Korean Translation and Validation of the K-HEPI in NYC

NCT05544578 | Completed

• 1 other identifier: 2022-0542-Hunter
• Study Type: interventional
• Target: 400
• Locations: 1 country
• Sites: 1

Brief Summary

Nurses Taking on Readiness Measures (N-TORM) is an innovative nurse-driven household emergency preparedness intervention modeled after an existing community intervention provided by emergency management personnel. The proposed pilot studies will test the Korean translation of the Household Emergency Preparedness Instrument (K-HEPI) and describe the implementation and effectiveness of N-TORM in a community setting. The aims of this instrument translation study and cluster randomized controlled trial are to (a) field and pilot test the K-HEPI in order to perform psychometric testing on the instrument and generate reliability and validity data, (b) increase the accessibility of N-TORM to vulnerable populations, (c) evaluate the effectiveness of N-TORM to increase household emergency preparedness knowledge and behavior, (d) implement N-TORM in a community located in an area at increased risk for disasters, measuring consistency of delivery, time, and cost of N-TORM, and (e) describe the factors most necessary to maintain and expand N-TORM.

Conditions

Disaster; Vulnerable Populations

Keywords

immigrants; civil defense; hazard; emergency; preparedness; planning; readiness; kit; disaster planning; emergency preparedness; community; community nursing; health surveys; intervention study

Outcome Measures

Primary Outcomes (1)

• Korean Household Emergency Preparedness Instrument (K-HEPI) Score

  The Korean Household Emergency Preparedness Instrument (K-HEPI) is an all-hazards, comprehensive, 51-question instrument used to ascertain if a respondent is prepared for disasters. Higher scores on the HEPI indicate higher levels of preparedness. Excluding the Access and Functional Needs (AFN) and Special Actions (SA) subscales that are not applicable to all respondents, the minimum score a participant could receive on the General Preparedness (GP) scale is 0 and the maximum score is 40 (1 point for each yes-response and 0 points for each no-response). There is support for face, content, and criterion validity of this instrument. The HEPI questions are objective and ask about what the respondent presently owns or does in a dichotomous format.

  through study completion, an average of 1 year

Study Arms (2)

Nurses Taking On Readiness Measures (N-TORM) Intervention Group

EXPERIMENTAL

This is a phase 1 feasibility study via a cluster randomized controlled trial.

Behavioral: Nurses Taking On Readiness Measures (N- TORM)

Disaster and Emergency Preparation Pocket Guide Control Group

NO INTERVENTION

The control group will receive the Korean version of the 2-page Prepared New York: Disaster and Emergency Preparation pocket guide (NYC Emergency Management, n.d.) after data collection has been completed.

Interventions

Nurses Taking On Readiness Measures (N- TORM) BEHAVIORAL

The intervention group will be educated about household emergency preparedness via a presentation and the Korean version of a New York City community-specific booklet called Ready New York: My Emergency Plan (NYC Emergency Management, 2022). The intervention will begin with instructing the participant to start the booklet during class 1 and completing it for homework. The class content will complement the booklet and the K-HEPI. The booklet includes preparedness recommendations, evacuation zone information, a disaster supply kit contents list, local utility company contact information, shelter locations, and special needs and priority utility restoration registry information. During class 2, study personnel will check for completion of the booklets, answer any questions that the participants may have about the evacuation and communication plans and disaster kits, and facilitate group discussion to foster social support from other community members.

Nurses Taking On Readiness Measures (N-TORM) Intervention Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years of age or older
• participant pr household
• understand and read Korean
• lives independently within the New York metropolitan area (i.e., not in a rehabilitation facility, long-term care facility, halfway house or prison)
• consents to participate

You may not qualify if:

• less than 18 years of age
• cognitive impairments
• Non-Korean speaking
• Non-Korean reading

Sponsors & Collaborators

• Hunter College of City University of New York: lead
• Weill Medical College of Cornell University: collaborator

Study Sites (1)

Hunter College, City University of New York

New York, New York, 10010, United States

Location

Related Publications (7)

• Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Lawrence Erlbaum Associates.

  BACKGROUND

• Cong, Z. & Chen, Z. (2022). How are Asian-Americans different from other races in disaster preparedness in the context of caregiving responsibilities and preparation information access?. Natural Hazards. https://doi.org/10.1007/s11069-022-05262-6

  BACKGROUND

• Feher Waltz, C., Strickland, O. L., & Lenz, E. R. (2010). Measurement in nursing and health research (4th edition). Springer Publishing Company.

  BACKGROUND

• Heagele TN, Adams LM, McNeill CC, Alfred DM. Validation and Revision of the Household Emergency Preparedness Instrument (HEPI) by a Pilot Study in the City University of New York. Disaster Med Public Health Prep. 2022 Mar 25;17:e126. doi: 10.1017/dmp.2022.35.

  PMID: 35332858 BACKGROUND

• Heagele TN, McNeill CC, Adams LM, Alfred DM. Household Emergency Preparedness Instrument Development: A Delphi Study. Disaster Med Public Health Prep. 2022 Apr;16(2):570-582. doi: 10.1017/dmp.2020.292. Epub 2020 Nov 20.

  PMID: 33213596 BACKGROUND

• Sperber AD. Translation and validation of study instruments for cross-cultural research. Gastroenterology. 2004 Jan;126(1 Suppl 1):S124-8. doi: 10.1053/j.gastro.2003.10.016.

  PMID: 14978648 BACKGROUND

• Zheng G, Oksuzyan S, Hsu S, Cloud J, Jewell MP, Shah N, Smith LV, Frye D, Kuo T. Self-Reported Interest to Participate in a Health Survey if Different Amounts of Cash or Non-Monetary Incentive Types Were Offered. J Urban Health. 2018 Dec;95(6):837-849. doi: 10.1007/s11524-018-0237-7.

  PMID: 29654397 BACKGROUND

Related Links

• Centre for Research on the Epidemiology of Disasters, United Nations Office of Disaster Risk Reduction (CRED-UNDRR) (2020). Human cost of disasters: 2000-2019. EM-DAT The international disaster database.
• Kriegstein, B., Parnell, W. Parisienne, T., Crane-Newman, M., Annese, J., Tracy, T., \& McShane, L. (2021, September 2). Hurricane Ida NYC death toll rises to 13, including infant and senior citizen, after record rains and lethal flooding. New York Daily
• NYC Emergency Management (n.d.). Guides and app. City of New York.
• United States Census Bureau (2021a, October 8). How ready are we? Measuring America's people, places, and economy.
• United States Census Bureau (2021b, November 15). 2020 census.
• Yam, K. \& Venkatraman, S. (2021, October 18). Ida's forgotten victims: Nearly all storm's basement deaths were Asian residents, obscured by climate injustice. NBC News.

MeSH Terms

Conditions

Emergencies; Piebaldism

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Albinism; Eye Diseases, Hereditary; Genetic Diseases, Inborn; Congenital, Hereditary, and Neonatal Diseases and Abnormalities; Amino Acid Metabolism, Inborn Errors; Metabolism, Inborn Errors; Skin Diseases, Genetic; Hypopigmentation; Pigmentation Disorders; Skin Diseases; Skin and Connective Tissue Diseases; Metabolic Diseases; Nutritional and Metabolic Diseases

Study Officials

• Tara Heagele, PhD, RN

  City University of New York, School of Public Health

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: The data collection site will be the unit of randomization. The participants will be blinded to group assignment.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: This is a phase 1 feasibility study via a cluster randomized controlled trial.

Study Record Dates

• First Submitted: September 14, 2022
• First Posted: September 16, 2022
• Study Start: July 13, 2023
• Primary Completion: July 19, 2024
• Study Completion: July 19, 2024
• Last Updated: August 15, 2024

Record last verified: 2023-10

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)