Social support, educational, and behavioral modification interventions for improving household disaster preparedness in the general community-dwelling population: a systematic review and meta-analysis
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 di...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2024-02-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1257714/full |
| _version_ | 1827308312146739200 |
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| author | Taryn Amberson Tara Heagele Tamar Wyte-Lake Tamar Wyte-Lake Mary Pat Couig Sue Anne Bell Manoj J Mammen Valerie Wells Jessica Castner Jessica Castner |
| author_facet | Taryn Amberson Tara Heagele Tamar Wyte-Lake Tamar Wyte-Lake Mary Pat Couig Sue Anne Bell Manoj J Mammen Valerie Wells Jessica Castner Jessica Castner |
| author_sort | Taryn Amberson |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-07T22:49:25Z |
| format | Article |
| id | doaj.art-6b76260d61744d86ba637f004351adb6 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-24T18:56:14Z |
| publishDate | 2024-02-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj.art-6b76260d61744d86ba637f004351adb62024-03-26T17:17:22ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-02-011110.3389/fpubh.2023.12577141257714Social support, educational, and behavioral modification interventions for improving household disaster preparedness in the general community-dwelling population: a systematic review and meta-analysisTaryn Amberson0Tara Heagele1Tamar Wyte-Lake2Tamar Wyte-Lake3Mary Pat Couig4Sue Anne Bell5Manoj J Mammen6Valerie Wells7Jessica Castner8Jessica Castner9Health Systems and Population Health, University of Washington, Seattle, WA, United StatesHunter-Bellevue School of Nursing, Hunter College, The City University of New York, New York City, NY, United StatesVeterans Emergency Management Evaluation Center, Los Angeles, CA, United StatesDepartment of Family Medicine, Oregon Health and Science University, Portland, OR, United StatesCollege of Nursing, University of New Mexico, Albuquerque, NM, United StatesUniversity of Michigan, Ann Arbor, MI, United StatesUniversity of Rochester, Rochester, NY, United StatesMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, United KingdomCastner Incorporated, Grand Island, NY, United States0University at Albany School of Public Health, Albany, NY, United StatesBackgroundThe 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.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1257714/fullsystematic reviewmeta-analysispublic healthdisaster preparednesshousehold preparednessemergency preparedness |
| spellingShingle | Taryn Amberson Tara Heagele Tamar Wyte-Lake Tamar Wyte-Lake Mary Pat Couig Sue Anne Bell Manoj J Mammen Valerie Wells Jessica Castner Jessica Castner Social support, educational, and behavioral modification interventions for improving household disaster preparedness in the general community-dwelling population: a systematic review and meta-analysis Frontiers in Public Health systematic review meta-analysis public health disaster preparedness household preparedness emergency preparedness |
| title | Social support, educational, and behavioral modification interventions for improving household disaster preparedness in the general community-dwelling population: a systematic review and meta-analysis |
| title_full | Social support, educational, and behavioral modification interventions for improving household disaster preparedness in the general community-dwelling population: a systematic review and meta-analysis |
| title_fullStr | Social support, educational, and behavioral modification interventions for improving household disaster preparedness in the general community-dwelling population: a systematic review and meta-analysis |
| title_full_unstemmed | Social support, educational, and behavioral modification interventions for improving household disaster preparedness in the general community-dwelling population: a systematic review and meta-analysis |
| title_short | Social support, educational, and behavioral modification interventions for improving household disaster preparedness in the general community-dwelling population: a systematic review and meta-analysis |
| title_sort | social support educational and behavioral modification interventions for improving household disaster preparedness in the general community dwelling population a systematic review and meta analysis |
| topic | systematic review meta-analysis public health disaster preparedness household preparedness emergency preparedness |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1257714/full |
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