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Changes in Self-Reported Household Preparedness Levels among a Rural Population after Exposure to Emergency Preparedness Campaign Materials

  • Charleen C. McNeill EMAIL logo , Danita Alfred , Beth Mastel-Smith , Rebecca Fountain and Jonathan MacClements
Published/Copyright: March 18, 2016

Abstract

Purpose: The purpose of this study was to ascertain the self-reported preparedness levels of a rural population in the US before and after an exposure to preparedness education materials from the Ready Campaign and the Texas “Ready or Not?” Campaign.

Design and Methods: A before-and-after design was used for the study of people who attended a Medical Outreach held in rural east Texas.

Results: Participants were significantly more prepared for an emergency after the educational program (M=17.1; SD=6.43) than before the educational program (M=13.21; SD=6.33; t(41)=–4.28; p<0.001; 95% CI [–5.74 to –2.06]; ES r=0.57).

Conclusions: Increases in the incidences of disasters have significantly affected the attention given disaster planning and preparedness measures, yet preparedness efforts in the US have not achieved preparedness goals. It is vital that emergency preparedness education measures be assessed for effectiveness so that evidence-based approaches to conducting them can be utilized. The improvement in preparedness among participants supports providing preparedness education at public health events similar to the one in East Texas.


Corresponding author: Charleen C. McNeill, PhD, RN, University of Arkansas, Eleanor Mann School of Nursing, Fayetteville, AR, USA

References

Al-rousan, Tala M., Linda Rubenstein and Robert Wallace (2014) “Preparedness for Natural Disasters among Older US Adults: A Nationwide Survey,” American Journal of Public Health, 104(3):506–511.10.2105/AJPH.2013.301559Search in Google Scholar

Ardalan, Ali, Hani Mowafi, Hossein Malekafzali Ardakani, Farid Abolhasanai, Ali-Mohammad Zanganeh, Hossein Safizadeh, Sirous Salari and Vahid Zonoobi (2013) “Effectiveness of a Primary Health Care Program on Urban and Rural Community Disaster Preparedness, Islamic Republic of Iran: A Community Intervention Trial”, Disaster Medicine and Public Health Preparedness, 7(5):481–490.10.1017/dmp.2013.93Search in Google Scholar

Baker, Earl (2010) “Household Preparedness for the Aftermath of Hurricanes in Florida,” Applied Geography, 31:46–52.10.1016/j.apgeog.2010.05.002Search in Google Scholar

Bethel, Jeffrey, Amber Foreman and Sloane Burke (2011) “Disaster Preparedness among Medically Vulnerable Populations,” American Journal of Preventive Medicine, 40(2):139–143.10.1016/j.amepre.2010.10.020Search in Google Scholar

Blanchard, B. Wayne (2008) “Guide to Emergency Management and Related Terms, Definitions, Concepts, Acronyms, Organizations, Programs, Guidance, Executive Orders, & Legislation,” Accessed January 12, 2016. https://www.training.fema.gov/hiedu/docs/terms%20and%20definitions/terms%20and%20definitions.pdf.Search in Google Scholar

CDC (United States Centers for Disease Control and Prevention) (2012a) “Household Preparedness for Public Health Emergencies–14 States, 2006–2010,” MMWR. Morbidity and Mortality Weekly Report, 61:36. Accessed July 21, 2014. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6136a1.htm.Search in Google Scholar

CDC (United States Centers for Disease Control and Prevention) (2012b) “Assessment of Household Preparedness through Training Exercises–Two Metropolitan Counties, Tennessee, 2011,” MMWR. Morbidity and Mortality Weekly Report, 61:36. Accessed October 4, 2013. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6136a2.htm.Search in Google Scholar

Citizen Corps (2005) “Methodological Considerations and Key Findings in Preparedness Research,” Citizen Preparedness Review, 1:1–17.Search in Google Scholar

Citizen Corps (2006) “A Post-Katrina Assessment,” Citizen Preparedness Review, 2:1–12.Search in Google Scholar

Citizen Corps (2007) “Update on Citizen Preparedness Research,” Citizen Preparedness Review, 5:1–16.Search in Google Scholar

Citizen Corps (2009) “Personal Preparedness in America: Findings from the 2009 Citizen Corps National Survey,” Accessed January 12, 2016. https://s3-us-gov-west-1.amazonaws.com/dam-production/uploads/20130726-1859-25045-2081/2009_citizen_corps_national_survey_findings___full_report.pdf.Search in Google Scholar

Citizen Corps (2010) “Bringing Youth Preparedness Education to the Forefront: A Literature Review and Recommendations,” Citizen Preparedness Review, 6:1–21.Search in Google Scholar

Clare, Joseph, Len Garis, Darryl Plecas and Charles Jennings (2012) “Reduced Frequency and Severity of Residential Fires Following Delivery of Fire Prevention Education by On-Duty Fire Fighters: Cluster Randomized Controlled Study,” Journal of Safety Research, 43(2):123–128.10.1016/j.jsr.2012.03.003Search in Google Scholar

DeSalvo, Karen, Nicole Lurie, Kristen Finne, Chris Worrall, Alina Bogdanov, Ayame Dinkler, Sarah Babcock and Jeffrey Kelman (2014) “Using Medicare Data to Identify Individuals who are Electricity Dependent to Improve Disaster Preparedness and Response,” American Journal of Public Health, 104(7):1160–1164.10.2105/AJPH.2014.302009Search in Google Scholar

Eisenman, David Paul, Alicia Bazzano, Deborah Koniak-Griffin, Chi-Hong Tseng, Mary-Ann Lewis, Kerry Lamb and Danise Lehrer (2014) “Peer-Mentored Preparedness (PM-Prep): A New Disaster Preparedness Program for Adults Living Independently in the Community,” Intellectual and Developmental Disabilities, 52(1):49–59.10.1352/1934-9556-52.1.49Search in Google Scholar

Eisenman, David Paul, Deborah Glik, Richard Maranon, Lupe Gonzales and Steven Asch (2009) “Developing a Disaster Preparedness Campaign Targeting Low-Income Latino Immigrants: Focus Group Results for Project PREP,” Journal of Health Care for The Poor & Underserved, 20(2):330–345.10.1353/hpu.0.0129Search in Google Scholar

FEMA (United States Federal Emergency Management Agency) (2011) “A Whole Community Approach to Emergency Management: Principles, Themes, and Pathways for Action [FDOC 104-008-1].” Accessed April 17, 2013. http://www.fema.gov/library/viewRecord.do?id=4941.Search in Google Scholar

FEMA (United States Federal Emergency Management Agency) (2013a) “Ready Campaign.” Accessed April 17, 2013. http://www.ready.gov.Search in Google Scholar

FEMA (United States Federal Emergency Management Agency) (2013b) “Core Capabilities.” Accessed April 17, 2013. http://www.fema.gov/core-capabilities.Search in Google Scholar

FEMA (United States Federal Emergency Management Agency) (2014) “Disaster Declarations for 2013.” Accessed July 21, 2014. http://www.fema.gov/disasters/grid/year/2013.Search in Google Scholar

Finnis, Kirsten K., David M. Johnston, Kevin R. Ronan and James D. White (2010) “Hazard Perceptions and Preparedness of Taranaki Youth,” Disaster Prevention & Management, 19(2):175–184.10.1108/09653561011037986Search in Google Scholar

Foster, Mark, Jane Brice, Frances Shofer, Stephanie Principe, Darren DeWalt, Ronald Falk and Maria Ferris (2011) “Personal Disaster Preparedness of Dialysis Patients in North Carolina,” Clinical Journal of the American Society of Nephrology, 6(10):2478–2484.10.2215/CJN.03590411Search in Google Scholar

Frandsen, Mai, Douglas Paton and Kerry Sakariassen (2011) “Fostering Community Bushfire Preparedness through Engagement and Empowerment,” The Australian Journal of Emergency Management, 26(2):25–32.Search in Google Scholar

Guha-Sapir, D., R. Below and Ph. Hoyois (2015) EM-DAT: International Disaster Database. Brussels, Belgium: Université Catholique de Louvain. Accessed January 12, 2016. www.emdat.be.Search in Google Scholar

Izadkhah, Yasamin O. and Mahmood Hosseini (2005) “Towards Resilient Communities in Developing Countries through Education of Children for Disaster Preparedness,” International Journal of Emergency Management, 2(3):1.10.1504/IJEM.2005.007355Search in Google Scholar

Kohn, Sivan, Jennifer Lipkowitz Eaton, Saad Feroz, Andrea A. Bainbridge, Jordan Hoolachan and Daniel J. Barnett (2012) “Personal Disaster Preparedness: An Integrative Review of the Literature,” Disaster Medicine and Public Health Preparedness, 3(3):217–231.10.1001/dmp.2012.47Search in Google Scholar

Krahn, Gloria L., Deborah Klein Walker and Rosaly Correa-De-Araujo (2015) “Persons with Disabilities as an Unrecognized Health Disparity Population,” American Journal of Public Health, 105(S2): S198.10.2105/AJPH.2014.302182Search in Google Scholar

McKenna, Corey (2010) “FEMA’s Ready Campaign Refocused on Disaster Planning; Set for Reassessment.” Accessed April 17, 2013. http://www.emergencymgmt.com/templates/gov_print_article?id=102074918.Search in Google Scholar

Meyer, Bruce D., Wallace K. C. Mok and James X. Sullivan (2015) “Household Surveys in Crisis,” Journal of Economic Perspectives, 29(4):199–226.10.3386/w21399Search in Google Scholar

Moghazy, Amr, Amira Abdelrahman and Ayman Fahim (2012) “Effectiveness of Environmental-Based Educative Program for Disaster Preparedness and Burn Management,” Journal of Burn Care & Research, 33(3):e147–e152.10.1097/BCR.0b013e318233596eSearch in Google Scholar

Nelson, Christopher, Nicole Lurie, Jeffrey Wasserman and Sarah Zakowski (2007) “Conceptualizing and Defining Public Health Emergency Preparedness,” American Journal of Public Health, 97(Supp. 1):S9–S11.10.2105/AJPH.2007.114496Search in Google Scholar

Olympia, Robert P., Ruby Rivera, Steven Heverley, Uchechi Anyanwu and Madeline Gregorits (2010) “Natural Disasters and Mass-Casualty Events Affecting Children and Families: A Description of Emergency Preparedness and the Role of the Primary Care Physician,” Clinical Pediatrics, 49(7):686–698.10.1177/0009922810364657Search in Google Scholar

Paek, Hye-Jin, Karen Hilyard, Vicki Freimuth, J. Kevin Barge and Michele Mindlin (2010) “Theory-Based Approaches to Understanding Public Emergency Preparedness: Implications for Effective Health and Risk Communication,” Journal of Health Communication, 15(4):428–444.10.1080/10810731003753083Search in Google Scholar

Portney, Leslie Gross and Mary P. Watkins (2009) Foundations of Clinical Research: Applications to Practice. 3rd ed. Upper Saddle River, NJ: Pearson Education.Search in Google Scholar

Radler, Barry T. and Carol D. Ryff (2010) “Who Participates? Longitudinal Retention in the MIDUS National Study of Health and Well-Being,” Journal of Aging Health, 22(3):307–331.10.1177/0898264309358617Search in Google Scholar

Rutkow, Lainie, Holly A. Taylor and Lance Gable (2015) “Emergency Preparedness and Response for Disabled Individuals: Implications of Recent Litigation,” Journal of Law, Medicine & Ethics, 43:91–94.10.1111/jlme.12226Search in Google Scholar

Saramago, Pedro, Nicola J. Cooper, Alex J. Sutton, Mike Hayes, Ken Dunn, Andrea Manca and Denise Kendrick (2014) “Cost-Effectiveness of Interventions for Increasing the Possession of Functioning Smoke Alarms in Households with Pre-School Children: A Modelling Study,” BMC Public Health, 14(1):63–82.10.1186/1471-2458-14-459Search in Google Scholar

Shenhar, Gilead, Irina Radomislensky, Michael Rozenfeld and Kobe Peleg (2015) “The Impact of a National Earthquake Campain on Public Preparedness: 2011 Campaign in Israel as a Case Study,” Disaster Medicine and Public Health Preparedness, 9(2):138–144.10.1017/dmp.2014.58Search in Google Scholar

Smith, Diane and Stephen Notaro (2009) “Personal Emergency Preparedness for People with Disabilities from the 2006–2007 Behavioral Risk Factor Surveillance System,” Disability and Health Journal, 2:86–94.10.1016/j.dhjo.2009.01.001Search in Google Scholar

TDSHS (Texas Department of State Health Services) (2013a) “Disaster/Emergency Preparedness Committee.” Accessed May 6, 2013 http://www.dshs.state.tx.us/emstraumasystems/DisasterEmergencyPreparednessCommittee.shtm.Search in Google Scholar

TDSHS (Texas Department of State Health Services) (2013b) “Ready or Not?” Accessed May 6, 2013. http://www.texasprepares.org/English/Family.htm.Search in Google Scholar

US DHHS (United States Department of Health and Human Services) (2009) “National Health Security Strategy of the United States of America.” Accessed April 18, 2013. http://www.phe.gov/Preparedness/planning/authority/nhss/Pages/default.aspx.Search in Google Scholar

US DHHS (United States Department of Health and Human Services) (2013) National Institute of Health, & United States National Library of Medicine. “Medline plus: how to write easy-to-read health materials.” Accessed May 5, 2013. http://www.nlm.nih.gov/medlineplus/etr.html.Search in Google Scholar

US DHS (United States Department of Homeland Security) (2008) “Risk Steering Committee: DHS Lexicon,” Accessed June 20, 2013. http://www.dhs.gov/xlibrary/assets/dhs_risk_lexicon.pdf.Search in Google Scholar

US DHS (United States Department of Homeland Security) (2010a) “Quadrennial Homeland Security Review Report: A Strategic Framework for Secure Homeland.” Accessed July 1, 2013. http://www.dhs.gov/quadrennial-homeland-security-review-qhsr.Search in Google Scholar

US DHS (United States Department of Homeland Security) (2010b) “DHS Risk Lexicon: 2010 Edition.” Accessed January 29, 2016. http://www.dhs.gov/xlibrary/assets/dhs-risk-lexicon-2010.pdf.Search in Google Scholar

US DHS (United States Department of Homeland Security) (2011) HSAC (Homeland Security Advisory Council), “Community Resilience Task Force Recommendations.” Accessed January 12, 2016. http://www.dhs.gov/xlibrary/assets/hsac-community-resilience-task-force-recommendations-072011.pdf.Search in Google Scholar

US DHS (United States Department of Homeland Security) (2013) “National Preparedness Report.” Accessed July 22, 2014. http://www.fema.gov/national-preparedness-report.Search in Google Scholar

US GAO (United States Government Accounting Office) (2010) “Emergency Preparedness: FEMA Faces Challenges Integrating Community Preparedness Programs into its Strategic Approach.” Accessed April 17, 2013. http://www.gao.gov/new.items/d10193.pdf.Search in Google Scholar

Uscher-Pines, Lori, Anita Chandra, Joie Acosta and Arthur Kellerman (2012) “Citizen Preparedness for Disasters: Are Current Assumptions Valid?” Disaster Medicine and Public Health Preparedness, 6(2):170–173.10.1001/dmp.2012.23Search in Google Scholar

WHO (World Health Organization) (2007) “Risk Reduction and Emergency Preparedness: WHO Six-Year Strategy for the Health Sector and Community Capacity Development.” Accessed April 17, 2013. http://www.who.int/hac/techguidance/preparedness/emergency_preparedness_eng.pdf.Search in Google Scholar

Walters, Keith (2010) “Dialects: Handbook of Texas Online.” The Texas State Historical Association. Accessed May 1, 2013. http://www.tshaonline.org/handbook/online/articles/pcd01.Search in Google Scholar

Wells, Kenneth B., Jennifer Tang, Elizabeth Lizaola, Felica Jones, Arleen Brown, Alix Stayton and Alonzo Plough (2013) “Applying Community Engagement to Disaster Planning: Developing the Vision and Design for the Los Angeles County Community Disaster Resilience Initiative,” American Journal of Public Health, 103(7):1172–1180.10.2105/AJPH.2013.301407Search in Google Scholar

Whitney, Emily, Joseph Visker, Melissa J. Haithcox-Dennis and Amanda DeWeese (2012) “Independently Living Rural Seniors and Emergency Preparedness: A Pilot Study in Southern Illinois,” Health Educator, 44(1):21–27.Search in Google Scholar

Wood, Michele M., Dennis S. Mileti, Megumi Kano, Melissa M. Kelley, Rotrease Regan and Linda B. Bourque (2012) “Communicating Actionable Risk for Terrorism and Other Hazards,” Risk Analysis: An Official Publication of the Society For Risk Analysis 32(4):601–615.10.1111/j.1539-6924.2011.01645.xSearch in Google Scholar

Published Online: 2016-3-18
Published in Print: 2016-4-1

©2016 by De Gruyter

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