Social support, educational, and behavioral modification interventions for improving household disaster preparedness in the general community-dwelling population

Amberson, Taryn; Heagele, Tara; Castner, Jessica; Wyte-Lake, Tamar; Couig, Mary Pat; Bell, Sue Anne; Mammen, Manoj J.; Wells, Valerie

doi:10.1002/14651858.cd014934

Cited by 3 publications

(12 citation statements)

References 57 publications

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“…We found that the relationship between awareness and perceived risk is positive and significant (H2), suggesting that both concepts are different and should be measured separately. This results is in line with previous research in this field (Cubelos et al., 2019; Floyd et al., 2000; Tekeli‐Yeşil et al., 2011) and other fields such as health education interventions (Amberson et al., 2021; Michie et al., 2011), and occupational safety. Research in these latter fields emphasizes that people must first recognize and identify a threat before personalizing the risk (Perlman et al., 2014).…”

Section: Discussionsupporting

confidence: 92%

“…This may be even more relevant for unknown hazards, which may require educating or informing people about the risk and the possibility of its occurrence before pointing out the impact of this threat on their lives. Consequently, increasing people's knowledge and self‐efficacy could help people to cope with disasters (Amberson et al., 2021).…”

Section: Discussionmentioning

confidence: 99%

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The influence of risk awareness and government trust on risk perception and preparedness for natural hazards

et al. 2023

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Risk perception is considered the primary motivator for taking preparedness actions. But people with prior experience and a high‐risk perception are not necessarily more prepared. This relationship is even more complex when assessing preparedness levels for hazards with different characteristics. These inconsistent findings can be explained by how preparedness has been measured and the influence of other factors, such as trust and risk awareness. Thus, the main goal of this study was to analyze the role of risk awareness and trust in authorities on risk perception and intention to prepare for natural hazards in a coastal city in Chile. A representative sample of the city of Concepción, located in the center‐south zone of Chile (n = 585), completed a survey. We measured risk awareness, risk perception, trust in authorities, and intention to prepare for two hazards: earthquakes/tsunamis and floods. Through structural equation models, we tested five hypotheses. We found that the perception of risk maintained a direct and positive influence on the intention to prepare for both hazards. The results showed that awareness and risk perception influence the intention to prepare and should be considered different concepts. Finally, trust did not significantly influence risk perception when faced with known hazards for the population. Implications for understanding the relationship between risk perception and direct experience are discussed.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

The influence of risk awareness and government trust on risk perception and preparedness for natural hazards

et al. 2023

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“…This systematic review was conducted according to a published protocol ( 58 ) and the methods outlined in the Cochrane Handbook for Systematic Reviews of Interventions ( 59 ). Details on criteria for considering studies for this review, types of participants, types of outcome measures, key words, search methods, data collection and analysis, data extraction and management, assessment of risk of bias, measures of treatment effect, unit of analysis issues, dealing with missing data, heterogeneity, reporting bias, and data synthesis can be found in the published protocol ( 58 ).…”

Section: Methodsmentioning

confidence: 99%

“…We used the draft search strategy for MEDLINE in our protocol as the prototype for search strategies in other databases. The search terms and Boolean operators to combine search terms are included in Appendix 1 of our published protocol ( 58 ). The database search strategy was reviewed by a Cochrane Public Health Information Specialist utilizing the PRESS checklist ( 62 ) and two librarians, resulting in minor recommended changes from the initial protocol.…”

Section: Methodsmentioning

confidence: 99%

“…The database search strategy was reviewed by a Cochrane Public Health Information Specialist utilizing the PRESS checklist ( 62 ) and two librarians, resulting in minor recommended changes from the initial protocol. In addition to MEDLINE (OVID), we searched the databases and websites listed in our published protocol ( 58 ). The initial searches were run in all databases and trial registers on May 17, 2021, and updated on May 17, 2022, with the exception of the EU Clinical Trials Registers, which was searched on December 22, 2022.…”

Section: Methodsmentioning

confidence: 99%

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Social support, educational, and behavioral modification interventions for improving household disaster preparedness in the general community-dwelling population: a systematic review and meta-analysis

Amberson,

Heagele,

Wyte-Lake

et al. 2024

Front. Public Health

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BackgroundThe efficacy of household emergency preparedness interventions for community-dwelling, non-institutionalized people is largely unknown.ObjectiveTo ascertain the state of the science on social support, educational, and behavioral modification interventions to improve all-hazard household disaster preparedness.DesignSystematic review and meta-analysis.MethodsDatabases, trial registers, reports, and websites were searched, and citation trails followed utilizing replicable methods. Individual, cluster, and cross-over randomized controlled trials of non-institutionalized, community-dwelling populations and non-randomized controlled trials, controlled before-after, and program evaluation studies were included. At least two review authors independently screened each potentially relevant study for inclusion, extracted data, and assessed the risk of bias. Risk of bias was assessed using Cochrane’s RoB2 tool for randomized studies and ROBINS-I tool for nonrandomized studies. Meta-analyses were applied using a random-effects model. Where meta-analysis was not indicated, results were synthesized using summary statistics of intervention effect estimates and vote counting based on effect direction. The evidence was rated using GRADE.Results17 studies were included with substantial methodological and clinical diversity. No intervention effect was observed for preparedness supplies (OR = 6.12, 95% 0.13 to 284.37) or knowledge (SMD = 0.96, 95% CI −0.15 to 2.08) outcomes. A small positive effect (SMD = 0.53, 95% CI 0.16 to 0.91) was observed for preparedness behaviors, with very low certainty of evidence. No studies reported adverse effects from the interventions.ConclusionResearch designs elucidating the efficacy of practical yet complex and multi- faceted social support, educational, and behavioral modification interventions present substantial methodological challenges where rigorous study design elements may not match the contextual public health priority needs and resources where interventions were delivered. While the overall strength of the evidence was evaluated as low to very low, we acknowledge the valuable and informative work of the included studies. The research represents the seminal work in this field and provides an important foundation for the state of the science of household emergency preparedness intervention effectiveness and efficacy. The findings are relevant to disaster preparedness practice and research, and we encourage researchers to continue this line of research, using these studies and this review to inform ongoing improvements in study designs.

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Nurses Taking on Readiness Measures (N-TORM): A nurse-facilitated household emergency preparedness intervention feasibility study

Heagele

Samuels

Wholeben

et al. 2024

Health Emergency and Disaster Nursing

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Aim: This research evaluated the effect of a nurse-facilitated intervention on elderly or medically frail community members' level of household emergency preparedness as measured in knowledge, actions taken, and supplies gathered. These community members had access and functional needs that must be accommodated during disasters to mitigate their increased risk of injury, illness, and death because of the disaster. With adequate preparedness, it is plausible these community members may survive the aftermath of a disaster without needing assistance from disaster responders. Methods: This was a non-randomized, single group, before-after feasibility study (N = 31) conducted in a one-on-one session with a nurse interventionist in an urban community setting in the United States of America. We used the Household Emergency Preparedness Instrument to measure intervention effectiveness and a Participant Experience Survey to evaluate participant satisfaction with the intervention. The intervention included an educational booklet that provided instruction to participants on how to create a disaster-related evacuation and communication plan and identify community resources. Upon completion of the booklet, participants received a complimentary disaster supply kit. Results: Mean general preparedness scores increased from 5.5 (SD = 4.1) pre-intervention to 20.2 (SD = 3.1) post-intervention ( p < .001). Preparedness in all sub-scales also increased significantly (all ps < .001). Conclusions: Study findings provide support for the feasibility of the intervention to increase all measured aspects of emergency preparedness (knowledge, behaviors, and supplies) among elderly and medically frail adults with access and functional needs during disasters.

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Social support, educational, and behavioral modification interventions for improving household disaster preparedness in the general community-dwelling population

Cited by 3 publications

References 57 publications

The influence of risk awareness and government trust on risk perception and preparedness for natural hazards

The influence of risk awareness and government trust on risk perception and preparedness for natural hazards

Social support, educational, and behavioral modification interventions for improving household disaster preparedness in the general community-dwelling population: a systematic review and meta-analysis

Nurses Taking on Readiness Measures (N-TORM): A nurse-facilitated household emergency preparedness intervention feasibility study

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