Heagele Tara, Hyun JungMoon, Park So-Hyun, Samuels William Ellery, Seo Jin Young
Hunter-Bellevue School of Nursing, Hunter College, the City University of New York, New York, NY, USA.
Speech, Language, & Hearing Sciences, Auburn University, Auburn, USA.
J Urban Health. 2025 Apr;102(2):332-343. doi: 10.1007/s11524-025-00974-z. Epub 2025 Mar 31.
This study investigated the effectiveness of the Nurses Taking on Readiness Measures (N-TORM) intervention in improving disaster preparedness of Asian immigrant residents in New York City. N-TORM is an innovative, nurse-led, household disaster preparedness educational intervention provided to community members to help them create their disaster-related evacuation and communication plans, build disaster supply kits, and understand community resources available to assist residents before, during, and after disasters. The aims of this controlled before-after intervention study were to (a) pilot test the Korean translation of the Household Emergency Preparedness Instrument (K-HEPI), (b) evaluate the effectiveness of N-TORM to increase household disaster preparedness knowledge and behavior, and (c) describe the factors most necessary to maintain and expand N-TORM. Participants in the experimental group (N = 200) demonstrated significantly greater pre-to-post improvement in disaster preparedness compared to those in the control group (N = 199), as measured by the K-HEPI (effect on total General Preparedness scores, β = 1.66, SE = 0.105, p < .001). The Korean community organization that was involved in this study continues to offer N-TORM to its members, demonstrating the intervention's sustainability. Further testing of the K-HEPI and the intervention in longitudinal studies is recommended to explore potential associations between disaster preparedness and outcomes such as survival without rescue, prevention of injury, or acute exacerbations of chronic illnesses. Replicating the intervention across different immigrant populations is essential, and data from these studies can inform policy development to better address the needs of immigrant communities before, during, and after disasters. ClinicalTrials.gov Identifier: NCT0554478. Hunter College of City University of New York Protocol Record 2022-0542-Hunter, Korean Translation and Validation of the K-HEPI by a Phase 1 Feasibility Study in NYC, is registered and posted on the ClinicalTrials.gov website.
本研究调查了护士承担准备措施(N-TORM)干预措施在提高纽约市亚洲移民居民灾难准备方面的有效性。N-TORM是一项由护士主导的创新性家庭灾难准备教育干预措施,提供给社区成员,以帮助他们制定与灾难相关的疏散和沟通计划、建立灾难应急包,并了解在灾难发生前、期间和之后可用于协助居民的社区资源。这项前后对照干预研究的目的是:(a)对家庭应急准备工具(K-HEPI)的韩语翻译进行试点测试;(b)评估N-TORM在增加家庭灾难准备知识和行为方面的有效性;(c)描述维持和扩大N-TORM最必要的因素。实验组(N = 200)的参与者在灾难准备方面的前后改善程度明显高于对照组(N = 199),这是通过K-HEPI测量的(对总体综合准备分数的影响,β = 1.66,SE = 0.105,p <.001)。参与本研究的韩国社区组织继续向其成员提供N-TORM,证明了该干预措施的可持续性。建议在纵向研究中对K-HEPI和该干预措施进行进一步测试,以探索灾难准备与诸如无需救援即可生存、预防伤害或慢性疾病急性加重等结果之间的潜在关联。在不同移民群体中复制该干预措施至关重要,这些研究的数据可为政策制定提供信息,以便在灾难发生前、期间和之后更好地满足移民社区的需求。ClinicalTrials.gov标识符:NCT0554478。纽约市立大学亨特学院协议记录2022 - 0542 - 亨特,“纽约市K-HEPI的韩语翻译及一期可行性研究验证”已在ClinicalTrials.gov网站注册并发布。