lyford Marilyn, Clapham Kathleen, Lo Winston, Ivers Rebecca
1Injury Division, The George Institute for Global Health, University of New South Wales, Sydney, Level 5, 1 King Street Newtown, Sydney, 2042 Australia.
2The Poche Centre for Indigenous Health, The University of Sydney, Room 224, Edward Ford Building (A27), Sydney, Australia.
Pilot Feasibility Stud. 2018 Oct 20;4:161. doi: 10.1186/s40814-018-0351-z. eCollection 2018.
Little is known about the barriers to use of child car seats in Australian Aboriginal communities, or the acceptability of programs to increase appropriate car seat use. This formative evaluation sought to consult and partner with Aboriginal Community Controlled Health Services (ACCHS) to develop and evaluate the feasibility and acceptability of a program intended to improve optimal use of child car seats.
Focus groups were conducted with parents and carers of Aboriginal children to identify the barriers and facilitating factors for child car seat use, and staff of two ACCHS were interviewed to inform program development. Following the implementation of the resulting multi-faceted program, consisting of staff training, education, hands-on demonstrations and a subsidised car seat distribution scheme, interviews were conducted to assess process issues and acceptability with 13 staff members.
Parents and carers in the focus groups reported a lack of awareness of child car seat use, confusion about the right car seats for different aged children but agreed about the importance of safety and community responsibility to keep children safe in cars. Interviews with service staff informed an approach to deliver relevant information. Information and resources were delivered to families, while the car seat distribution scheme supplied 33 families with child car seats. Following the conclusion of the program, staff reported that the program was relevant to their role. They also valued the car seat distribution scheme. Staff training in selection and installation of car seats increased confidence in staff knowledge.
We developed a program to promote child car seat use in ACCHS, which focused on developing capacity, made use of existing infrastructure and developed resources for use in this setting. The program shows promise as a means to promote child car seat use in Aboriginal communities; however, the impact on child car seat use will need to be evaluated in a larger scale prospective trial.
对于澳大利亚原住民社区使用儿童汽车安全座椅的障碍，以及旨在增加适当使用汽车安全座椅的项目的可接受性，人们了解甚少。这项形成性评估旨在与原住民社区控制卫生服务机构（ACCHS）进行协商并建立合作关系，以开发和评估一个旨在改善儿童汽车安全座椅最佳使用情况的项目的可行性和可接受性。
与原住民儿童的家长和照顾者进行焦点小组讨论，以确定使用儿童汽车安全座椅的障碍和促进因素，并对两个ACCHS的工作人员进行访谈，为项目开发提供信息。在实施由此产生的多方面项目后，该项目包括工作人员培训、教育、实际操作演示和补贴汽车安全座椅分发计划，对13名工作人员进行了访谈，以评估过程问题和可接受性。
焦点小组中的家长和照顾者报告说，他们对儿童汽车安全座椅的使用缺乏认识，对不同年龄段儿童适用的正确汽车安全座椅感到困惑，但一致认为安全和社区责任对于在汽车中保护儿童安全很重要。与服务人员的访谈为提供相关信息的方法提供了依据。向家庭提供了信息和资源，而汽车安全座椅分发计划为33个家庭提供了儿童汽车安全座椅。项目结束后，工作人员报告说该项目与他们的职责相关。他们还重视汽车安全座椅分发计划。关于汽车安全座椅选择和安装的工作人员培训增强了工作人员的知识信心。
我们开发了一个在ACCHS中促进儿童汽车安全座椅使用的项目，该项目侧重于能力建设，利用现有基础设施并开发适用于该环境的资源。该项目有望成为促进原住民社区使用儿童汽车安全座椅的一种手段；然而，对儿童汽车安全座椅使用的影响需要在更大规模的前瞻性试验中进行评估。
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