SavedAdd your journal

Journals / Sağlık Bilimleri Dergisi / 2025 / Cilt: 34 Sayı: 3

The Effect of Disaster Preparedness Training Program Based on Health Belief Model on Disaster Preparedness of Elderly Individuals in the Community: A Study Protocol for a Cluster Randomized Controlled Trial

Sağlık İnanç Modeli’ne Temellendirilen Afete Hazırlık Eğitim Programı’nın Toplumdaki Yaşlı Bireylerin Afete Hazırbulunuşluklarına Etkisi: Küme Randomize Kontrollü Deneyin Çalışma Protokolü

Sebahat Gözüm(AKDENİZ ÜNİVERSİTESİ, HEMŞİRELİK FAKÜLTESİ)0000-0001-8672-8016
Merve Şıklaroğlu(AKDENİZ ÜNİVERSİTESİ, HEMŞİRELİK FAKÜLTESİ)0000-0002-2122-2740
Pages
462–476
Publication Date
2025-12-30
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The results will help improve disaster preparedness, disaster preparedness beliefs, and individual disaster preparedness behaviors among the elderly while providing guidance for researchers.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:This study presents the protocol planned for a cluster randomized controlled trial designed to examine the effect of the Disaster Preparedness Training Program, based on the Health Belief Model, on the disaster preparedness of elderly individuals in the community.
📊
Key Findings & Data:The study was conducted between March and May 2024 in six clusters located in houses for older adults, retirement cafés, and neighborhood parks in Muratpasa and Konyaalti districts of Antalya, where older adults are concentrated.
💡
Conclusion & Impact:The results will help improve disaster preparedness, disaster preparedness beliefs, and individual disaster preparedness behaviors among the elderly while providing guidance for researchers.
🔬Design:Modeling & Simulation
📍Scope:2024 Verileri
⚙️Variables:Afetler · eğitim · randomize kontrollü çalışma

Abstract

This study presents the protocol planned for a cluster randomized controlled trial designed to examine the effect of the Disaster Preparedness Training Program, based on the Health Belief Model, on the disaster preparedness of elderly individuals in the community. The study compares this intervention with a control group receiving only public education materials prepared by the Disaster and Emergency Management Authority. The study is designed as a single-blind (participant), cluster-randomized controlled trial. The study was conducted between March and May 2024 in six clusters located in houses for older adults, retirement cafés, and neighborhood parks in Muratpasa and Konyaalti districts of Antalya, where older adults are concentrated. The sample size is determined as 66 elderly individuals (intervention: 33, control: 33). The intervention group received the Disaster Preparedness Training Program Based on the Health Belief Model, which included interactive group training, distribution of public education materials prepared by the Disaster and Emergency Management Authority, and reminder phone messages for three months. The active control group received only the public education materials provided by the Disaster and Emergency Management Authority. Outcomes were measured before the intervention, after the training program, and three months later using the Disaster Preparedness Scale, General Disaster Preparedness Belief Scale, and Individual Disaster Preparedness Assessment Form. The results will help improve disaster preparedness, disaster preparedness beliefs, and individual disaster preparedness behaviors among the elderly while providing guidance for researchers.

Özet

Bu çalışma, toplumdaki yaşlı bireylerin Sağlık İnanç Modeli’ne temellendirilen Afete Hazırlık Eğitim Programı’nın, yalnızca Afet ve Acil Durum Yönetimi Başkanlığı tarafından hazırlanan eğitim materyallerinin verileceği aktif kontrol grubuna göre afete hazır bulunuşluklarına etkisini incelemek amacıyla tek kör (katılımcı), küme randomize kontrollü çalışma şeklinde tasarlanan bir çalışma için planlanan protokolü sunmaktadır. Araştırma Antalya ili Muratpaşa ve Konyaaltı ilçelerinde yaşlı bireylerin yoğun bulunduğu yaşlı evleri, emekli kahveleri ve semt parkında Mart-Mayıs 2024 tarihleri arasında toplam altı kümede yürütülmüştür. Örneklem büyüklüğü 66 yaşlı birey olarak (girişim: 33, kontrol: 33) hesaplanmıştır. Girişim grubuna üç ay boyunca interaktif grup eğitimi, Afet ve Acil Durum Yönetimi Başkanlığı tarafından hazırlanan kamusal eğitim materyallerinin verilmesi ve hatırlatıcı telefon mesajlarını içeren Sağlık İnanç Modeli’ne temellendirilen Afete Hazırlık Eğitim Programı uygulanmıştır. Aktif kontrol grubuna aynı süreçte Afet ve Acil Durum Yönetimi Başkanlığı tarafından hazırlanan kamusal eğitim materyalleri verilmiştir. Sonuçlar girişimden önce, eğitim programından sonra ve üç ay sonra Afet Hazır Bulunuşluk Ölçeği, Genel Afete Hazırlık İnanç Ölçeği ve Bireysel Afet Hazırlıkları Değerlendirme Formu’yla ölçülmüştür. Sonuçlar, yaşlı bireylerin afete hazır bulunuşluklarının artmasına, afete hazırlık inançlarının ve bireysel afet hazırlıklarının iyi olmasına katkıda bulunmaya yardımcı olacak ve araştırmacılara rehberlik edecektir.

🔖

Cite This Article

Gözüm, S., Şıklaroğlu, M. (2025). The Effect of Disaster Preparedness Training Program Based on Health Belief Model on Disaster Preparedness of Elderly Individuals in the Community: A Study Protocol for a Cluster Randomized Controlled Trial. Sağlık Bilimleri Dergisi, Cilt: 34 Sayı: 3, 462–476. https://doi.org/10.34108/eujhs.1658378

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (45)

  1. Tosun AS, Hisar F. Halk Sağlığı Hemşireliği. Ankara: Çukurova Nobel Tıp Kitabevi; 2021.
  2. United Nations Office for Disaster Risk Reduction [UNDRR]. The Human Cost of Weather-Related Disasters 1995-2015. https://www.undrr.org/publication/human-cost-weather-related-disasters-1995-2015. Published 2016. Accessed March 14, 2023.
  3. Centre for Research on the Epidemiology of Disasters [CRED]. 2022 Disasters in numbers.https://reliefweb.int/report/world/2022-disasters-numbers. Published 2023. Accessed April 6, 2024.
  4. EM-DAT. Emergency Event Database. https://public.emdat.be/data. Published 2023. Accessed May 11, 2024.
  5. Meteoroloji Genel Müdürlüğü [MGM]. 2021 Yılı Meteorolojik Afetler Değerlendirmesi. https://www.mgm.gov.tr/files/genel/raporlar/afetlerraporu2021.pdf. Published 2022. Accessed April 8, 2024.
  6. World Health Organization [WHO]. Ageing. https://www.who.int/health-topics/ageing#tab=tab_1. Published 2023. Accessed March 15, 2023.
  7. Okay N, İnal E. Kırılganlıktan kapasite geliştirmeye. Resilience. 2019;3(1):85-99. doi:10.32569/resilience.570286.
  8. Helpage International. Older people in Disasters and Humanitarian Crises: Guidelines for Best Practice.https://www.helpage.org/silo/files/older-people-in-disasters-and-humanitairan-crises-guidelines-for-best-practice.pdf. Accessed March 15, 2024.
  9. Al-Rousan TM, Rubenstein LM, Wallace RB. Preparedness for natural disasters among older US adults: A nationwide survey. Am J Public Health. 2014;105(4):1-14. doi:10.2105/AJPH.2013.301559.
  10. Ulaş-Kadıoğlu B, Uncu F. Disaster awareness research in family health centers: The case of Elazig. JoCReHeS. 2018;8(2):1-10. doi:10.26579/jocrehes_8.2.1.
  11. Tercan B. Türkiye’de afet politikaları ve kentsel dönüşüm. Abant Kültürel Araştırmalar Dergisi. 2018;3(5):102-120.
  12. Özmen B, Tolga Özden A. Türkiye’nin afet yönetim sistemine ilişkin eleştirel bir değerlendirme. İstanbul Üniversitesi Siyasal Bilgiler Fakültesi Dergisi. 2013;(49):1-28.
  13. Afet ve Acil Durum Yönetimi Başkanlığı [AFAD]. Türkiye Afet Müdahale Planı. https://www.afad.gov.tr/turkiye-afet-mudahale-plani. Published 2022. Accessed March 21, 2023.
  14. Afet ve Acil Durum Yönetimi Başkanlığı [AFAD]. İl Afet Risk Azaltma Planı (İRAP) Hazırlama Kılavuzu. https://www.afad.gov.tr/kurumlar/afad.gov.tr/Mevzuat/Kilavuzlar/IRAP-KILAVUZ_tum_v7.pdf. Published 2020. Accessed March 3, 2023.
  15. Paton D. Disaster risk reduction: Psychological perspectives on preparedness. Australian Journal of Psychology. 2020;71(4):327-341. doi:10.1111/ajpy.12237.
  16. Chan EYY, Kim JH, Lin C, Cheung EYL, Lee PPY. Is previous disaster experience a good predictor for disaster preparedness in extreme poverty households in Remote Muslim minority based community in China? J Immigr Minor Health. 2014;16(3):466. doi:10.1007/s10903-012-9761-9.
  17. Şentuna B, Çakı F. Balıkesir örnekleminde bir ölçek geliştirme çalışması: Afet Hazırbulunuşluk Ölçeği. İdealkent. 2020;11(31):1959-1983. doi:10.31198/idealkent.728896.
  18. Paton D, Johnston D. The Christchurch earthquake: Integrating perspectives from diverse disciplines. International Journal of Disaster Risk Reduction. 2015;14:1-5. doi:10.1016/j.ijdrr.2015.02.003.
  19. Bronfman NC, Cisternas PC, Repetto PB, Castañeda J V., Guic E. Understanding the relationship between direct experience and risk perception of natural hazards. Risk Analysis. 2020;40(10):2057-2070. doi:10.1111/risa.13526.
  20. Joffe H, Potts HWW, Rossetto T, Doğulu C, Gul E, Perez-Fuentes G. The Fix-it face-to-face intervention increases multihazard household preparedness cross-culturally. Nat Hum Behav. 2019;3(5):453-461. doi:10.1038/s41562-019-0563-0.
  21. Songlar T, Pussadee La-or NP, Chomchoe C, Khunthason S. Knowledge, attitude and practice (KAP) of earthquake preparedness amongst the elderly in risk areas: Chiang Rai, Thailand. J Health Res. 2019;33(1):2-13. doi:10.1108/JHR-12-2018-0167
  22. Ronan KR, Alisic E, Towers B, Johnson VA, Johnston DM. Disaster preparedness for children and families: A critical review. Curr Psychiatry Rep. 2015;17(7):1-9. doi:10.1007/s11920-015-0589-6.
  23. Kim SJ, Cho H. The effect of smartphone-delivered emergency preparedness education on coping knowledge among fifth- and sixth-grade elementary schoolchildren in South Korea. J Sch Nurs. 2016;33(6):434-445. doi:10.1177/1059840516680267.
  24. Thomas TN, Sobelson RK, Wigington CJ, et al. Applying ınstructional design strategies and behavior theory to household disaster preparedness training. J Public Health Manag Pract. 2018;24(1):e16-e25. doi:10.1097/PHH.0000000000000511.
  25. Ryan B, Johnston KA, Taylor M, McAndrew R. Community engagement for disaster preparedness: A systematic literature review. International Journal of Disaster Risk Reduction. 2020;49:101655. doi:10.1016/j.ijdrr.2020.101655.
  26. Seddighi H, Sajjadi H, Yousefzadeh S, et al. School-based education programs for preparing children for natural hazards: A systematic review. Disaster Med Public Health Prep. 2022;16(3):1229-1241. doi: 10.1017/dmp.2020.479.
  27. James LE, Welton-Mitchell C, Noel JR, James AS. Integrating mental health and disaster preparedness in intervention: A randomized controlled trial with earthquake and flood-affected communities in Haiti. Psychol Med. 2020;50(2):342. doi:10.1017/S0033291719000163
  28. Mhd Noor MT, Kadir Shahar H, Baharudin MR, et al. Facing flood disaster: A cluster randomized trial assessing communities’ knowledge, skills and preparedness utilizing a health model intervention. PLoS One. 2022;17(11):e0271258. doi:10.1371/journal.pone.0271258.
  29. Afet ve Acil Durum Yönetimi Başkanlığı [AFAD]. Afet Bilinci Eğitimleri. https://www.afad.gov.tr/afadem/afet-bilinci-egitimi. Published 2022. Accessed March 21, 2023.
  30. Afet ve Acil Durum Yönetimi Başkanlığı [AFAD]. Afete Hazır Okul-Afet Bilinci İlkokul ve Ortaokul Eğitimi. https://istanbul.afad.gov.tr/afete-hazir-okul--afet-bilinci-ilkokul-ve-ortaokul-egitimi. Published 2019. Accessed March 21, 2023.
  31. Labrague LJ, Hammad K, Gloe DS, et al. Disaster preparedness among nurses: A systematic review of literature. Int Nurs Rev. 2018;65(1):41-53. doi:10.1111/inr.12369.
  32. Yorulmaz DS, Karadeniz H. Türkiye’de 2000-2020 yılları arasında hemşirelik alanında afet konusunda yapılan tezlerin incelenmesi. Türkiye Klinikleri Hemşirelik Bilimleri Dergisi. 2021;13(4):851-857. doi:10.5336/nurses.2020-80070.
  33. Pourvakhshoori N, Norouzi K, Ahmadi F, Hosseini M, Khankeh H. Nursing in disasters: A review of existing models. Int Emerg Nurs. 2017;31:58-63. doi:10.1016/j.ienj.2016.06.004.
  34. Rohleder P. Critical Issues in Clinical and Health Psychology. UK: SAGE Publications; 2012.
  35. Jane O. Health Psychology: A Text Book. UK: McGrawHill Education; 2004.
  36. Ejeta LT, Ardalan A, Paton D. Application of behavioral theories to disaster and emergency health preparedness: A systematic review. PLoS Curr. 2015;7:ecurrents-dis. doi:10.1371/currents.dis.31a8995ced321301466db400f1357829.
  37. Pesiridis T, Sourtzi P, Galanis P, Kalokairinou A. Development, implementation and evaluation of a disaster training programme for nurses: A switching replications randomized controlled trial. Nurse Educ Pract. 2015;15(1):63-67. doi:10.1016/j.nepr.2014.02.001
  38. Chan AW, Tetzlaff JM, Altman DG, et al. SPIRIT 2013 statement: Defining standard protocol items for clinical trials. Ann Intern Med. 2013;158(3):200-207. doi:10.7326/0003-4819-158-3-201302050-00583.
  39. Barbour V, Bhui K, Chescheir N, et al. CONSORT statement for randomized trials of nonpharmacologic treatments: A 2017 update and a CONSORT extension for nonpharmacologic trial abstracts. Ann Intern Med. 2017;167(1):40-47. doi:10.7326/M17-0046.
  40. Ardalan A, Mowafi H, Ardakani HM, et al. Effectiveness of a primary health care program on urban and rural community disaster preparedness, Islamic Republic of Iran: a community ıntervention trial. Disaster Med Public Health Prep. 2013;7(5):481-490. doi:10.1017/dmp.2013.93.
  41. Lewis J, Julious SA. Sample sizes for cluster-randomised trials with continuous outcomes: Accounting for uncertainty in a single intra-cluster correlation estimate. Stat Methods Med Res. 2021;30(11):2459. doi:10.1177/09622802211037073.
  42. Campbell MK, Piaggio G, Elbourne DR, Altman DG. Consort 2010 statement: Extension to cluster randomised trials. BMJ. 2012;345(7881). doi:10.1136/bmj.e5661.
  43. Schultz-Larsen K, Lomholt RK, Kreiner S. A short version of Mini-Mental State Examination (MMSE) was as accurate as the original MMSE for predicting dementia. J Clin Epidemiol. 2007;60:260-267.doi:10.1016/j.jclinepi.2006.06.008.
  44. İnal E, Altıntaş KH, Doğan N. The development of a General Disaster Preparedness Belief Scale using the Health Belief Model as a theoretical framework. International Journal of Assessment Tools in Education. 2018;5(1):146-158. doi:10.21449/ijate.366825.
  45. Davis LL. Instrument review: Getting the most from a panel of experts. Applied Nursing Research. 1992;5:194-197. doi:10.1016/S0897-1897(05)80008-4.