Repp Kimberly K, Hawes Eva, Rees Kathleen J, Vorderstrasse Beth, Mohnkern Sue
Research, Analytics, Informatics and Data (RAID) Program (Drs Repp and Vorderstrasse and Mss Hawes and Rees) and Public Health Emergency Preparedness Program (Ms Mohnkern), Washington County Public Health, Hillsboro, Oregon.
J Public Health Manag Pract. 2019 Sep/Oct;25(5):472-478. doi: 10.1097/PHH.0000000000000804.
Conducting a large-scale Community Assessment for Public Health Emergency Response (CASPER) in a geographically and linguistically diverse county presents significant methodological challenges that require advance planning.
The Centers for Disease Control and Prevention (CDC) has adapted methodology and provided a toolkit for a rapid needs assessment after a disaster. The assessment provides representative data of the sampling frame to help guide effective distribution of resources.
This article describes methodological considerations and lessons learned from a CASPER exercise conducted by Washington County Public Health in June 2016 to assess community emergency preparedness. The CDC's CASPER toolkit provides detailed guidance for exercises in urban areas where city blocks are well defined with many single family homes. Converting the exercise to include rural areas with challenging geographical terrain, including accessing homes without public roads, required considerable adjustments in planning. Adequate preparations for vulnerable populations with English linguistic barriers required additional significant resources. Lessons learned are presented from the first countywide CASPER exercise in Oregon.
Approximately 61% of interviews were completed, and 85% of volunteers reported they would participate in another CASPER exercise. Results from the emergency preparedness survey will be presented elsewhere.
This experience indicates the most important considerations for conducting a CASPER exercise are oversampling clusters, overrecruiting volunteers, anticipating the actual cost of staff time, and ensuring timely language services are available during the event.
在一个地域和语言多样化的县开展大规模公共卫生应急响应社区评估（CASPER）面临重大方法学挑战，需要提前规划。
美国疾病控制与预防中心（CDC）调整了方法，并提供了一个灾后快速需求评估工具包。该评估提供抽样框架的代表性数据，以帮助指导资源的有效分配。
本文描述了华盛顿县公共卫生部门于2016年6月开展的一次CASPER活动的方法学考量及经验教训，此次活动旨在评估社区应急准备情况。CDC的CASPER工具包为城市地区的活动提供了详细指导，在城市地区，城市街区界定明确，有许多独栋住宅。将该活动扩展至包括地理地形具有挑战性的农村地区，包括进入没有公共道路的家庭，需要在规划上进行相当大的调整。为有英语语言障碍的弱势群体做好充分准备需要额外的大量资源。本文介绍了俄勒冈州首次全县范围的CASPER活动的经验教训。
约61%的访谈完成，85%的志愿者表示他们会参加另一次CASPER活动。应急准备调查结果将在其他地方公布。
这一经验表明，开展CASPER活动最重要的考量因素是对群组进行过度抽样、过度招募志愿者、预估工作人员时间的实际成本，以及确保活动期间能及时提供语言服务。
