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Preparedness Training Programs for Working With Deaf and Hard of Hearing Communities and Older Adults: Lessons Learned From Key Informants and Literature Assessments

Published online by Cambridge University Press:  18 October 2017

Patricia W. Kamau
Affiliation:
Emory University, Rollins School of Public Health, Atlanta, Georgia
Susan L. Ivey
Affiliation:
University of California, School of Public Health, Berkeley, California
Stephanie E. Griese
Affiliation:
Office of Public Health Preparedness and Response, Centers for Disease Control and Prevention, Atlanta, Georgia
Shoukat H. Qari*
Affiliation:
Office of Public Health Preparedness and Response, Centers for Disease Control and Prevention, Atlanta, Georgia
*
Correspondence and reprint requests to Shoukat H. Qari, DVM, PhD, Centers for Disease Control and Prevention (CDC), Office of Public Health Preparedness and Response, 1600 Clifton Rd. NE, MS K-72, Atlanta, GA (email: sqari@cdc.gov).

Abstract

Objectives

The objectives of this study were to (1) identify available training programs for emergency response personnel and public health professionals on addressing the needs of Deaf and hard of hearing individuals and older adults, (2) identify strategies to improve these training programs, and (3) identify gaps in available training programs and make recommendations for addressing these gaps.

Methods

A literature review was conducted to identify relevant training programs and identify lessons learned. Interviews were conducted by telephone or email with key informants who were subject matter experts who worked with Deaf and hard of hearing persons (n=11) and older adults (n=11).

Results

From the literature, 11 training programs targeting public health professionals and emergency response personnel serving Deaf and hard of hearing individuals (n=7) and older adults (n=4) were identified. The 4 training programs focused on older adults had corresponding evaluations published in the literature. Three (43%) of the 7 training programs focused on Deaf and hard of hearing persons included individuals from the affected communities in the development and implementation of the training. Key informant interviews identified common recommendations for improving training programs: (1) training should involve collaboration across different emergency, state, federal, and advocacy agencies; (2) training should involve members of affected communities; (3) training should be more widely accessible and affordable; and (4) training should teach response personnel varied communication techniques relevant to the Deaf and hard of hearing and older adult communities.

Conclusions

Developing effective, accessible, and affordable training programs for emergency response personnel working with Deaf and hard of hearing persons, some of whom belong to the older adult population, will require a collaborative effort among emergency response agencies, public health organizations, and members of the affected communities. (Disaster Med Public Health Preparedness. 2018;12:606–614)

Type
Original Research
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2017 

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References

REFERENCES

1. Wood, VT, Weisman, RA. A hole in the weather warning system - improving access to hazardous weather information for deaf and hard of hearing people. B Am Meteorol Soc. 2003;84(2):187-194. doi: 10.1175/Bams-84-2-187.Google Scholar
2. Cahalan, C, Renne, J. Safeguarding independent living: emergency evacuation of the elderly and disabled. InTransition Magazine. 2007 (Spring 2007):7–12, 29-31.Google Scholar
3. National Institute on Deafness and Other Communication Disorders (NIDCD). Quick Statistics 2014. http://www.nidcd.nih.gov/health/statistics/pages/quick.aspx. Accessed April 4, 2015.Google Scholar
4. Zelaya, CE, Lucas, JW, Hoffman, HJ. Self-reported hearing trouble in adults aged 18 and over: United States. 2014. NCHS data brief no. 214. Hyattsville, MD: NCHS; 2015.Google Scholar
5. Al-Rousan, TM, Rubenstein, LM, Wallace, RB. Preparedness for natural disasters among older US adults: a nationwide survey. Am J Public Health. 2014;104(3):506-511. Epub 2014/01/18.Google Scholar
6. Anderson, N. Better Emergency Care for the Deaf Population Through Improved Communication [Capstone Experience/Thesis Projects]. Kentucky: Honors College; 2014.Google Scholar
7. Fernandez, LS, Byard, D, Lin, CC, Benson, S, Barbera, JA. Frail elderly as disaster victims: emergency management strategies. Prehosp Disaster Med. 2002;17(2):67-74. Epub 2002/12/26.Google Scholar
8. Engelman, A, Ivey, SL, Tseng, W, et al. Responding to the deaf in disasters: establishing the need for systematic training for state-level emergency management agencies and community organizations. BMC Health Services Res. 2013;13:84. Epub 2013/03/19. doi: 10.1186/1472-6963-13-84.Google Scholar
9. Peters, JW. During Storm Updates, Eyes on an Interpreter. The New York Times. https://mobile.nytimes.com/2012/10/31/nyregion/lydia-callis-sign-language-interpreter-gains-fans-during-hurricane-sandy.html?mcubz=0. Published October 30, 2012. Accessed August 29, 2017.Google Scholar
10. Chesapeake Health Education Program Inc. Preparedness, Emergency Response and Recovery Consortium. http://resconnola.com/perrc. Accessed September 10, 2016.Google Scholar
11. Chesapeake Health Education Program Inc. 2016 Preparedness, Emergency Response and Recovery Consortium 2014-2015. http://perrc.org. Accessed September 10, 2016.Google Scholar
12. Stajura, M, Glik, D, Eisenman, D, et al. Perspectives of community- and faith-based organizations about partnering with local health departments for disasters. Int J Environ Res Public Health. 2012;9(7):2293-2311. Epub 2012/08/02. doi: 10.3390/ijerph9072293.Google Scholar
13. Neuhauser, L, Ivey, SL, Huang, D, et al. Availability and readability of emergency preparedness materials for deaf and hard-of-hearing and older adult populations: issues and assessments. PloS One. 2013;8(2):e55614. Epub 2013/03/02. doi: 10.1371/journal.pone.0055614.Google Scholar
14. Klaiman, T, Knorr, D, Fitzgerald, S, et al. Locating and communicating with at-risk populations about emergency preparedness: the vulnerable populations outreach model. Disaster Med Public Health Prep. 2010;4(3):246-251. Epub 2010/12/15. doi: 10.1001/dmp.2010.25.Google Scholar
15. Laditka, SB, Laditka, JN, Cornman, CB, et al. Disaster preparedness for vulnerable persons receiving in-home, long-term care in South Carolina. Prehosp Disaster Med. 2008;23(2):133-142; discussion 43. Epub 2008/06/19.Google Scholar
16. Federal Emergency Management Agency (FEMA). National Incident Management System. https://www.fema.gov/national-incident-management-system. Accessed March 27, 2015.Google Scholar
17. Centers for Disease Control and Prevention (CDC). Community Assessment for Public Health Emergency Response (CASPER) Toolkit. 2nd ed. Atlanta, GA: CDC; 2012.Google Scholar
18. National Association of County and City Health Officials (NAACHO). NAACHO’s Toolbox 2015 [March 27, 2015]. http://www.naccho.org/toolbox/index.cfm? CFID=26441654&CFTOKEN=69231530&jsessionid=97517BDEFB36E2F3950469AB48934324.cfusion. Accessed September 28, 2017.Google Scholar
19. Kailes, JI. Disability Policy Consultant. http://www.jik.com/index.html. Accessed March 27, 2015.Google Scholar
20. Massachusetts Commission for the deaf and Hard of Hearing. Basic Signs for Law Enforcement. http://www.mass.gov/eohhs/gov/departments/mcdhh/programs/communicate-train/basic-signs-for-law-enforcement.html. Accessed March 27, 2015.Google Scholar
21. Daugherty, JD, Eiring, H, Blake, S, Howard, D. Disaster preparedness in home health and personal-care agencies: are they ready? Gerontology. 2012;58(4):322-330. Epub 2012/04/11. doi: 10.1159/000336032.Google Scholar
22. Rebmann, T, Citarella, B, Subramaniam, DS, et al. A home health agency’s pandemic preparedness and experience with the 2009 H1N1 pandemic. Am J Infect Control. 2011;39(9):725-731. Epub 2011/06/15. doi: 10.1016/j.ajic.2010.12.014.Google Scholar
23. Laditka, SB, Laditka, JN, Xirasagar, S, et al. Protecting nursing home residents during emergencies or disasters: an exploratory study from South Carolina. Prehosp Disaster Med. 2007;22(1):42-48. Epub 2007/05/09.Google Scholar
24. Eisenman, DP, Cordasco, KM, Asch, S, et al. Disaster planning and risk communication with vulnerable communities: lessons from Hurricane Katrina. Am J Public Health. 2007;97(suppl 1):S109-S115. Epub 2007/04/07. doi: 10.2105/AJPH.2005.084335.Google Scholar
25. Power, MR, Power, D, Horstmanshof, L. Deaf people communicating via SMS, TTY, relay service, fax, and computers in Australia. J Deaf Stud Deaf Educ. 2007;12(1):80-92. Epub 2006/09/05. doi: 10.1093/deafed/enl016.Google Scholar
26. Vincent, C, Bergeron, F, Hotton, M, et al. Message transmission efficiency through five telecommunication technologies for signing deaf users. Assist Technol. 2010;22(3):141-151. Epub 2010/10/14. PubMed PMID: 20939423.Google Scholar
27. Estrada, LC, Fraser, MR, Cioffi, JP, et al. Partnering for preparedness: the project public health ready experience. Public Health Rep. 2005;120(suppl 1):69-75. Epub 2005/07/20.Google Scholar
28. Burke, S, Bethel, JW, Britt, AF. Assessing disaster preparedness among latino migrant and seasonal farmworkers in eastern North Carolina. Int J Environ Res Public Health. 2012;9(9):3115-3133. Epub 2012/12/04. doi: 10.3390/ijerph9093115.Google Scholar
29. Troy, DA, Carson, A, Vanderbeek, J, et al. Enhancing community-based disaster preparedness with information technology. Disasters. 2008;32(1):149-165. Epub 2008/01/26. doi: 10.1111/j.1467-7717.2007.01032.x. PubMed PMID: 18217923; PubMed Central PMCID: PMC2239245.Google Scholar
30. Irmiter, C, Subbarao, I, Shah, JN, et al. Personal derived health information: a foundation to preparing the United States for disasters and public health emergencies. Disaster Med Public Health Prep. 2012;6(3):303-310. Epub 2012/06/27. doi: 10.1001/dmp.2012.21.Google Scholar
31. Williams, J, Nocera, M, Casteel, C. The effectiveness of disaster training for health care workers: a systematic review. Ann Emerg Med. 2008;52(3):211-22, 22 e1-2. Epub 2007/12/11. doi: 10.1016/j.annemergmed.2007.09.030.Google Scholar
32. Pines, J, Pilkington, W, Seabury, S. Value-Based Models for Sustaining Emergency Preparedness Capacity and Capability in the United States. Institute of Medicine Forum on Medical and Public Health Preparedness for Catastrophic Events. https://nasemso.org/Projects/DomesticPreparedness/documents/IOM-Preparedness-Financing-07Jan2014.pdf. Presented October 30, 2013. Published January 7, 2014.Google Scholar
33. Thomas, J, Roggiero, JP, Silva, B. Using community partners to deliver low-cost and effective emergency management and business continuity services. J Business Continuity Emerg Plan. 2010;4(4):317-328.Google Scholar
34. Ivey, SL, Tseng, W, Dahrouge, D, et al. Assessment of state- and territorial-level preparedness capacity for serving deaf and hard-of-hearing populations in disasters. Public Health Rep. 2014;129(2):148-155. Epub 2014/03/04.Google Scholar
35. Rosselli, RT, Davis, MK, Simeonsson, K, et al. An academic/government partnership to provide technical assistance with pandemic influenza planning to local health departments in North Carolina. Public Health Rep. 2010;125:92-99. PubMed PMID: WOS:000283211200013.Google Scholar
36. Wells, KB, Tang, J, Lizaola, E, et al. Applying community engagement to disaster planning: developing the vision and design for the Los Angeles County Community Disaster Resilience Initiative. Am J Public Health. 2013;103(7):1172-1180. doi: 10.2105/ajph.2013.301407.Google Scholar
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