دورية أكاديمية
أعرض في EDS

Assessment of local public health workers' willingness to respond to pandemic influenza through application of the extended parallel process model.

التفاصيل البيبلوغرافية
العنوان: Assessment of local public health workers' willingness to respond to pandemic influenza through application of the extended parallel process model.
المؤلفون: Barnett DJ; Johns Hopkins Center for Public Health Preparedness, Baltimore, Maryland, United States of America. dbarnett@jhsph.edu, Balicer RD, Thompson CB, Storey JD, Omer SB, Semon NL, Bayer S, Cheek LV, Gateley KW, Lanza KM, Norbin JA, Slemp CC, Links JM
المصدر: PloS one [PLoS One] 2009 Jul 24; Vol. 4 (7), pp. e6365. Date of Electronic Publication: 2009 Jul 24.
نوع المنشور: Journal Article; Research Support, U.S. Gov't, P.H.S.
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: Electronic Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Attitude of Health Personnel* , Public Health Practice*, Influenza, Human/*epidemiology, Humans ; United States/epidemiology
مستخلص: Background: Local public health agencies play a central role in response to an influenza pandemic, and understanding the willingness of their employees to report to work is therefore a critically relevant concern for pandemic influenza planning efforts. Witte's Extended Parallel Process Model (EPPM) has been found useful for understanding adaptive behavior in the face of unknown risk, and thus offers a framework for examining scenario-specific willingness to respond among local public health workers. We thus aim to use the EPPM as a lens for examining the influences of perceived threat and efficacy on local public health workers' response willingness to pandemic influenza.
Methodology/principal Findings: We administered an online, EPPM-based survey about attitudes/beliefs toward emergency response (Johns Hopkins approximately Public Health Infrastructure Response Survey Tool), to local public health employees in three states between November 2006-December 2007. A total of 1835 responses were collected for an overall response rate of 83%. With some regional variation, overall 16% of the workers in 2006-7 were not willing to "respond to a pandemic flu emergency regardless of its severity". Local health department employees with a perception of high threat and high efficacy--i.e., those fitting a 'concerned and confident' profile in the EPPM analysis--had the highest declared rates of willingness to respond to an influenza pandemic if required by their agency, which was 31.7 times higher than those fitting a 'low threat/low efficacy' EPPM profile.
Conclusions/significance: In the context of pandemic influenza planning, the EPPM provides a useful framework to inform nuanced understanding of baseline levels of--and gaps in--local public health workers' response willingness. Within local health departments, 'concerned and confident' employees are most likely to be willing to respond. This finding may allow public health agencies to design, implement, and evaluate training programs focused on emergency response attitudes in health departments.
References: Milbank Q. 2004;82(3):413-55, table of contents. (PMID: 15330972)
Public Health Rep. 2007 Sep-Oct;122(5):573-8. (PMID: 17877303)
J Am Dent Assoc. 2006 Apr;137(4):461-7. (PMID: 16637474)
Health Educ Behav. 2000 Oct;27(5):591-615. (PMID: 11009129)
J Public Health Manag Pract. 2005 Nov;Suppl:S33-7. (PMID: 16205540)
N Engl J Med. 2005 May 5;352(18):1839-42. (PMID: 15872196)
Prehosp Disaster Med. 2008 Jul-Aug;23(4):328-35. (PMID: 18935947)
Health Commun. 1998;10(3):247-59. (PMID: 16370985)
Biosecur Bioterror. 2005;3(1):16-22. (PMID: 15853451)
Biosecur Bioterror. 2005;3(4):331-7. (PMID: 16366842)
Am J Disaster Med. 2006 Nov-Dec;1(1):28-36. (PMID: 18274041)
BMC Public Health. 2006 Apr 18;6:99. (PMID: 16620372)
Bull World Health Organ. 2004 Apr;82(4):317-8. (PMID: 15309817)
Health Commun. 2007;21(1):55-64. (PMID: 17461752)
J Urban Health. 2005 Sep;82(3):378-88. (PMID: 16000654)
معلومات مُعتمدة: U90 TP324236 United States TP OPHPR CDC HHS; 906860 United States PHS HHS; 104264 United States PHS HHS
تواريخ الأحداث: Date Created: 20090725 Date Completed: 20091110 Latest Revision: 20220318
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC2711331
DOI: 10.1371/journal.pone.0006365
PMID: 19629188
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0006365