Using the Precaution Adoption Process model to describe a disaster preparedness intervention among low-income Latinos

Health Educ Res. 2014 Apr;29(2):272-83. doi: 10.1093/her/cyt109. Epub 2014 Jan 7.

Abstract

Only 40-50% of households in the United States are currently disaster prepared. In this intervention study, respondent-driven sampling was used to select a sample (n = 187) of low income, Latino residents of Los Angeles County, randomly assigned into two treatment conditions: (i) household preparedness education received through 'promotora' (community health worker) led small group meetings, and (ii) household preparedness education received through print media. Weinstein's Precaution Adoption Process, a stage model appropriate for risk communication guided the intervention. Outcomes are conceptualized as stages of decision making linked to having disaster supplies and creating a family communication plan. Quantitative results showed a significant shift over time from awareness to action and maintenance stages for disaster communication plans and supplies in both study arms; however, the shift in stage for a communication plan for those in the 'platica' study arm was (P < 0.0001) than for those in the media arm. For changes in stage linked to disaster supplies, people in both media and 'platica' study arms improved at the same rate. Simple media-based communications may be sufficient to encourage disadvantaged households to obtain disaster supplies; however, adoption of the more complex disaster family communication requires interpersonal education.

Publication types

  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Decision Making
  • Disaster Planning / methods*
  • Family Characteristics / ethnology
  • Female
  • Health Education / methods*
  • Hispanic or Latino*
  • Humans
  • Los Angeles
  • Male
  • Models, Theoretical
  • Poverty