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Abstract
Introduction
Despite a high burden of traffic injuries, effective integrated or linked injury surveillance systems are rarely available in many low- and middle-income countries (LMICs). The aim of the current study was to define a conceptual model for developing a national integrated traffic injury registry in Iran.
Methods
A mult-method study financially and technically supported by the World Health Organization, Iranian Ministry of Health, Iranian Traffic Police, and the Iranian Legal Medicine Organization was conducted. A theoretical framework, forming the core conceptual components, was developed based on expert reviews. The preliminary conceptual model was developed by a panel of experts and tailored through a national workshop of 50 scientists, authorities and experts from nearly all sectors related to road safety promotion and injury management. It was then sent out to external reviewers in order to assess and improve the content validity of the model.
Results
The conceptual model was developed to have six components. These included 1) aims and core definitions; 2) content and core measurements; 3) data flow; 4) data collection routines; 5) organizational matrix; 6) implementation organization. The Haddon’s matrix was adapted to be used as the theoretical framework in defining the content and data flow components of IRTIR. Five subcomponents were defined in the content and core measurements component with each having several subcategories. Each subcomponent/subcategory was finally divided into several item groups to guide defining the final data measurement variables. The data flow component was defined with six data sequence stations. Through the organizational matrix component, five major organizations relevant to road traffic safety were defined as core data production contributors. Some organizations also owned several sub-organizations which contributed in this regard.
Conclusion
It is concluded that the IRTIR conceptual model includes the required six components for developing a national integrated registry for Iran. Its main component called, content and core measurements, leads the researchers in developing final data collection tools in developing the national registry of road traffic injuries in Iran.
Abbreviations
IRTIR, Integrated Road Traffic Injury Registry; FARS, Fatality Analysis Reporting System; RRCGB, Reported Road Causalities Great Britain; ONS, Office for National Statistics; LIMCs, Low- and Middle-Income Countries; HICs, High-Income Countries; YLL, Years of Life Lost; RTIs, Road Traffic Injuries; MOHME, Ministry of Health and Medical Education; UNECE, United Nations Economic Commissions for Europe; OECD, Organization for Economic Co-operation and Development; MRUD, Ministry of Road & Urban Development.
Ethics Approval and Consent to Participate
This project has been approved by the MOHME, Iranian Trustee for Traffic Knowledge Development and Road Traffic Injury Research Center under number 700/1482. It has received ethical approval under number IR.TBZMED.REC.1396.465 from the Ethical Committee in Tabriz University of Medical Sciences.
Verbal informed consent was obtained from all the participants of the study.
Acknowledgments
The authors would like to acknowledge the Integrated Road Traffic Injury Registry research group members who are not listed as authors to this publication.
Peirhossein Kolivand, Mohammad-Hossein Somi MD, Naser Mikaeili PhD, Mousa Amiri PhD, Mashyaneh Haddadi MD, Mahmood Khodadoost MD, Shahriar Behzad Bassirat PhD, Samad Shams-Vahdati MD, Seyed-Hossein Ojaghi MD, Saleh Heydarian PhD Candidate, Nooshin Houshian MSc, Saeideh Sheikhi MSc, Davoud Khorasani MD, PhD, Mojtaba Kheirollahi PharmMD and Alireza Razzagi PhD.
The authors are thankful to Dr. Zendedel Dr. Nouri without whom this work could not have been done. We are thankful to Dr. Ranjbar and Dr. Hamilman for their kind support at all phases of the study.
Author Contributions
All authors made a significant contribution to the work reported, whether that is in the conception, study design, execution, acquisition of data, analysis and interpretation, or in all these areas; took part in drafting, revising or critically reviewing the article; gave final approval of the version to be published; have agreed on the journal to which the article has been submitted; and agree to be accountable for all aspects of the work.
Disclosure
The authors declare that they have no competing interests with respect to the contents of this manuscript.