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The Ready CDC intervention successfully moved participants toward household disaster preparedness behaviors by using instructional design and behavior theory. This model demonstrates effective strategies for future public health interventions.

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Area of Science:

  • Public Health
  • Behavioral Science
  • Health Education

Background:

  • Interventions for household disaster preparedness show mixed results due to limited use of behavior theory and instructional design.
  • The Transtheoretical Model (TTM) is a key behavior theory for understanding and influencing behavior change.
  • Effective interventions require tailored strategies based on individual stages of change.

Purpose of the Study:

  • To describe the instructional design strategies used in the Ready CDC intervention.
  • To evaluate the impact of Ready CDC on household disaster preparedness behaviors and stage progression.
  • To identify factors influencing behavior change in disaster preparedness.

Main Methods:

  • The Ready CDC intervention was adapted from FEMA's Ready campaign and offered to CDC staff.
  • It included preassessment, in-person training, behavioral reinforcement, and a 3-month follow-up.
  • The Transtheoretical Model (TTM) was used to assess participants' stages of change.

Main Results:

  • 44% of participants progressed at least one stage in developing a disaster plan.
  • Significant percentages of participants moved beyond the 'preparation' stage for assembling emergency kits.
  • Stage movement was influenced by knowledge, attitudes, and community resiliency, varying by baseline stage.

Conclusions:

  • Employing instructional strategies and behavioral theories enhances the adoption of preparedness behaviors.
  • The Ready CDC intervention successfully facilitated progress in household disaster preparedness.
  • Tailoring interventions to individual stages of change optimizes behavior adoption and provides a model for future efforts.