Journal article
A Virtual Home Preparedness Intervention Centered on Children and Youth With Special Health Care Needs
Academic pediatrics, v 24(7), pp 1150-1160
01 Sep 2024
PMID: 38866363
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Children and youth with special health care needs (CYSHCN) require additional considerations for staying safe in emergencies. Our team of clinicians and preparedness professionals developed and tested a virtual home preparedness intervention (VHPI) in families with CYSHCN receiving care in a statewide medical home network.
The VHPI comprised 1) a pre/post interview covering fire safety, emergency evacuation, sheltering in place, and informing emergency responders of the child/youth’s care needs; 2) a resource packet containing emergency planning templates and information on local supports; and 3) individualized referrals coordinated through the medical home/community partners. Eligible CYSHCN had medical technology reliance, physical/mobility needs, communication/intellectual challenges, and/or vision/hearing loss. Preparedness was measured as pre/post affirmed rates of 19 items from the interview and as mean composite scores of these items; associations were evaluated using generalized estimating equations–based regression for repeated measures.
The pre and post-VHPI interviews were completed by 170 and 148 participants, respectively. Significant individual-item gains included having a current Emergency Information Form for the child/youth (31% [pre] to 47% [post] affirmed) and assembling an evacuation kit (50% to 68%). The mean preparedness score was 13.33/19 items affirmed at baseline and increased to 14.96 post-VHPI (P < .01). In the adjusted regression model, the post-intervention preparedness score remained significantly higher than pre-VHPI, with mean increases of 1.22 preparedness steps affirmed for homeowners and 1.85 for renters.
Preparedness scores improved post-VHPI in families with CYSHCN. Future work should address incorporating the VHPI into care visits in the medical home.
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Details
- Title
- A Virtual Home Preparedness Intervention Centered on Children and Youth With Special Health Care Needs
- Creators
- Jennifer S. Griffin (Corresponding Author) - Drexel University, Community Health and PreventionThomas J. Hipper - Drexel University, Environmental and Occupational HealthEsther Chernak - Drexel University, Environmental and Occupational HealthZekarias Berhane - Drexel University, Epidemiology and BiostatisticsRenee K. Davis - Department of Community Health and Prevention (JS Griffin, RK Davis, P Kurapati, J Kim, and RM Turchi), Drexel University Dornsife School of Public Health, Philadelphia, PaLeah Popek - Drexel University, Community Health and PreventionPriyatham Kurapati - Drexel University, Community Health and PreventionJohn Kim - Drexel UniversityRenee M. Turchi - Drexel University, Community Health and Prevention
- Publication Details
- Academic pediatrics, v 24(7), pp 1150-1160
- Publisher
- Elsevier
- Number of pages
- 11
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics; Community Health and Prevention; Environmental and Occupational Health
- Web of Science ID
- WOS:001300546900001
- Scopus ID
- 2-s2.0-85198119399
- Other Identifier
- 991021884915704721
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- Web of Science research areas
- Pediatrics