A Virtual Home Preparedness Intervention Centered on Children and Youth With Special Health Care Needs.

Autor: Griffin JS; Department of Community Health and Prevention (JS Griffin, RK Davis, P Kurapati, J Kim, and RM Turchi), Drexel University Dornsife School of Public Health, Philadelphia, Pa. Electronic address: jsg348@drexel.edu., Hipper TJ; Center for Public Health Readiness and Communication (TJ Hipper, E Chernak, and L Popek), Department of Environmental and Occupational Health, Drexel University Dornsife School of Public Health, Philadelphia, Pa., Chernak E; Center for Public Health Readiness and Communication (TJ Hipper, E Chernak, and L Popek), Department of Environmental and Occupational Health, Drexel University Dornsife School of Public Health, Philadelphia, Pa; Department of Medicine, Drexel University College of Medicine (E Chernak), Philadelphia, Pa., Berhane Z; Department of Epidemiology and Biostatistics (Z Berhane), Drexel University Dornsife School of Public Health, Philadelphia, Pa., Davis RK; Department of Community Health and Prevention (JS Griffin, RK Davis, P Kurapati, J Kim, and RM Turchi), Drexel University Dornsife School of Public Health, Philadelphia, Pa., Popek L; Center for Public Health Readiness and Communication (TJ Hipper, E Chernak, and L Popek), Department of Environmental and Occupational Health, Drexel University Dornsife School of Public Health, Philadelphia, Pa., Kurapati P; Department of Community Health and Prevention (JS Griffin, RK Davis, P Kurapati, J Kim, and RM Turchi), Drexel University Dornsife School of Public Health, Philadelphia, Pa., Kim J; Department of Community Health and Prevention (JS Griffin, RK Davis, P Kurapati, J Kim, and RM Turchi), Drexel University Dornsife School of Public Health, Philadelphia, Pa., Turchi RM; Department of Community Health and Prevention (JS Griffin, RK Davis, P Kurapati, J Kim, and RM Turchi), Drexel University Dornsife School of Public Health, Philadelphia, Pa; Department of Pediatrics, St. Christopher's Hospital for Children (RM Turchi), Philadelphia, Pa; Department of Pediatrics, Drexel University College of Medicine (RM Turchi), Philadelphia, Pa.
Jazyk: angličtina
Zdroj: Academic pediatrics [Acad Pediatr] 2024 Sep-Oct; Vol. 24 (7), pp. 1150-1160. Date of Electronic Publication: 2024 Jun 10.
DOI: 10.1016/j.acap.2024.06.002
Abstrakt: Objective: Children and youth with special health care needs (CYSHCN) require additional considerations for staying safe in emergencies. Our team of clinicians and preparedness professionals developed and tested a virtual home preparedness intervention (VHPI) in families with CYSHCN receiving care in a statewide medical home network.
Methods: The VHPI comprised 1) a pre/post interview covering fire safety, emergency evacuation, sheltering in place, and informing emergency responders of the child/youth's care needs; 2) a resource packet containing emergency planning templates and information on local supports; and 3) individualized referrals coordinated through the medical home/community partners. Eligible CYSHCN had medical technology reliance, physical/mobility needs, communication/intellectual challenges, and/or vision/hearing loss. Preparedness was measured as pre/post affirmed rates of 19 items from the interview and as mean composite scores of these items; associations were evaluated using generalized estimating equations-based regression for repeated measures.
Results: The pre and post-VHPI interviews were completed by 170 and 148 participants, respectively. Significant individual-item gains included having a current Emergency Information Form for the child/youth (31% [pre] to 47% [post] affirmed) and assembling an evacuation kit (50% to 68%). The mean preparedness score was 13.33/19 items affirmed at baseline and increased to 14.96 post-VHPI (P < .01). In the adjusted regression model, the post-intervention preparedness score remained significantly higher than pre-VHPI, with mean increases of 1.22 preparedness steps affirmed for homeowners and 1.85 for renters.
Conclusions: Preparedness scores improved post-VHPI in families with CYSHCN. Future work should address incorporating the VHPI into care visits in the medical home.
Competing Interests: Declaration of Competing Interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: R Turchi: Centers for Disease Control and Prevention (CDC) funding and contract for this study, continuing medical education (CME) funding from St. Christopher's Hospital for Children to attend academic meetings, and leadership roles in the American Academy of Pediatrics, Health Resources & Services Administration Maternal and Child Health Bureau (HRSA MCHB), and Academic Pediatric Association. All other authors have no disclosure to share.
(Copyright © 2024 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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