Disaster risk reduction: Psychological perspectives on preparedness

An adaptation and validation of disaster resilience scale based on community engagement theory

This study aimed to adapt and validate the Disaster Resilience Scale, originally developed by Becker et al. and revised by Paton et al., for assessing disaster resilience within the Turkish school community with a focus on Community Engagement Theory. This theory emphasizes the role of community involvement in disaster resilience at various levels, including the individual, community, and societal/institutional. The study was conducted in two phases. In the first phase, data from 428 teachers were analyzed to assess the validity and reliability of the scale's Turkish version and its alignment with dimensions. In the second phase, data from 1,422 teachers were used to further verify the reliability of using the Generalizability Theory test, and confirm validity through confirmatory factor analysis. The results confirmed that the Turkish version of the scale, with its 12 factors and 52 items was valid and reliable. Cronbach's Alpha coefficients for the dimensions ranged from 0.80 to 0.91, indicating high reliability. The findings highlight the practical implications of adapting the DRS for enhancing disaster resilience in school communities and underscore the importance of community engagement in disaster preparedness and education.

A systematic review of individual, social, and societal resilience factors in response to societal challenges and crises

Societal challenges put public mental health at risk and result in a growing interest in resilience as trajectories of good mental health during stressor exposure. Resilience factors represent multilevel psychosocial resources that increase the likelihood of resilient responses. This preregistered systematic review aims at summarizing evidence on the predictive value of individual, social and societal resilience factors for resilient responses to societal challenges and crises. Eligible studies examined the predictive value of resilience factors in stressor-exposed populations in high-income countries by means of multinomial regression models based on growth mixture modeling. Five databases were searched until August 2, 2023. Data synthesis employed a rating scheme to assess the incremental predictive value of resilience factors beyond sociodemographic variables and other resilience factors. An adapted version of the Newcastle-Ottawa Scale was used for risk of bias assessment. Fifty studies (sample sizes: 360-65,818 participants) with moderate study quality reported on various stressors (e.g., pandemics, natural disasters, terrorist attacks). Higher income, socioeconomic status and perceived social support, better emotion regulation and psychological flexibility were related to more resilient responses. The association between resilience factors and resilient responses was stronger in samples with younger mean age and a larger proportion of women. Most studies used non-representative convenience samples and effects were smaller when accounting for sociodemographic variables and other resilience factors. For many factors, findings were mixed, supporting the importance of the fit between resilience factors and situational demands. Research into social and societal resilience factors and multilevel resilience interventions is needed. Preregistration-ID: 10.17605/OSF.IO/GWJVA. Funding source: Robert Koch Institute (ID: LIR_2023_01).

Disaster management competence, disaster preparedness belief, and disaster preparedness relationship: Nurses after the 2023 Turkey earthquake

AIM

To examine the relationship between nurses' competency levels in disaster nursing management, their disaster preparedness and disaster preparedness beliefs.

BACKGROUND

Nurses' competency in disaster nursing management makes disaster response easier. Factors that may affect this reason should be examined.

METHODS

The study was conducted between April and July 2023 with nurses working in a province in the first-degree earthquake zone in Turkey. The sample of the study consisted of a total of 207 nurses who were selected from primary, secondary, and tertiary care institutions by using the stratified sampling method. Data were collected with a personal information form, the Competencies for Disaster Nursing Management Questionnaire, the Disaster Preparedness Scale, and the General Disaster Preparedness Beliefs Scale. Mann-Whitney U and Kruskal-Wallis tests, Spearman regression coefficient, and multiple linear regression analysis were used to analyze the data.

RESULTS

There was a positive correlation between nurses' competency levels regarding duties and responsibilities and their disaster preparedness levels. Having disaster-related training also positively affected the level of competence in duties and responsibilities. Belief in disaster preparedness and having "partial" knowledge about the disaster had no relationship with competencies.

DISCUSSION

According to the International Council of Nurses and current studies on disaster nursing, "competence areas" are among the priority study subjects.

CONCLUSION

According to the study results, disaster preparedness and having disaster-related education are effective factors in nurses' competencies related to duties and responsibilities.

IMPLICATIONS FOR NURSING POLICY

The results of this study may increase awareness in the healthcare system about nurses' disaster management competency levels and the factors that may affect this. It is recommended that disaster preparedness and disaster-related education factors should be taken into account in the initiatives and policies to be planned to improve the duty and responsibility competence of nurses.

The Impact of Relocation Patterns on Psychological Stress

This study investigated how relocation patterns affect disaster survivors' psychological stress on the diverse durations and spaces of relocation. It analyzed a 10-year data set of 1,236 families affected by 2009's Typhoon Morakot in Taiwan, identifying six relocation patterns through dynamic time warping (DTW). A hierarchical linear model was utilized, revealing the discernible impacts of environmental factors, sociocultural factors, and family-level socioeconomic factors on psychological stress. The study revealed that survivors who quickly found stable residences after the disaster initially experienced lower stress levels, but in the long term, their stress increased. Conversely, those with unstable residences experienced higher initial stress but lower long-term stress. Comparing similar patterns, we found that survivors who had more time for preparation and who sought opportunities, coped, or adapted to secondary stressors before long-distance relocation faced lower stress levels. These findings suggest that relocation patterns have a greater impact on the psychosocial stress of disaster survivors than time or relocation distance.

Effectiveness of a Health Belief Model-Based Education Program on Self-Efficacy and Preparedness for Infectious Disasters in Rural Populations

BACKGROUND

Health education programs can enhance self-efficacy and disaster preparedness. However, research incorporating the Health Belief Model (HBM) in education for infectious disasters is lacking.

AIMS

Examine the effectiveness of an HBM-based education program on self-reported self-efficacy and self-reported preparedness for infectious disasters in rural populations.

METHODS

In total, 109 eligible participants were allocated to two groups: participants who received HBM-based education (n = 55) or regular education (n = 54), presented at in-person meetings, with individual follow-up conducted on WhatsApp. Self-reported self-efficacy and preparedness for infectious disasters in both groups were measured at 4 and 8 weeks.

FINDINGS

Participants showed a significant interaction between groups and in time to increase in self-reported self-efficacy and self-reported preparedness to deal with infectious disasters. After 4 and 8 weeks, the groups had statistically significant differences (p≤.001) in all outcome measures.

CONCLUSION

HBM-based education was associated with increased self-reported self-efficacy and self-reported infectious disaster preparedness among the rural population. Follow-up by nurses is essential to implementing continuing health belief education programs to enhance rural populations' self-efficacy and infectious disaster preparedness.

Community resilience across Australia towards natural hazards: an application of the Conjoint Community Resiliency Assessment Measurement

Natural hazards can turn into disasters when not managed well. An important part of disaster risk reduction is to understand how well communities are prepared for natural hazards and how well they can cope with and recover from shocks in the long term. This research assesses self-reported community resilience and asks what makes a community resilient, using Australia as a case study. It reports on an Australian-wide online survey which included questions related to the Conjoint Community Resiliency Assessment Measurement, a subjective indicator, as well as questions about risk perception, well-being, and self-efficacy. Community resilience was found to be moderately high but scores for community leadership and preparedness were low. Perceived community resilience was positively correlated with age and those with high scores for self-efficacy and well-being. There was, as expected, an inverse relationship between reliance on external support during natural hazards and self-efficacy. The results complement previous studies which used different measures of community resilience.

Estimating the Influence of Adolescents' Non-Cognitive Skills on Awareness of Social Disaster Responses

BACKGROUND

This study examines the influence of 2 noncognitive skills, self-esteem and teamwork, on social disaster response awareness among Korean adolescents. Although self-esteem is a well-established predictor of health-related knowledge, the inclusion of teamwork in this study is motivated by its collective nature and its relevance to social norms.

METHODS

This study used data from the Korean Children and Youth Panel Survey 2018 (KCYPS 2018). Sibling fixed effects models, which account for the common unobserved characteristics shared by siblings within the same family, were estimated.

RESULTS

Conventional ordinary least square models showed that both self-esteem and teamwork are significant predictors of social disaster response awareness (bs = .011 and .014, respectively). However, our preferred sibling fixed effects estimates revealed that the controlling for unobserved family-level confounders attenuates the association for self-esteem, rendering it statistically insignificant (b = .003, p = .33). Despite some attenuation, the association between teamwork and social disaster response awareness was robust to controlling for sibling fixed effects (b = .010, p < .001).

CONCLUSIONS

The study's finding emphasizes the role of students' interpersonal noncognitive abilities in their social disaster response awareness. An intervention aimed at enhancing adolescents' teamwork may be effective to improve their awareness about how to respond to social disasters. Policymakers and practitioners may consider developing social disaster preparedness curricula that highlight the importance of social disaster response measures as community rules or social norms, in addition to safeguarding personal safety.

Who will survive in the next disaster? The associations between sociodemographics and typhoon protective behaviors

Personal protective behaviors play an important role in disaster management because they can effectively reduce the damage caused by disasters. Understanding the relations and differences in protective behaviors among different social classes can help improve disaster management. This study conducted a street questionnaire survey in a typhoon-prone district of Hong Kong. Data were analyzed to understand how sociodemographic parameters (i.e., gender, age, education level, and income) influenced typhoon protective behaviors (i.e., preparedness before typhoons and emergency response during typhoons) of Hong Kong residents. The results showed that the level of preparedness of the respondents was low before the arrival of the typhoon. When the typhoon is approaching Hong Kong, they become more responsive. The higher the intensity of the typhoon, the higher the level of the adoption of emergency response. Among four sociodemographic parameters, only age and income significantly affected protective behaviors. This study supplements the existing literature on typhoon disaster management and provides a reference for improving typhoon disaster management in Hong Kong and other coastal cities affected by typhoons.

Research on household emergency supplies storage from the theory of planned behavior and intention-behavior gap in the context of COVID-19

Introduction

In the context of COVID-19 epidemic, household-level emergency supplies are becoming a critical link in the national emergency response mechanism for public health emergencies. The main goal of this study is to analyze the forming process of household emergency supplies storage intention and behavior based on the theory of planned behavior.

Methods

A total of 486 valid questionnaires were obtained from China and analyzed using structural equation modeling.

Results

The study found that subjective norms and perceived behavioral control had a positive impact on residents' intention to store emergency supplies, while attitudes did not play a significant role. Community institutional trust and community network play significant moderating roles in the transformation from intentions to behaviors.

Discussion

This study explored the influencing factors of residents' household emergency supplies storage, and introduced community institutional trust and community network as moderating variables to analyze the process of transformation of residents' household emergency supplies storage intentions to behaviors from the perspective of community situation, and initially constructed a two-stage integration model including intention formation and behavior transformation. By analyzing the forming process of household emergency supplies behavior, this paper revealed the effective paths for the formation of household emergency supplies storage intention, and put forward policy suggestions from the government and community levels.

The Need for a Preparedness Training Model on Disaster Risk Reduction Based on Culturally Sensitive Public Health Nursing (PHN)

The Indonesian Disaster Risk Index (IRBI) in 2018 found that 52.33% of districts or cities in Indonesia were at high risk of natural disasters and the others were at moderate risk. The World Risk Index places Indonesia at number 33 in the very high-risk category. The policy direction of the Implementation of Disaster Management in Indonesia in 2020-2024 is to increase disaster resilience toward sustainable prosperity for sustainable development.

PURPOSE

This study aims to identify the various needs for a culturally sensitive PHN-based disaster risk-reduction preparedness training model.

METHODS

This study used a descriptive qualitative research design. Data collection was done through in-depth interviews, Focus Group Discussions (FGDs), and expert panel stages in the Indonesian language. Samples involved in the research included 4 experts and 11 informants.

RESULTS

There were 10 themes generated from the results. The analysis results revealed that the level of knowledge, attitudes, and skills of the community is still low. Almost all of the people of Mekar Mukti Village stated that they had never received community-based disaster management training.

CONCLUSIONS

The study findings highlighted the importance of the Disaster Risk-Reduction Preparedness Model Based on Culturally Sensitive Public Health Nursing for the community.

The Relationships Between Family Characteristics and Undergraduate Students' COVID-19 Responses: A Cross-Sectional Study in China

The COVID-19 pandemic has dramatically threatened the post-secondary education setting. It is crucial to understand the factors that potentially affect college students' COVID-19 responses, such as risk awareness, knowledge of the disease, and pandemic preparedness. However, there is insufficient literature on whether family characteristics contribute to students' COVID-19 responses. Leveraging the data from self-administrated survey – titled College Students' Epidemic Preparedness in the Post-COVID-19 Era (CSEPPCE), we find that students from high-income families were more likely to have a greater awareness of risk and better knowledge of COVID-19. Additionally, students whose parents were employed by the government had a higher probability of knowing COVID-19 symptoms and wearing masks. However, the relationships among risk awareness, knowledge, and family income did not meaningfully vary by sex or ethnicity. Implications and future directions are discussed.

Understanding Societal Resilience-Cross-Sectional Study in Eight Countries

Civilian populations that are more prepared for emergencies are more resilient. Ample research has been carried out over the last three decades to identify the factors that contribute to public readiness to emergencies and disasters and enhance societal resilience. However, the analysis did not achieve an in-depth comprehension of the types of contributing factors, namely, contextual vs. target aspects. A cross-sectional study that explored attitudinal factors among civilian populations took place during the months of January-February 2021. Diverse representative samples (N ≥ 500 each) of adults from eight countries (Italy, Romania, Spain, France, Sweden, Norway, Israel, and Japan) were engaged. The primary outcomes of this study were individual and societal resilience as well as emergency preparedness. The results suggest that in most countries, levels of trust are relatively high for emergency services and health services, and relatively low for politicians. In the overall sample, the individual preparedness index, which delineates the compliance with general household adjustment recommendation for emergencies, averaged at 4.44 ± 2.05SD (out of 8). Some variability was observed between countries, with some countries (e.g., Spain, Norway, and Italy) reporting higher preparedness rates than others (e.g., Japan). In the overall sample, levels of individual resilience were mediocre. Multivariate analysis showed that the following variables are predictors of societal resilience: trust (β = 0.59), social norms and communality (β = 0.20), individual resilience (β = 0.05), individual preparedness (β = 0.04), risk awareness (β = 0.04), and age (β = 0.03). The results of this study show that there are commonalities and differences between societies across Europe and beyond concerning societal resilience at large, including preparedness, individual resilience, and risk perception. Despite socio-cultural driven differences, this study shows that societies share varied characteristics that may contribute toward a common model for assessing societal resilience and for explaining and predicting resilience and readiness.

Risk Perception of Natural and Human-Made Disasters-Cross Sectional Study in Eight Countries in Europe and Beyond

Each year, emergency and disaster situations claim a heavy toll in human lives and economic loss. Civilian populations that are more aware and prepared for emergencies are more resilient. The aim of this study was to explore similarities and differences in risk perception of emergencies and disasters across different societies and its association with individual resilience. A cross sectional study that explored attitudinal factors, as expressed by diverse samples of target countries across Europe and beyond, took place during the months of January-February 2021. Diverse samples (N ≥ 500) of adults from 8 countries (Italy, Romania, Spain, France, Sweden, Norway, Israel, and Japan) were engaged in this study. This study used the Pictorial Representation of Illness and Self-Measure (iPRISM) tool to assess risk perception. The results suggest that for the overall sample (N = 4,013), pandemics were the risk of which participants showed the highest concern, followed by critical infrastructure fail, social disturbance, natural hazards, and extreme weather events. It was found that religiosity is associated with risk perception, with highly religious and non-religious reporting elevated risk perception (F = 5.735, df = 2, p = 0.003), however country-specific analysis revealed that this finding varies depending on local contexts. The analysis also revealed differences in risk perception depending on age and type of risk. The results of this study present that there are commonalities and differences between societies across Europe and beyond concerning societal resilience at large, including risk perception. The dependency of risk perception on local context suggests that a regional-based approach for disaster risk reduction may be called for to adapt and adjust to local socio-cultural characteristics of each population.

Perceptions of Social Responsibility for Community Resilience to Flooding: A Comparison between Communities in Indonesia and the UK

Over the last few decades, flood hazards have had a greater impact on society, meaning that communities increasingly need to work together to enhance their resilience. Literature suggests that preparedness to flooding events is generally low as most individuals do not take protective actions. Therefore, there is a need to stimulate individuals’ actions that increase their own and their communities’ resilience to flooding. Various factors must be addressed to encourage individuals to take action, such as providing information to improve risk perception, understanding cognitive processes that interpret environmental stimuli against the mental model, and considering social and cultural influences. This paper argues that Social Responsibility (SR), defined as an individual willingness to take up actions that benefit society, is part of a pre-existing mental model that can explain intentions to take preparedness actions that improve community resilience. Due to differing socio-cultural contexts, the SR perceptions of communities in different parts of the world may differ. In order to investigate this phenomenon, data of SR perceptions obtained from 180 completed questionnaires were collected from flooded and non-flooded communities in Semarang, Indonesia, and then compared against those obtained from 313 questionnaires based on a survey of communities in Birmingham and London in the UK. The results suggest that Indonesian communities demonstrate a higher level of SR scores than UK communities. A comparison of SR scores between flooded and non-flooded communities in the UK shows a higher level of SR in flooded communities. In contrast, the comparison between corresponding Indonesian communities indicates an almost similar level of SR. A comparison of SR scores between Indonesian and UK flooded communities shows a higher level of SR in Indonesian communities across several measures. Further comparison of SR scores between Indonesia and UK non-flooded communities demonstrates higher SR in Indonesian communities in all but one measure. This suggests that experience of flooding has a much stronger influence on raising SR perceptions in UK communities. Socio-cultural background may explain these differences in SR perceptions, particularly, in relation to collectivism orientation and the close-knit nature of Indonesian communities. Although higher SR perceptions do not necessarily mean higher levels of preparedness actions, this finding illuminates the important influence of socio-cultural context on community resilience enhancing efforts that rely on collective actions by individuals.

A multilevel analysis of ''Leave No Litter" (LNL) intention of Hong Kong hikers

Along the line that "Leave No Litter" (LNL) in protected areas is promoted globally, Hong Kong launched its LNL campaign in 2016. The success of the campaign is critically dependent on the compliance of the park visitors. Because behavioral intention is influenced by determinants of different domains, this study adopted a multilevel perspective to examine how demographic, psychological, and situational variables affected LNL intention using a voluntary response sample of 374 hikers in Hong Kong. The results indicated that attitude, perceived behavioral control, and preparedness were significant predictors of LNL intention, indicating the direct associations between them. Furthermore, preparedness mediated the effects of attitude, subjective norm, and perceived behavioral control on LNL intention. The findings of this paper may contribute to the body of knowledge on pro-environmental behavior of recreationists by providing a novel understanding of LNL intention of Hong Kong hikers. Furthermore, this study may cast light on the sustainable management of protected areas in Hong Kong as well as cities around the world.

Predictors for psychological distress of young burn survivors across three years: A cohort study of a burn disaster in Taiwan

Purpose

The study aims to investigate long‐term psychological distress and its risk factors in the burn survivors.

Design

A longitudinal study with follow‐up interviews was conducted from November 2015–June 2018. A post‐burn baseline interview was conducted 6 months after the event, followed by annual surveys for three years.

Methods

The burn survivors received structured assessment through telephone in the four‐wave interviews, including the five‐item Brief Symptom Rating Scale (BSRS‐5); two‐item Patient Health Questionnaire (PHQ‐2); four‐item Startle, Physiological Arousal, Anger, and Numbness Scale (SPAN‐4); and six‐item Impact of Event Scale (IES‐6) alongside demographic data and other health‐related assessment.

Findings

A total of 180 respondents with the mean age of 23 years old completed the four waves of interview. Using the BSRS‐5 as the outcome, each variable had different input in psychological distress during the follow‐up years. The main finding was that the SPAN‐4 score could predict more than 62% of psychological distress between 6 months and 3 years after the disaster. The generalized estimating equation demonstrated that SPAN‐4, IES‐6, family functioning impairment, hypnotics use, adaptation to the event, and PHQ‐2 could predict psychological distress. However, the variable of follow‐up year did not exemplify significant estimation in the model.

Conclusions

The results indicated that different factors had various influences on psychological distress across the four follow‐up stages. PTSD‐like symptoms, depression, and anxiety were the most common psychological problems experienced by the young burn cohort in the longitudinal post‐traumatic period.

Clinical relevance

Healthcare providers should be aware of psychological consequences of traumatic events within up to a 3‐year post‐burn period, particularly post‐traumatic stress, depression, and anxiety symptoms.

Place Attachment and Household Disaster Preparedness: Examining the Mediation Role of Self-Efficacy

Household preparedness is essential for resilience-building and disaster risk reduction. Limited studies have explored the correlations between place attachment, self-efficacy, and disaster preparedness, especially in the east Asian cultural context. This study investigates the mediating role of self-efficacy between place attachment and disaster preparedness based on data from the 2018 Shandong General Social Survey (N = 2181) in China. We categorized the preparedness behaviors into three specific clusters: material, behavioral and awareness preparedness. Multiple linear regressions and the Sobel Goodman tests were employed to estimate the correlations with the control of necessary confounding variables such as disaster experience, socioeconomic and demographic characteristics. The results demonstrate that both the place attachment and self-efficacy are correlated with higher degrees of overall preparedness and all three types of preparedness, and self-efficacy plays a mediating role between place attachment and disaster preparedness. These findings highlight the importance of promoting place attachment and self-efficacy in the advocacies and outreach activities of disaster preparedness.

Sustaining a Transformative Disaster Risk Reduction Strategy: Grandmothers' Telling and Singing Tsunami Stories for over 100 Years Saving Lives on Simeulue Island

As projections about the number and scale of natural hazard events and their impact on human populations grow, increasing attention is being paid to developing effective means for preparing for and mitigating those impacts. At the same time there is an emerging understanding that gradual and incremental changes in disaster risk reduction (DRR) will not adequately meet the future needs of vulnerable populations. Transformational changes have been identified as a necessary requirement to avoid ongoing large-scale losses of life and property and models have been proposed to recalibrate DRR strategies to achieve transformative changes. One cited example of a transformative change in DRR is that of Simeulue Island. Simeulue Island suffered two tsunamis approximately 100 years apart (1907, 2004) with markedly different impacts. This paper looks in detail at the cognitive and developmental mechanisms Simeulue co-opted to sustain the transformational change throughout the 20th century. Information from interviews and observation identified the role of grandmothers have in the effective communication of risk as well as motivating appropriate action to save lives. The possibility of similarly overlooked, local, and pre-existing community capacities for transformative change in DRR is then discussed.

Risk, Transformation and Adaptation: Ideas for Reframing Approaches to Disaster Risk Reduction

Recognition of projected increases in exposure to large-scale hazard events over the coming decades has identified a need to develop how disaster risk reduction and recovery are conceptualized and enacted. This paper discusses some strategies for pursing this goal in both disaster recovery and preparedness settings. The approaches discussed include understanding how communities learn from their hazardous experiences and transform these lessons into beliefs, relationships and capabilities that build future adaptive capacity. The paper draws on examples of transformative learning that illustrate how people can make fundamental shifts in how they think about, prepare for and respond to environmental challenge and change. Regarding transformation in pre-event settings, the paper first discusses why the addition of transformative strategies to disaster risk reduction programs is required. These include a need for rethinking socio-environmental relationships, increasing risk acceptance in the context of evolving hazardscapes, and countering beliefs regarding not preparing. The paper then offers strategies for motivating transformation and consolidating the outcomes of transformation in pre-event disaster risk reduction (DRR) strategies. A preliminary model that could inform the development of research questions on the development of transformative outcomes and their consolidation in enduring adaptive processes is presented.