249891 Applying funding agency lessons learned to enhance American Indian motor vehicle injury prevention

Monday, October 31, 2011

Robert J. Letourneau, MPH , Health Behavior and Health Education, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC
Carolyn E. Crump, PhD , Health Behavior and Health Education, University of North Carolina at Chapel Hill, Chapel Hill, NC
Holly Billie, MPH , National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA
Background: This presentation will describe findings from the 2004-2009 Centers for Disease Control & Prevention's (CDC) Tribal Motor Vehicle Injury Prevention Program (TMVIPP). The CDC funded four American Indian (AI) Tribes at approximately $75,000/year to reduce motor vehicle-related injury/fatality using evidence-based strategies identified by the Task Force on Community Preventive Services. Lead authors conducted an end-of-cycle assessment to identify recommendations for agency administrators. Methods: Coupled with in-depth interactions with TMVIPP projects, data sources included: a) project funding applications; b) coordinator workshop evaluations; c) interviews with CDC/TMVIPP staff; d) progress reports; and e) multi-year data collection summaries. We documented success factors when present for at least two tribes and limitation factors when experienced by at least one tribe. Results: We identified project success factors (n=17), project limitation factors (n=15), and recommendations (n=24) by four program components: 1) Program Administration; 2) Partnerships/Collaboration; 3) Tailoring Effective Strategies for AI Communities; and 4) Data Collection and Evaluation. Approximately half of the success factors were present for all four tribes and approximately half of limitation factors were present for 3-4 tribes. Conclusions: Tailoring, multi-year funding, full-time coordinators, and external evaluation are critical elements of a successful TMVIPP. Recommendations have been applied by the CDC to the 2010-2014 TMVIPP funding cycle, including the development of a TMVIPP Administration, Implementation, and Evaluation Manual that, along with other tools/resources emphasizing documentation of consistent program implementation and evaluation. A Guide for tailoring evidence-based strategies to prevent motor vehicle injuries/death in Tribal communities will be developed.

Learning Areas:
Protection of the public in relation to communicable diseases including prevention or control

Learning Objectives:
1. Describe the CDCís Tribal Motor Vehicle Injury Prevention Program. 2. Discuss the challenges and successes in conducting motor vehicle injury prevention in Tribal communities. 3. List recommendations for the TMMIPP.

Keywords: Injury Prevention, American Indians

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I was directly involved with conducting the project and summarizing its results.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.