Individual Emergency Preparedness Research Articles

Constructing an emergency preparedness evaluation index system for public use during major emerging infectious disease outbreaks: a Delphi study

BackgroundThe major emerging infectious diseases (MEIDs) have occurred frequently and become increasingly serious in the world. Sufficient personal emergency preparedness is critical for the general people in efficiently responding to and recovering from MEIDs. Nevertheless, few specific indicators are available for assessing the individual emergency preparedness of the general public during these periods. Therefore, the aim of this study was to construct an index system for comprehensively evaluating the personal emergency preparedness of the public regarding MEIDs.MethodsBased on the global national-level emergency preparedness index framework and a literature review, a preliminary index system was constructed. From June 2022 to September 2022, a panel of 20 experts from nine provinces and municipalities across multiple research areas participated in this Delphi study. They rated the importance of pre-defined indicators using a five-point Likert scale and provided their qualitative comments. According to the feedback of each round of experts, the indicators of the evaluation index system were revised.ResultsAfter two rounds of expert consultation the evaluation index system reached a consensus, containing five first-level indicators, cooperating with prevention and control work, improving emergency response capacity, securing supplies and equipment, preparing economic resources, maintaining physical and mental health with affiliated 20 s-level indicators and 53 third-level indicators. The expert authority coefficient of consultation was 0.88 and 0.90. The Kendall’s coefficient of concordance of expert consultations was 0.294 and 0.322, respectively. The differences were statistically significant (P < 0.05).ConclusionA valid, reliable and scientific evaluation index system was established. This personal emergency preparedness index system, as a precursor form, will further lay the foundation for the formation of an assessment instrument. At the same time, it could provide a reference for future education and training of emergency preparedness for the general public.

Emergency preparedness is a healthcare issue: COVID-19 pandemic's influence on attitudes and behaviors among a national sample of parents

BackgroundImproving household emergency preparedness (EP) is a public health priority, yet little is known about what influence the COVID-19 pandemic had on families' EP. This study aimed to explore current EP attitudes and behaviors. MethodsWe conducted online focus groups in Winter 2022 with a nationwide sample of parents of adolescents. We held six 90-min focus groups of 9–15 participants using a semi-structured interview script that elicited parental knowledge and attitudes related to household EP. Two researchers conducted qualitative content analysis on focus group transcripts. First-level coding within and across scripts was used to identify broad categories or themes regarding EP. The process was reviewed continuously to verify data and coding procedures. Three investigators independently verified the final themes that emerged. ResultsParticipants (N = 64) were mostly female (n = 54, 84.3%), white (n = 46, 71.9%), and college-educated (n = 49, 76.6%). Major themes included: 1) Expanded awareness and behavioral change related to EP due to the COVID-19 pandemic, 2) Reconceptualization of planning for family health as part of EP, 3) Changing perspectives related to vaccination as a component of EP, and 4) Perspectives related to discussing EP with their health care provider. ConclusionsEP was described as a healthcare issue and healthcare providers were identified as trusted sources of EP information. Interventions to support providers' ability to assist with individual EP health action plans, including discussing vaccination as part of preparedness are needed.

Factors Associated With Individual Emergency Preparedness Behaviors: A Cross-Sectional Survey Among the Public in Three Chinese Provinces.

Introduction: This study aimed to identify factors associated with individual emergency preparedness behaviors which play an important role in effective emergency response.Methods: Data were drawn from a cross-sectional survey conducted in China's Heilongjiang, Guangdong and Sichuan provinces in 2017. Questionnaires were administered through face-to-face interviews, and 2,506 were valid for data analyses. A structural equation model was established to test the direct and indirect effects of the relevant factors on individual emergency preparedness behaviors.Results: Low levels of emergency preparedness were found: 28% of respondents reported being fully/partly prepared. The attitudes of the respondents toward emergency preparedness had the strongest association with emergency preparedness behaviors, with a total effect of 0.483. This was followed by self-efficacy (0.305) and training/exercise (0.295). Risk perception had the weakest effect (0.045) on emergency preparedness behaviors.Discussion: Improving attitudes of the public as well as their ability to prepare for emergency events is important for effective emergency management.

Individual emergency preparedness survey among Canadians in Lower Mainland, BC

Background: BC residents are prone to natural disasters and emergencies such as earthquakes and prolonged power outage due to severe weather and flooding. To minimize and mitigate the impacts, individuals should prepare in advance for any potential emergencies. There are studies showing only half of the Canadians, in general, are well prepared. Concrete evidence of factors affecting individual’s emergency preparedness are not clear. Therefore, this research study aims to investigate the association between BC residents’ emergency preparedness level and demographic/socio-economic factors. Methods: Housed on SurveyMonkey, the online self-administered survey was distributed via Facebook and Reddit to survey local BC residents. The survey was posted on sub-groups based on topic-relevance and geographic areas that are located within Lower Mainland. The sampling period is approximately one month, which the results were analyzed by the NCSS program. Results: Overall, less than half (41%) of the participants reported to have an emergency kit at home. The chi-square test results show that two factors, language (p=0.025) and status of occupancy (p=0.048) are significantly associated with level of emergency preparedness. Conclusion: There are significant associations between level of emergency preparedness and demographic factors - language barrier and status of occupancy. People who do not use English as their primary language found to be less prepared to those who use English as their primary language. Renters, as compared to homeowners, found to be less prepared as well. This serves as supporting data and evidence to transit these findings to promote emergency readiness among residents in Metro Vancouver.&#x0D;

Trust in Emergency Management Authorities and Individual Emergency Preparedness for Tornadoes

The risks associated with disasters can be significantly reduced if individuals are well prepared according to the orders and recommendations of emergency management authorities such as the Federal Emergency Management Agency (FEMA) and local government. Despite this fact, there is evidence that individuals are not cooperative with these authorities and are therefore underprepared for an emergency. This article argues that individual trust in emergency management authorities may affect their cooperation with emergency preparedness recommendations. Using unique survey data, this study finds a nuanced relationship between individual emergency preparedness for tornadoes and trust in emergency management authorities. Although trust in FEMA in isolation does not explain variations in individual preparedness for tornadoes, increased preparation for a tornado is explained by trust in local government contingent upon a low baseline level of trust in FEMA. This article concludes with some practical and theoretical implications for emergency management authorities and scholars.

Empirical evaluation of disaster preparedness for hurricanes in the Rio Grande Valley

Individual emergency preparedness is critical to mitigate and minimize the negative impacts from disasters. Preparing for future disasters could enhance capacity to better cope with the external shocks and achieve a faster return to normalcy after the disaster event. This study investigates how individuals living in the Rio Grande Valley prepare themselves for the future hurricane disasters. The study investigates the state of objective and subjective preparedness and any discrepancy between the two types of disaster preparedness. Using collected data from 590 respondents via an online survey instrument, the study examines the relationships between the states of individual preparedness and selected twelve socio-demographic variables. Findings show that there is a small percent of the total respondents who are actual prepared for disasters. The study concludes with a list of recommendations in order to encourage individuals to better prepare themselves with an aim of enhancing hurricane disaster resiliency in the valley.

Individual emergency-preparedness efforts: A social justice perspective.

Since 2010, the United States has experienced 228 disasters, affecting over 86 million people. Because of population shifts, the growing number of people living with chronic conditions or disabilities, and the growing number of older citizens living independently, access and service gaps often exist for those without money or other transferable resources. There is a lack of evidence regarding individual community members' capacity to prepare for emergencies. The purpose of this study is to highlight participant experiences in becoming better prepared for emergencies and provide insight from a social justice perspective. This is a descriptive qualitative study, staying very close to the data as an end product rather than a beginning for interpretation. A total of 13 low-income, uninsured, or under-insured attendees at a medical outreach clinic were interviewed. Institutional Review Board approval was obtained from the University of Texas at Tyler. Four themes emerged from the interview data: (a) evaluation of the emergency-preparedness education, (b) making emergency plans, (c) challenges in preparing for emergencies, and (d) facilitators of emergency preparedness. Identifying the potential challenges to individual emergency preparedness among vulnerable populations is the first step in overcoming them. The capacity to comply with such measures, especially the ability of those with limited incomes and other vulnerable populations, must be considered. Synchronized, well-ordered assistance will close gaps in recovery and enhance efficiency in pre- and post-event aid. Theoretically, doing so will promote engaged and resilient members of society who are better able to withstand adverse events. The importance of the relationship between individual preparedness levels and the resiliency of nations supports the social justice imperative to address the needs of vulnerable populations in the mitigation and planning phase of the emergency management cycle.

Level of Emergency Preparedness Before and After a False Missile Alert in Hawaii

Introduction:On January 13, 2018, a false ballistic missile alert that lasted 38 minutes was issued across Oahu, Hawaii, United States. As a result of a system failure, an erroneous text message was sent that stated, “Ballistic missile threat inbound to Hawaii. Seek immediate shelter.”Aim:The research team wanted to know the degree of reported anxiety triggered by the event and if knowledge, attitudes, or behaviors for individual/family emergency preparedness (EP) changed post-event.Methods:A 50-question survey that asked about individual and family EP pre- and post-event, and the level of anxiety triggered by the event, was administered to a convenience sample of full-time adult residents of Oahu. The study was conducted over a 6-8 week period post-event. Statistical analysis was used to identify factors associated with an increasing level of EP post-event and reported event-triggered anxiety.Results:209 participants completed the survey (29% male, 71% female) with about one half living with children. One third were essential workers. Key factors that correlate with increasing various areas of EP post-event include higher educational, receipt of electronic emergency alerts, prior emergency training, and higher reported connectedness to community. Those with higher event anxiety were more likely to develop and practice an EP plan post-event, encourage EP with friends, and report a higher level of community connectedness. The elderly were more likely to have higher levels of EP before and after the event but were less likely to receive emergency alert notifications or have EP training.Discussion:While the event was very unfortunate, it did seem to stimulate citizen disaster EP among some groups. Additional research should explore the utility of increasing EP education for communities immediately after disasters, tailoring this education for groups, and targeting the elderly for participation in the emergency alert system.

The Relationship Between Perceptions of Emergency Preparedness, Disaster Experience, Health-Care Provider Education, and Emergency Preparedness Levels.

Objective The purpose of this study was to assess the self-reported level of individual emergency preparedness, the dependent variable, of people who attended a community health-related fair. The study's independent variables included demographic characteristics, perceptions of preparedness, previous disaster experience, and the presence of a medical condition and were used to examine the variability in self-reported emergency preparedness levels. Methods Data came from attendees at two community health-related fairs. Multivariate analysis on 188 participants was performed. A model predicting preparedness levels with demographic variables was constructed; successive models were built adding perceptions of preparedness, personal experiences with disasters, and presence of a medical condition. Results Preparedness levels varied little across sociodemographic dimensions explaining virtually no variance in overall preparedness. Subsequent models adding perceptions of preparedness and personal experiences significantly increased the explained variance to 40%. Of participants who reported a medical condition, the model including discussions about emergency preparedness with health-care providers explained 67% of the variance in overall preparedness levels. Conclusion The strong, positive relationship between the health-care provider and preparedness levels indicates a pathway for effecting change in preparedness levels and ultimately community health after an emergency. The inclusion of such education at community events should be considered. Research agendas should include providing evidence for the contents of disaster supply kits.

Efficacy for Dealing With Terrorism Precautionary Behavior: Laying the Groundwork for Communication Effectiveness

In order to formulate effective communication and intervention strategies to respond to the widespread lack of preparedness for public health crises resulting from natural and human-made disasters, researchers have developed models describing the interrelationships between factors associated with emergency preparedness decisions. Empirical research has generally assumed that two key elements of most health behavior theories—self-efficacy and response efficacy—additively influence the decision to prepare, despite compelling theoretical rationale for an interactive relationship. The few studies that have investigated interactions in preparedness outcomes have not tested the Social Cognitive Theory prediction that non-zero levels of both efficacy types are required before individuals will engage in any preparedness behavior. Based on the responses of 3,101 participants in the National Survey of Disaster Experiences and Preparedness, this study tested additive, interactive, and conditional main effect hypotheses about the influence of self-efficacy and response efficacy for dealing with terrorism on preparedness due to terrorism six years after the September 11, 2001, terrorist attacks. A significant self-efficacy × response efficacy interaction effect on preparedness was found, in addition to a significant response efficacy effect when perceived self-efficacy was zero, contrary to the expectation from Social Cognitive Theory. These results offer insights into the cognitive processes underlying individuals’ decisions to prepare for disasters such as terrorist attacks, and highlight the importance of considering more complex theory-based cognitive interaction models in designing effective communication strategies to facilitate individual emergency preparedness.

Factors Predicting Individual Emergency Preparedness: A Multi-state Analysis of 2006 BRFSS Data

Disasters pose a very real threat to every individual in the United States. One way to mitigate the threat of disasters is through personal preparedness, yet numerous studies indicate that individual Americans are not prepared for a disaster. This study attempted to identify the factors most likely to predict individual disaster preparedness. We used 2006 Behavioral Risk Factor Surveillance System (BRFSS) data from the 5 states that included the optional general preparedness module. Respondents were defined as being "prepared" if they were deficient in no more than 1 of the 6 actionable preparedness measures included on the BRFSS. Analyses were conducted comparing preparedness rates based on medical and demographic factors. Using logistic regression, a predictive model was constructed to identify which factors most strongly predicted an individual's likelihood of being prepared. Although 78% of respondents reported feeling prepared for a disaster, just 45% of respondents were actually prepared by objective measures. Factors predicting an increased likelihood of preparedness included feeling "well prepared" (OR 9.417), having a disability or health condition requiring special equipment (OR 1.298), being 55 to 64 years old (OR 1.794), and having an annual income above $50,000 (OR 1.286). Among racial and ethnic minorities, an inability to afford medical care in the previous year (OR .581) was an important factor in predicting a decreased likelihood of being prepared. This study revealed a pervasive lack of disaster preparedness overall and a substantial gap between perceived and objective preparedness. Income and age were important predictors of disaster preparedness.

Predictors of Emergency Preparedness and Compliance.

BACKGROUND:: In response to the evolving nature of potential disasters, both human made and natural, this research identifies predictors of individual emergency preparedness and compliance with government requests. METHODS:: A survey of a nationally representative sample of US adults (1629 respondents) revealed which emergency supplies and plans they had in place; their perceived level of preparedness and that of their local health care system; the likelihood of 7 terrorist and 4 naturally occurring events, whether they would evacuate their home; shelter in place at home and work; be quarantined, vaccinated, or take medication; and whether they believed that these actions would increase their chances for survival. RESULTS:: Having supplies was predicted by being male, older, wealthier, and white, living in the western United States, and being exposed to national news. Having plans was related to living in the western United States, having children, and being exposed to national news. Compliance was associated with being female and ill. Holding demographic factors constant, preparedness and compliance with government requests were associated with the perceived likelihood of a natural but not a terrorist event, the perceived efficacy of requested actions, and belief in one's local health care system. CONCLUSIONS:: A focus on natural as opposed to terrorist events and people's perceived efficacy of emergency actions and local health care systems may increase their preparedness and compliance with government requests.

Guidelines for development of an emergency plan for in vitro fertilization programs

All in vitro fertilization (IVF) programs and clinics should have a plan to protect fresh and cryopreserved human tissue (embryos, oocytes, sperm) and to provide for continuation of patient care in the event of an emergency or natural disaster. The American Society for Reproductive Medicine (ASRM) encourages each IVF program to develop and implement its own individual emergency preparedness plan (Emergency Plan) appropriate for its geographic location, which specifies the actions to be taken to protect patients, personnel, and specimens in the case of a natural disaster or other potentially devastating event.

Highlights &amp; Happenings

Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and ScienceVol. 3, No. 4 Highlights & HappeningsHighlights & HappeningsJulie Samia Mair and Michael MairJulie Samia MairSearch for more papers by this author and Michael MairSearch for more papers by this authorPublished Online:20 Dec 2005https://doi.org/10.1089/bsp.2005.3.275AboutSectionsPDF/EPUB Permissions & CitationsPermissionsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail FiguresReferencesRelatedDetailsCited byFactors Predicting Individual Emergency Preparedness: A Multi-state Analysis of 2006 BRFSS Data Elizabeth Ablah, Kurt Konda, and Crystal L. Kelley12 October 2009 | Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science, Vol. 7, No. 3Barriers to At-Home-Preparedness in Public Health Employees: Implications for Disaster Preparedness TrainingJournal of Occupational & Environmental Medicine, Vol. 49, No. 3 Volume 3Issue 4Dec 2005 InformationCopyright 2005, Mary Ann Liebert, Inc.To cite this article:Julie Samia Mair and Michael Mair.Highlights & Happenings.Biosecurity and Bioterrorism: Biodefense Strategy, Practice, and Science.Dec 2005.275-285.http://doi.org/10.1089/bsp.2005.3.275Published in Volume: 3 Issue 4: December 20, 2005PDF download