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Car Seat Education for Refugees: Bridging Barriers. Objectives. Identify attributes of patient-centered and non-verbal forms of communication Describe reasons why refugees are at greatest risk for injury Learn how to create a supportive educational environment for refugee families
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Objectives • Identify attributes of patient-centered and non-verbal forms of communication • Describe reasons why refugees are at greatest risk for injury • Learn how to create a supportive educational environment for refugee families • Ensure refugee parent is able to properly secure a car seat and a child in a car seat
Refugee A person who has fled his/her country of nationality (or habitual residence) and who is unable or unwilling to return to that country because of a “well founded” fear of persecution based on race, religion, nationality, political opinion or membership in a particular social group. - United Nations High Commissioner for Refugees (UNHCR)
Why are refugees at risk? • Greater risk of death and injury than the general population (Source: Department of Immigration and Multicultural Affairs, 2006) • Perceptions of feeling safe • War torn countries vs. peace • Risk of rape vs. freedom to play • Little to no experience with injury prevention tools or methods
Don’t Assume . . . Diversity of your groups: • Gender Roles • Education • Life Experiences • Healthcare and Safety Perceptions • Be sensitive to the culture
Non-verbal dimensions of Communication • Kindness • Patience • Smiles • Body language
Patient Centered Communication • Explain what and why you are doing things • Talk slowly • Show interest in the person’s life experiences • Ask about their cultural background • Take an interest to get to know the person
Combining 2 types of Communication • By taking your time and showing interest may help improve adherence to preventive messaging. • Build on positive health promoting habits and behaviors • Mention something positive
Working with Resettlement Agencies • Making contact • International Rescue Committee • Lutheran Social Services - Refugee Focus • Catholic Charities • Refugee Healthcare clinics • Helping a community develop an injury prevention program • Peppertree
How we teach a car seat class . . . • Introductions • Greetings and respect are very important • Engage your audience • Is there a word for car seat? • Brief overview of child passenger safety • Distribute car seats • Demonstrate how to secure a child in each car seat • Go out to the car demonstrate car seat installation • Encouragement - Good Job! • Question and Answer
Focus on the Basics • Why do they think seatbelts are important? • First experience with a seatbelt
Where we teach • Resettlement Agency • Provide background information on participants • Physician Offices • Apartment Homes • Meeting Rooms • Inside homes (Special Transportation Needs)
Language Barrier • Spoken languages • Numerous languages in a class • Interpreter sits by same language parent • Interpreters may assist in demonstrating the concept • Interpreter • Not always present • Not always effective • More demonstration
Using Interpreters • Use basic and simple terms • Some interpreters just learned English • Speak in short, concise and direct sentences • give the interpreter time to interpret • Demonstrate the topic • Teach at the car
When an interpreter is not available . . • Use a video • Demonstrate the car seat topic • Practice, practice, practice • Provide materials • English speaking members in the community • Materials with photos may be best
Evaluation • After participating in a class parents demonstrate • Correct installation of car seat • Ability to secure their child or a doll in the seat • Currently unable to follow up with families to determine the correct and continued use of the restraint
Don’t be afraid to ask for help • Safe Kids Maricopa County • Colleagues • Volunteers • Agency staff
Thank you! Angelica M. Baker, CPST Phoenix Children’s Injury Prevention Center Child Passenger Safety Specialist (602) 933-3353 ambaker@phoenixchildrens.com Zoraida Ettrick, CPSI Safe Kids Maricopa County Coordinator Injury Prevention Program Manager Maricopa County Department of Public Health (602) 506-6860 zoraidaettrick@mail.maricopa.gov