In preparation for this project, the research leads made several trips to Akwesasne to meet with relevant stakeholders. The first trip included a tour of the community and meetings with Akwesasne police, ambulance, community health nurses, Ahkwesahsne Mohawk Board of Education and Boys’ and Girls’ Club as part of an information gathering phase. A briefing note was prepared to request a future formal meeting with Ahkwesahsne Mohawk Board of Education and Boys’ and Girls’ Club to discuss a potential research agreement. This agreement was subsequently drafted by Dr. McDonald, agreed upon by all parties, and signed in May 2013. A scope of work and timeline was established with local research lead, Dr. McDonald, and ethical approval for the project was received.
Incident reports of injuries that took place at AMBE schools during the 2011-2012 and 2012/13 school years became the source data for the project. Data abstraction and entry using EpiInfo and Excel was conducted on-site by a local community member and overseen by research leads Dr. McDonald and Dr. Macpherson. An analysis of the information from 599 incident reports identified time of day, location, type of injury, gender, severity of the injury, action taken, and contributing factors so that recommendations could be made for future safety precautions. At the request of AMBE, a template for a database that could be used to enter incident reports on an ongoing basis was developed collaboratively with the local project lead Dr. McDonald, York University and UBC. The AMBE provided approval of the final template, achieved by consensus with the local project lead. All data was kept on a secure, password protected computer. Although incident reports contained personal identifiers such as individual children’s names, no personal information was entered into the computerized database. All data input was conducted in the community of Akwesasne through the oversight of the local research lead, Dr. McDonald, in collaboration with a contracted community member.
Two further meetings (Dec 2013 and March 2014) took place with the research team and AMBE to provide updates on the project, preliminary findings, and discuss potential elements of an AMBE injury prevention framework.