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Effectiveness of Community Participation in Earthquake Preparedness: A Community-Based Participatory Intervention Study of Tehran Publisher Pubmed



Jamshidi E1 ; Majdzadeh R1 ; Namin MS2 ; Ardalan A3 ; Majdzadeh B1 ; Seydali E4
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Authors Affiliations
  1. 1. Community Based Participatory Research Center, Iranian Institute for Reduction of High-Risk Behaviours, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Tehran University of Medical Sciences, Research Centers Building, North Kargar Av, Enghelab Sq, Tehran, Iran
  3. 3. Department of Epidemiology, Disaster and Emergency Health Academy, Tehran University of Medical Sciences, and Harvard Humanitarian Initiative, Harvard University, Cambridge, MA, United States
  4. 4. Bushehr University of Medical Sciences, Bushehr, Iran

Source: Disaster Medicine and Public Health Preparedness Published:2016


Abstract

Objective The aim of this study was to evaluate the effectiveness of a community-based participatory intervention on earthquake preparedness in Tehran. Methods This community-engaged research was conducted during 2011 to 2013. An intervention and a control neighborhood were chosen through systematic cluster sampling. In the intervention group 305 households and in the control group 314 households were sampled for pre- and post-assessment surveys. A participatory intervention was designed on the basis of consultation with the community advisory board and was implemented by trained volunteers. Changes in outcome variables in the intervention and control groups were detected in terms of knowledge, attitude, and practice. Pearson chi-square tests and covariance regression were used to evaluate the effectiveness of the intervention. Results The results showed that the frequency of earthquake experience in the intervention and control groups was 69.2% and 79.0%, respectively. Moreover, the mean difference scores in knowledge, attitude, and practice in the intervention and control groups before and after the intervention were significant (P<0.001). Conclusions A participatory intervention effectively improved disaster preparedness at a community level. To ensure sustainability, the participatory approach should be integrated into public health disaster planning. (Disaster Med Public Health Preparedness. 2016;10:211-218) © Copyright Society for Disaster Medicine and Public Health, Inc. 2016.
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