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Disaster Preparedness in Families With Children With Special Health Care Needs
Holli B Bagwell1, Rebecca Liggin2, Tonya Thompson2
1University of Arkansas for Medical Sciences, Little Rock, AR, USA Arkansas Children's Hospital, Little Rock, AR, USA doctorholli@gmail.com.
Insights
A disaster supply starter kit significantly improved emergency preparedness for families of children with special health care needs (CSHCN). The intervention dramatically increased the number of families with disaster kits and emergency information forms.
Area of Science:
- Pediatrics
- Public Health
- Emergency Medicine
Background:
- Children with special health care needs (CSHCN) face distinct challenges in disaster preparedness.
- Effective strategies are needed to enhance the readiness of these vulnerable families.
Purpose of the Study:
- To evaluate the impact of a disaster supply starter kit intervention on the preparedness of families with CSHCN.
- To assess changes in the availability of emergency information forms and disaster kits post-intervention.
Main Methods:
- A 1-group pre-post cohort design was employed with consecutive enrollment at a pediatric medical home clinic.
- Surveys were administered before and after the intervention to compare preparedness levels.
- McNemar's test was used for statistical analysis of pre- and postintervention survey data.
Main Results:
- The percentage of families with an Emergency Information Form increased from 43% to 79% (P < .001).
- Disaster kit ownership surged from 18% to 99.6% post-intervention.
- Among those without a kit initially, 99% had one after the intervention, with 38% adding supplementary items.
Conclusions:
- An accessible, educational disaster supply starter kit intervention is effective in boosting family preparedness for CSHCN.
- Further research is warranted to explore the long-term sustainability and broader applicability of this intervention across diverse populations.
Abstract:
Children with special health care needs (CSHCN) may present unique challenges for disaster preparedness. This study's objective was to determine the impact of a disaster supply starter kit intervention on preparedness for families of CSHCN. The study was a 1-group pre-post cohort design with consecutive enrollment at the Arkansas Children's Hospital Medical Home Clinic. Pre- and postintervention survey findings were compared using McNemar's test. Of the 249 enrolled, 223 completed the postsurvey. At presurvey, 43% had an Emergency Information Form, compared with 79% at postsurvey (P < .001). At presurvey, 18% had a disaster kit, compared with 99.6% at postsurvey, and 44% added items. Of the 183 respondents who did not have a disaster kit at presurvey, 99% (n = 182) had a disaster kit on postsurvey, and 38% (n = 70) added items. An inexpensive educational disaster supply starter kit may increase preparedness. Further investigation on sustainability and dissemination to other populations is needed.
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