@article{ref1,
title="Interventions for motor vehicle crashes among indigenous communities: strategies to inform Canadian initiatives",
journal="Canadian journal of public health",
year="2014",
author="Short, Megan M. and Mushquash, Christopher J. and Bedard, Michel",
volume="105",
number="4",
pages="e296-305",
abstract="OBJECTIVES: Motor vehicle crashes (MVCs) are a leading cause of death for Canadian Aboriginal peoples; developing effective interventions should be a public health priority. While intervention research has been conducted outside of Canada, few formal program evaluations have been conducted in Canada. We reviewed Canadian and non-Canadian Indigenous road safety initiatives to inform future program development in Canada. <br><br>METHODS: A systematic review of the published and grey literature examining MVC intervention programs in Indigenous communities was performed. Studies published after 1980 reporting pre-post comparisons of MVC interventions in Indigenous communities were included in the review. These studies were assessed using a modified Participatory Action Research quality assessment tool. Haddon's Matrix of injury epidemiology and prevention was used to categorize crash-related risk factors targeted in the MVC interventions. SYNTHESIS: A total of 11 studies met inclusion criteria, including 1 Canadian study and 10 non-Canadian studies. Successful intervention components included focus groups, training community members, educational activities, distribution of safety devices, collaboration with local law officials to enhance enforcement, driver-licensing courses, and incentive programs. Potential barriers to successful implementation and evaluation involved lack of incorporation of cultural and contextual factors, enforcement factors, and methodological limitations. <br><br>CONCLUSION: Several effective strategies to reduce MVCs can be adapted and implemented at the community and national levels. Future directions might include using multiple intervention components and incorporating a collaborative, culturally and contextually appropriate approach, while promoting evaluation initiatives and widespread dissemination of findings.<p /> <p>Language: en</p>",
language="en",
issn="0008-4263",
doi="",
url="http://dx.doi.org/"
}