The Role of Social and Behavioral Factors on Disaster Planning in Home Care

社会和行为因素对家庭护理灾难规划的作用

基本信息

项目摘要

DESCRIPTION (provided by applicant): In response to PA-11-265, which calls for social and behavioral research on the elderly in disasters, we propose this R21 exploratory study to determine the role of behavioral and social factors on disaster preparedness in a particularly vulnerable subset of elderly people, namely home care recipients. As the recent super-storm Sandy underscored, this very large and rapidly growing population of community members may be at increased risk for disaster-related morbidity and mortality. Data from a pilot study we recently conducted, involving 253 mainly elderly and disabled community members, documented sub-optimal emergency preparedness planning. On a 7-item preparedness scale, the mean scale score was 2.32 (SD = 2.74, range 0- 7). Less than 50% of participants had even the most rudimentary elements of a preparedness plan, with only 26% of participants reporting back-up plans for obtaining personal assistance during a disaster event. Guided by a new social-cognition theory of preparedness, qualitative data on a wide range of social and behavioral factors associated with disaster preparedness will be collected and analyzed. A total of 100 participants will be recruited from two high risk geographic locales -- New York City and San Francisco. Each city relies primarily on very different models of home care assistance; in NYC formal home care is delivered through certified or licensed agencies, whereas in San Francisco, recipient-driven care, with oversight provided by the San Francisco Public Authority, is the norm. Thus we will have a unique opportunity to assess the influence of these data delivery models on psycho-social constructs that may predict preparedness planning. These constructs include: risk perception, outcomes expectancy, response self-efficacy, perceived responsibility, sense of community, personal empowerment, and trust, among others. Using the newly developed, "Ready, Willing and Able," preparedness framework, information will also be collected from the participants' home care agencies (in NYC), the San Francisco Public Authority, and from local response agencies in NYC and San Francisco (e.g., the Office of Emergency Management, Department of Health, Department on Aging, etc.) to determine their preparedness planning and response capabilities for home care recipients. These multiple sources of data will allow us to identify gaps between home care patients' expectations and home care and response agency capabilities, and the association of social and behavioral factors with these gaps. Information from this study will serve to inform important policy strategies that will lead to a reduction in risk of adverse disaster-related outcomes in this vulnerable population.
描述(由申请人提供):响应PA-111-265,该研究要求对灾难中的老年人进行社会和行为研究,我们提出了这项R21探索性研究,以确定行为和社会因素在准备灾难中的作用,特别是老年人的脆弱子集,即家庭护理接受者。正如最近的超级风暴桑迪强调的那样,这种非常大,快速增长的社区成员可能会增加与灾难有关的发病率和死亡率的风险。我们最近进行的一项试点研究的数据,涉及253名老年人和残疾人社区成员,记录了次优的紧急准备计划。在7项准备量表上,平均量表得分为2.32(SD = 2.74,范围0-7)。不到50%的参与者甚至拥有准备计划中最基本的要素,只有26%的参与者报告了在灾难活动中获得个人援助的备用计划。 在一种新的备忘性社会认知理论的指导下,将收集和分析与灾难准备相关的广泛社会和行为因素的定性数据。总共将从两个高风险地理区域(纽约市和旧金山)招募100名参与者。每个城市主要依靠非常不同的家庭护理援助模式;在纽约,正式家庭护理是通过经过认证或许可的机构提供的,而在旧金山,接收者驱动的护理以及旧金山公共当局提供的监督是常态。因此,我们将有一个独特的机会来评估这些数据传递模型对可以预测准备计划的心理社会结构的影响。这些结构包括:风险感知,期望值,反应自我效能感,感知的责任,社区意识,个人授权和信任等。使用新开发的“准备,有意愿和有能力”的准备框架,还将从参与者的家庭护理机构(纽约市),旧金山公共当局以及纽约市和旧金山的当地响应机构那里收集信息(例如,卫生部,老龄部门等应急管理办公室,以确定他们为家庭护理接收者的准备计划和响应能力。这些多种数据来源将使我们能够确定家庭护理患者的期望与家庭护理和反应代理能力之间的差距,以及社会和行为因素与这些差距之间的差距。 这项研究的信息将为重要的政策策略提供信息,这将导致这种脆弱人群中与灾难相关的不良后果的风险降低。

项目成果

期刊论文数量(1)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Psychosocial Influences on Disaster Preparedness in San Francisco Recipients of Home Care.
心理社会对旧金山家庭护理接受者备灾的影响。
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ROBYN R.M. GERSHON其他文献

ROBYN R.M. GERSHON的其他文献

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{{ truncateString('ROBYN R.M. GERSHON', 18)}}的其他基金

NYC Transit Workers and COVID-19: Impact of Multilevel Interventions
纽约市交通工人和 COVID-19:多级干预措施的影响
  • 批准号:
    10490374
  • 财政年份:
    2021
  • 资助金额:
    $ 23.49万
  • 项目类别:
NYC Transit Workers and COVID-19: Impact of Multilevel Interventions
纽约市交通工人和 COVID-19:多级干预措施的影响
  • 批准号:
    10653252
  • 财政年份:
    2021
  • 资助金额:
    $ 23.49万
  • 项目类别:
NYC Transit Workers and COVID-19: Impact of Multilevel Interventions
纽约市交通工人和 COVID-19:多级干预措施的影响
  • 批准号:
    10249497
  • 财政年份:
    2021
  • 资助金额:
    $ 23.49万
  • 项目类别:
The Role of Social and Behavioral Factors on Disaster Planning in Home Care
社会和行为因素对家庭护理灾难规划的作用
  • 批准号:
    8583732
  • 财政年份:
    2013
  • 资助金额:
    $ 23.49万
  • 项目类别:
Occupational Health in Home Health Care Conference
家庭保健中的职业健康会议
  • 批准号:
    7915078
  • 财政年份:
    2010
  • 资助金额:
    $ 23.49万
  • 项目类别:
Safety in the Home Healthcare Sector: A Pilot Study
家庭医疗保健行业的安全:试点研究
  • 批准号:
    7774877
  • 财政年份:
    2009
  • 资助金额:
    $ 23.49万
  • 项目类别:
Noise Exposure in Subway Riders
地铁乘客的噪音暴露
  • 批准号:
    7469922
  • 财政年份:
    2008
  • 资助金额:
    $ 23.49万
  • 项目类别:
Noise Exposure in Subway Riders
地铁乘客的噪音暴露
  • 批准号:
    7613449
  • 财政年份:
    2008
  • 资助金额:
    $ 23.49万
  • 项目类别:
Noise Exposure in Subway Riders
地铁乘客的噪音暴露
  • 批准号:
    8076474
  • 财政年份:
    2008
  • 资助金额:
    $ 23.49万
  • 项目类别:
Bloodborne Pathogen Risk in Home Healthcare Workers
家庭医护人员的血源性病原体风险
  • 批准号:
    7244247
  • 财政年份:
    2004
  • 资助金额:
    $ 23.49万
  • 项目类别:

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