Table 1 Summary of articles by injury topic
Topic (Number of articles) | First author (Date published)* | Tribe (Location) | Study type | Knowledge gap addressed | Project description and available findings |
|---|---|---|---|---|---|
Falls (n = 15) | Kuklinski (May 1998) (Kuklinski 1998) | Multiple unidentified (Arizona) | Cross-sectional | Local epidemiology, risk identification | Project: Described causes of Phoenix Area elder deaths Finding: The mortality rate due to falls was higher than the rate for all United States (US) races |
Sandstorm (October 1998) (Sandstrom et al. 1998) | Omaha (Nebraska) | Cross-sectional | Local epidemiology | Project: Employed the Physical Therapy Assessment and Treatment Protocol at a skilled nursing facility Finding: The rate of functional impairments was high among residents | |
Maxted (November 1998) (Maxted 1998) | Multiple unidentified (Not available [N/A]) | Tool development | Cultural tailoring of an existing measurement tool | Project: Adapted a functional assessment to American Indian and Alaska Native (AI/AN) elders Finding: A composite measure was likely to be the most accurate means of assessing functionality in elders | |
McDonald (February 2001) (McDonald 2001) | AI/AN generally (N/A) | Protocol | Local epidemiology, risk identification | Project: Developed a community-based participatory research approach to collecting survey data on the health and social needs of AI/AN elders | |
Finke (May 2003) (Finke 2003) | AI/AN generally (N/A) | Qualitative analysis | Cultural tailoring of an existing intervention | Project: Sought feedback from clinicians to adapt preventative care guidelines for elders to AI/AN populations Finding: Recommendations were collected on screening, immunizations, chemoprophylaxis, and more | |
Morse (May 2005) (Morse 2005) | AI/AN generally (N/A) | Literature review | Cultural tailoring of existing interventions | Project: Described the use of health promotion programs in primary care settings to improve the health of elders Findings: Community-based health promotion programs in Indian Health Service (IHS) primary care settings have particularly benefited AI/AN elders | |
Ducore (July 2008) (Ducore and Newsad 2008) | Multiple unidentified (California) | Tool development | Novel measurement tool | Project: Developed the Elder Falls Prevention Self-Assessment Tool to capture fall injury risk factors Finding: Test clinics reported that the tool addressed their need for a fall prevention assessment but could be clarified for easier use | |
Bill (July 2010) (Bill and Finke 2010) | AI/AN generally (N/A) | Protocol | Cultural tailoring of existing interventions | Project: Created workgroups to identify data, evidence-based interventions, and existing AI/AN efforts as part of a comprehensive approach to elderly fall prevention | |
Michaelson-Gambrell (July 2010) (Michaelson-Gambrell and Williams 2010) | One unidentified (N/A) | Implementation evaluation | Cultural tailoring of an existing intervention | Project: Developed and implemented a Tai Chi program to reduce elderly falls Finding: Community members’ initial responses were receptive | |
Berger (October 2010) (Berger and Sims 2010) | Multiple unidentified (N/A) | Cross-sectional | AI/AN-specific epidemiology | Project: Quantified the extent of polypharmacy among AI/AN elders Finding: In 2009, 73% of patients aged > 50 received ≥ 1 prescription, 43% received ≥ 4 prescriptions, 24% received ≥ 7 prescriptions, and 13% received ≥ 10 prescriptions during at least one medical encounter | |
Sims (July 2011) (Sims et al. 2011) | Multiple unidentified (N/A) | Cross-sectional | AI/AN-specific epidemiology | Project: Quantified prescriptions associated with increased fall injury risk among AI/AN elders Finding: In 2008, 19% of patients aged ≥ 65 received a prescription associated with increased fall injury risk | |
Scott (July 2013) (Scott et al. 2013) | One unidentified (British Columbia) | Implementation and outcome evaluation | Novel intervention | Project: Evaluated the effectiveness and reception of a multimedia training program to increase fall prevention knowledge in primary care providers Finding: After the program, participants’ knowledge of elderly falls increased | |
Stevens (September 2013) (Stevens 2013) | AI/AN generally (N/A) | Program description | Novel intervention | Project: Developed a tool kit to act as a broad resource to help health care providers incorporate fall risk assessment and interventions into clinical practice | |
Finke (July 2013) (Finke and Bill 2013) | AI/AN generally (N/A) | Literature review | Cultural tailoring of existing interventions | Project: Summarized guidelines for fall prevention in AI/AN elders Finding: A comprehensive fall prevention approach should include screening, exercises to improve mobility, and solutions to medications with side effects | |
Berger (July 2013) (Berger and Williams 2013) | AI/AN generally (N/A) | Program description | Cultural tailoring of existing interventions | Project: Created strategies to incorporate fall prevention into the comprehensive care of adults with diabetes | |
Motor vehicle crashes (MVCs) (n = 14) | Parris (July 2010) (Parris 2010) | One unidentified (N/A) | Qualitative analysis | Cultural tailoring of existing interventions | Project: Interviewed multiple stakeholders to understand the keys to sustaining a child passenger safety program in tribal communities Finding: Key elements included child restraint law, advocacy, and resources |
Letourneau (July 2011) (Letourneau et al. 2011) | Four unidentified (N/A) | Qualitative analysis | Cultural tailoring of existing interventions | Project: Determined contributors and barriers to success in tribal motor vehicle and injury prevention programs (TMVIPPs) Finding: Success in TMVIPPs were due to program administration, partnerships, tailoring strategies, and more | |
Hansen (August 2015) (Hansen and Hymer 2015) | One unidentified (Nevada, Arizona, and New Mexico) | Program description | Novel intervention | Project: Improved an existing training program called Safe Native American Passengers to increase participation with the goal of reducing MVC injuries in children | |
Phipps (March 1997) (Phipps et al. 1997) | Cherokee (Oklahoma) | Cross-sectional | Local epidemiology | Project: Quantified the cost and rate of MVC-related emergency room visits and hospitalizations at an IHS hospital Finding: Between January and September 1994, there were 262 MVC-related patients, most of whom were not restrained, accounting for about $506,000 | |
Williams (June 1998) (Williams 1998) | Ute (Utah) | Implementation and outcome evaluation | Cultural tailoring of an existing intervention | Project: Created an incentive campaign to increase car seat and seat belt use by rewarding drivers and passengers for being properly restrained Finding: Post-incentive observations showed that rates at least doubled in both types of restraint use | |
John (November 2001) (John and Berger 2001) | Yakama (Washington) | Program description | Cultural tailoring of existing interventions | Project: Reviewed multiple interventions including a child restraint education and distribution program, a survey to assess seat belt use, a public awareness campaign, and efforts to pass a seat belt law | |
Thompson (September 2003) (Thompson et al. 2003) | Chippewa (Minnesota) | Tool development | Cultural tailoring of an existing measurement tool | Project: Used geographic information system (GIS) technology to develop a map of motor vehicle crash site clusters | |
Reede (July 2007) (Reede et al. 2007) | Apache (Arizona) | Outcome evaluation | Cultural tailoring of existing interventions | Project: Increased sobriety checkpoints, lowered the legal blood alcohol content limit, and created a media campaign to increase restraint use and reduce alcohol-impaired driving Finding: Between 2004–2006, MVCs involving injury reduced by 20% | |
Billie (September 2007) (Billie et al. 2007) | Ute (Utah) | Outcome evaluation | Cultural tailoring of existing interventions | Project: Implemented general and targeted education events, enhanced law enforcement, and child safety seat clinics to increase restraint use Finding: Between 2002–2003 and 2004–2005, adult and child restraint use grew from 22 to 42% and 20% to 42% respectively, and alcohol-related MVCs declined | |
Letourneau (July 2009) (Letourneau 2009) | Ho-Chunk (Wisconsin) | Outcome evaluation | Cultural tailoring of existing interventions | Project: Implemented general and targeted education events, media campaigns, and enhanced law enforcement to increase restraint use Finding: Between 2005–2008, seatbelt use increased from 46.7% to 61.2%, and between fall 2003 and spring 2008, child safety seat use increased from 26.4% to 78.4% | |
Piland (December 2010) (Piland et al. 2010) | Apache (Arizona) | Cost–benefit evaluation | Cultural tailoring of existing interventions | Project: Compared the costs and benefits of a comprehensive TMVIPP Finding: For every dollar spent over eight years, there were almost $10 in medical and other cost savings | |
Tsatoke (February 2010) (Tsatoke et al. 2010) | One unidentified (N/A) | Outcome evaluation | Local epidemiology | Project: Explained the statistical decline in MVC injuries at an IHS emergency room Finding: The reduction was due to 76% of MVC-related patients being transported to other facilities | |
Merchant (June 2012) (Merchant 2012) | Crow (Montana) | Cross-sectional | Local epidemiology | Project: Identified locations where MVCs occurred using transportation data and GIS technology Finding: Between 2002–2008, there were 36 MVC cluster sites, and annual MVC rates were lower than statewide averages but with higher severity indices | |
Smith (July 2014) (Smith et al. 2014) | Six unidentified (Northwestern region) | Protocol | Novel intervention | Project: Developed methods for using an observational interview to measure child safety seat use, including site and vehicle selection | |
Poisonings (n = 9) | Dreisbach (December 2006) (Dreisbach and Koester 2006) | Seven unidentified (Colorado) | Qualitative analysis | AI/AN-specific epidemiology | Project: Conducted interviews with current and former methamphetamine users and service providers to describe the trends, signs, and implications of use Finding: Collaborative prevention, early detection, and treatment efforts could reduce risk in AI/AN communities |
Bubar (December 2006) (Bubar and Payne 2006) | One unidentified (N/A) | Literature review | AI/AN-specific epidemiology | Project: Summarized the impact of methamphetamine use on children Finding: Higher incidences of child abuse and neglect were related to methamphetamine use | |
Honahni (December 2006) (Honahni 2006) | Multiple unidentified (N/A) | Cross-sectional | Risk identification | Project: Surveyed law enforcement agencies to identify the threat level of methamphetamine on tribal lands Finding: The most reported themes were related to supply and production, community impact and resources, law enforcement challenges, and drug courts | |
Hagen (December 2006) (Hagen and Chaney 2006) | AI/AN generally (N/A) | Literature review | Cultural tailoring of existing interventions | Project: Outlined a basic legal framework for the federal prosecution of crimes in AI/AN communities dealing with illegal drugs | |
Woodis (January 2007) (Woodis 2007) | AI/AN generally (N/A) | Program description | Cultural tailoring of existing interventions | Project: Summarized the development of a workgroup between the IHS and Substance Abuse and Mental Health Services Administration to address methamphetamine prevention | |
Masis (January 2007) (Masis 2007) | AI/AN generally (N/A) | Program description | Cultural tailoring of existing interventions | Project: Developed a model for intervening with methamphetamine users who are willing to quit called the “5 A’s”: Ask, Advise, Assess, Assist, and Arrange | |
Lovell (January 2007) (Lovell 2007) | AI/AN generally (N/A) | Program description | Cultural tailoring of existing interventions | Project: Described how Healing to Wellness Courts have supported recovery for substance abusing offenders while improving service delivery and achieving maximum use of resources | |
Coyhis (January 2007) (Coyhis and Simonelli 2007) | Multiple unidentified (Colorado) | Qualitative analysis | Cultural tailoring of existing interventions | Project: Summarized discussions at a conference on methamphetamine healing Finding: Participants most often cited the importance of existing knowledge on the drug, cultural tailoring, sharing personal successes, and spiritual approaches | |
Love (January 2007) (Love and Barrera 2007) | AI/AN generally (N/A) | Literature review | Cultural tailoring of existing interventions | Project: Documented the issues of and evidence-based interventions for methamphetamine use Finding: Key risk factors for have been identified, but few evidence-based interventions are available in AI/AN populations | |
Improving data (n = 9) | Griffith (July 2002) (Griffith 2002) | AI/AN generally (N/A) | Program description | Local and AI/AN-specific epidemiology | Project: Described a hypothetical conversation between two colleagues planning a Resource and Patient Management System (RPMS) population-based analysis to guide such work |
Powers (November 2006) (Powers 2006) | AI/AN generally (N/A) | Program description | Local and AI/AN-specific epidemiology | Project: Outlined training programs focused on the use and implementation of Electronic Health Records | |
Pahona (October 2007) (Pahona et al. 2007) | Multiple unidentified (Nevada, Utah, and California) | Implementation evaluation | Local epidemiology | Project: Tested the viability of using a RPMS to surveil severe injuries Finding: The RPMS provided a reliable and practical process for identifying injury events and types | |
Price (July 2008) (Price et al. 2008) | Multiple unidentified (California) | Formative evaluation | Local epidemiology | Project: Interviewed and surveyed injury prevention coordinators on their needs related to storing, retrieving, and comparing passenger safety data Finding: The web-based Occupant Protection Use System (OPUS) addressed coordinators’ common data analysis challenges | |
Bradley (January 2009) (Bradley and Nail-Chiwetalu 2009) | AI/AN generally (N/A) | Program description | AI/AN-specific epidemiology | Project: Described the Native Health Database, a web-based system containing citations, abstracts, and full-text links on AI/AN health information | |
Piontkowski (February 2011) (Piontkowski et al. 2011) | Multiple unidentified (Arizona) | Outcome evaluation | Local and AI/AN-specific epidemiology | Project: Compared data from local IHS Severe Injury Surveillance Systems and the Arizona Department of Health Services Finding: State data underrepresented injury cases, showing that they cannot completely substitute local data | |
Bowser (July 2012) (Bowser and Williams 2012) | Tohono O’odham Nation (Arizona) | Implementation evaluation | Cultural tailoring of an existing intervention | Project: Piloted a Global Positioning System program to enhance the emergency response to MVCs Finding: The response time for combined ambulance and fire truck runs was 16.8 min during baseline and 13.9 min during intervention | |
Bales (July 2012) (Bales et al. 2012) | Fort Mojave and Chemehuevi (California, Nevada, and Arizona) | Implementation evaluation | Local epidemiology | Project: Tested an injury surveillance system based on emergency room, hospitalization, and mortality data from multiple states Finding: Through the multi-state system, the leading causes of injuries could be identified | |
Dankovchik (July 2014) (Dankovchik et al. 2014) | Multiple unidentified (Washington) | Outcome evaluation | Local epidemiology | Project: Evaluated the accuracy of race information in the Washington Trauma Registry Finding: Nearly half of the AI/AN patient files in the Registry were misclassified by race | |
Burns (n = 3) | Kuklinski (September 1999) (Kuklinski 1999) | Multiple unidentified (Arizona) | Protocol | Cultural tailoring of existing interventions | Project: Developed the Sleep Safe program to reduce fire and burn injuries in children aged 0–5 by providing curricula around smoke detector use and emergency planning |
Kuklinski (July 2007) (Kuklinski and Cully 2007) | Multiple unidentified (Minnesota) | Implementation and outcome evaluation | Cultural tailoring of existing interventions | Project: Implemented the Sleep Safe program in 20 of the 27 Bemidji Area tribes with Head Start programs Finding: Across all sites, the number of homes with functioning smoke alarms increased 40 percent (from 70% at baseline to 99% at follow-up visits) | |
Kuklinski (May 2001) (Kuklinski and Allen 2001) | Chippewa (Minnesota) | Program description | Cultural tailoring of existing interventions | Project: Created the White Earth Home Safety Collaborative Team to educate elders on how to maintain and test smoke alarms | |
Children (n = 1) | Berger (July 2007) (Berger et al. 2007a) | AI/AN generally (N/A) | Cross-sectional | AI/AN-specific epidemiology and risk identification | Project: Described injury mortality rates in AI/AN children and children in the US overall between 2000–2002 Finding: The disparity in mortality rates due to injury was the main driver of the disparity in overall mortality rates between AI/AN and White children |
Other (n = 17) | Russell (March 2001) (Russell et al. 2001) | Rosebud (South Dakota) | Cross-sectional | Local epidemiology and risk identification | Project: Characterized animal bite cases in an emergency room Finding: 396 cases were identified, suggesting the following needs: a revised hospital animal bite protocol, increased community awareness, and a Dog Control Task Force |
Brown (October 2004) (Brown and Finke 2004) | AI/AN generally (N/A) | Literature review | Cultural tailoring of existing interventions | Project: Summarized the risk factors for and approaches to screening osteoporosis Finding: Common screening guidelines were particularly appropriate for elderly AI/AN women | |
Cooper (October 2004) (Cooper 2004) | AI/AN generally (N/A) | Literature review | AI/AN-specific epidemiology | Project: Described how to use the Cochrane Database for indexing systematic reviews of medical, surgical, and health interventions | |
Carlson (June 2005) (Carlson et al. 2005) | AI/AN generally (N/A) | Implementation evaluation | Cultural tailoring of an existing intervention | Project: Assessed the response of IHS injury practitioners to a free online injury training course Finding: The option resulted in high rates of nonparticipation | |
Rothman (July 2005) (Rothman 2005) | Navajo (Arizona) | Cross-sectional | Local epidemiology | Project: Surveyed children on their all-terrain vehicle use and safety practices Finding: Although 73.6% of students grades 5–8 reported riding an ATV at least once per week, only 67% of those students reported at least usually wearing a helmet | |
Riddles (November 2006) (Riddles 2006) | AI/AN generally (N/A) | Outcome evaluation | Cultural tailoring of existing interventions | Project: Reviewed the performance of IHS agencies and programs based on government-wide measures Finding: Between 2002–2006, the US Office of Management and Budget reviewed 6 IHS programs, all rated narratively as Adequate or higher | |
Berger (February 2007) (Berger et al. 2007b) | AI/AN generally (N/A) | Outcome evaluation | Novel intervention | Project: Surveyed IHS Injury Prevention Fellow graduates to understand whether the program achieved its goals Finding: Three or more years after program completion, 48% of graduates said that injury prevention constituted at least 25% of their current workload | |
Letourneau (July 2007) (Letourneau and Crump 2007) | AI/AN generally (N/A) | Program description | Cultural tailoring of existing interventions | Project: Described benefits and best practices for the IHS’s provision of technical assistance to enhance injury prevention capacity in tribes | |
Robertson-Begay (September 2007) (Robertson-Begay et al. 2007) | Navajo (Arizona) | Program description | Cultural tailoring of existing interventions | Project: Increased injury prevention capacity through a multipronged approach, including assessment of key issues and the creation of the Hardrock Council on Substance Abuse Prevention | |
Piland (September 2007) (Piland and Berger 2007) | AI/AN generally (N/A) | Literature review | AI/AN-specific epidemiology | Project: Reviewed information about the economic burden of injuries among AI/AN communities Finding: The total cost of injuries was over $2.1 billion in 2000 | |
Hicks (September 2007) (Hicks et al. 2007) | AI/AN generally (N/A) | Program description | Cultural tailoring of existing interventions | Project: Created the IHS Injury Prevention Program’s guiding principles, including community-specific interventions, collection of reliable data, and capacity building to foster tribal ownership | |
Prosser (July 2008) (Prosser and All 2008) | Multiple unidentified (California) | Qualitative analysis | Novel intervention | Project: Conducted interviews of practitioners to understand the role of Contract Health Services (CHS) in AI/AN health care services Finding: Data on injuries were scarce because summaries from CHS hospitals were not required prior to payment by the local clinic | |
Tsatoke (July 2009) (Tsatoke et al. 2009) | One unidentified (N/A) | Program description | Novel intervention | Project: Described the benefits and challenges of establishing injury prevention partnerships in one tribe, such as funding issues and turnover | |
Berger (July 2011) (Berger and Piontkowski 2011) | AI/AN generally (N/A) | Program description | Cultural tailoring of an existing intervention | Project: Described the advantages of using focus groups in community-based injury interventions, such as flexibility, affordability, and rapid feedback | |
Berger (July 2012) (Berger 2012) | AI/AN generally (N/A) | Program description | Cultural tailoring of an existing intervention | Project: Described beneficial approaches to community engagement for injury prevention, such as sourcing insights from community members, partnerships, and targeted use of media | |
Canniff (July 2014) (Benton 2015) | Multiple unidentified (Oregon) | Implementation evaluation | Cultural tailoring of existing interventions | Project: Documented the challenges faced by a set of tribes in creating a full-time injury prevention program Finding: Challenges included lack of awareness of the impact of injury, funding, and difficulty accessing data | |
Benton (August 2015) (Benton 2015) | Pueblo of Jemez (New Mexico) | Implementation evaluation | Cultural tailoring of existing interventions | Project: Documented the successful establishment of a full-time injury prevention program Finding: Factors that contributed to the successful implementation included communication with tribal leadership, partnerships with tribal and non-tribal entities, and evidence-based strategies |