Disaster Preparedness Intervention for Older Adults (Seniors’ Positive Involvement in Community Emergencies): Protocol for a Quasi-Experimental Study Article Swipe
Sharon White
,
Joseph S. Lightner
,
Julia Crowley
,
Amanda Grimes
,
Kathleen Spears
,
Steven R. Chesnut
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.2196/58895
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.2196/58895
Background Older adults comprise a substantial proportion of the US population requiring support during disaster events. Previous research demonstrates that older adults are resilient but deficient in disaster preparedness and lacking in community engagement. There is a gap in high-quality research in this area. Objective This study aims to fill this gap by developing a 4-phase intervention to improve mobility and balance, decrease fall risks (mitigation), increase knowledge of disaster preparedness (preparedness), improve community emergency operation plans (response), and improve self-efficacy in disaster recovery (recovery) for older adults. Methods This is a community-based, 10-month study in a large Midwestern urban and suburban location targeting community-dwelling older adults. The 4 phases of interventions address mitigation, preparedness, response, and recovery—aspects improving outcomes from disaster events. In total, 4 to 6 one-hour seminars each month are provided to community-dwelling older adults to improve disaster preparedness and recovery planning. A critical incident packet with resources on essential information such as medications, a communication plan, evacuation resources, and supplies was started and is being reviewed. Preintervention surveys are orally given, with research assistants aiding in any difficulties the participants have. After the surveys, 2 individual 20-minute presentations separated by a short break for snacks and initial completion of their disaster plan preserve the older adult’s attention. Mitigation efforts to improve mobility and safety are offered with 10 visits to the older adults’ residences, adapting physical activity and balance exercises to the individual’s needs. To address response needs, the emergency operations plans for 2 of the major cities are being amended for specific functional needs and access guidelines. Measurements include accelerometers to assess improvement in mobility, fall risk assessments, an abbreviated Federal Emergency Management Association Household Survey, an assessment for disaster engagement with partners tool, a brief pain inventory assessment, and the General Self-Efficacy Scale. We analyze data descriptively and compare pre- and postintervention data for each phase with paired-samples t test and other nonparametric techniques (proportion tests and Wilcoxon signed-rank tests). Overarching objectives prioritized during this intervention include underscoring respect for the experience and resilience found in older adults and engaging them in specialized roles to support their communities during disaster events. Results The intervention was funded in July 2023; enrollment began in November 2023 and is continuing. We will conclude data collection by July 2025. Published study results can be expected in early 2025. Conclusions With improved disaster preparedness, mobility, recovery planning, and inclusion as a resource in community disasters, older adults are expected to be safer and be able to age in place. If successful, future studies will focus on outreach and sustainability. This study will serve as a model for older adult disaster preparedness and community involvement. International Registered Report Identifier (IRRID) DERR1-10.2196/58895
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.2196/58895
- OA Status
- gold
- Cited By
- 2
- References
- 23
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4402993203
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4402993203Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.2196/58895Digital Object Identifier
- Title
-
Disaster Preparedness Intervention for Older Adults (Seniors’ Positive Involvement in Community Emergencies): Protocol for a Quasi-Experimental StudyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-09-30Full publication date if available
- Authors
-
Sharon White, Joseph S. Lightner, Julia Crowley, Amanda Grimes, Kathleen Spears, Steven R. ChesnutList of authors in order
- Landing page
-
https://doi.org/10.2196/58895Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://doi.org/10.2196/58895Direct OA link when available
- Concepts
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Preprint, Intervention (counseling), Preparedness, Gerontology, Protocol (science), Suicide prevention, Medical emergency, Poison control, Psychology, Medicine, Disaster preparedness, Emergency management, Nursing, Computer science, World Wide Web, Alternative medicine, Law, Political science, PathologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
2Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2Per-year citation counts (last 5 years)
- References (count)
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23Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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