An intervention for enhancing public health crisis response willingness among local health department workers: a qualitative programmatic analysis.
Identifieur interne : 002373 ( Main/Exploration ); précédent : 002372; suivant : 002374An intervention for enhancing public health crisis response willingness among local health department workers: a qualitative programmatic analysis.
Auteurs : Krista L. Harrison [États-Unis] ; Nicole A. Errett [États-Unis] ; Lainie Rutkow [États-Unis] ; Carol B. Thompson [États-Unis] ; Marilyn K. Anderson [États-Unis] ; Justin L. Ferrell [États-Unis] ; Jennifer M. Freiheit [États-Unis] ; Robert Hudson [États-Unis] ; Michelle M. Koch [États-Unis] ; Mary Mckee [États-Unis] ; Alvaro Mejia-Echeverry [États-Unis] ; James B. Spitzer [États-Unis] ; Doug Storey [États-Unis] ; Daniel J. Barnett [États-Unis]Source :
- American journal of disaster medicine [ 1932-149X ] ; 2014.
Descripteurs français
- KwdFr :
- Attitude du personnel soignant (MeSH), Auto-efficacité (MeSH), Groupes de discussion (MeSH), Humains (MeSH), Intervenants d'urgence (enseignement et éducation), Intervenants d'urgence (psychologie), Programme d'études (MeSH), Protection civile (enseignement et éducation), Santé publique (enseignement et éducation), Volition (MeSH).
- MESH :
- enseignement et éducation : Intervenants d'urgence, Protection civile, Santé publique.
- psychologie : Intervenants d'urgence.
- Attitude du personnel soignant, Auto-efficacité, Groupes de discussion, Humains, Programme d'études, Volition.
English descriptors
- KwdEn :
- MESH :
- education : Civil Defense, Emergency Responders, Public Health.
- psychology : Emergency Responders.
- Attitude of Health Personnel, Curriculum, Focus Groups, Humans, Self Efficacy, Volition.
Abstract
OBJECTIVES
This study evaluated the impact of a novel multimethod curricular intervention using a train-the-trainer model: the Public Health Infrastructure Training (PHIT). PHIT was designed to 1) modify perceptions of self-efficacy, response efficacy, and threat related to specific hazards and 2) improve the willingness of local health department (LHD) workers to report to duty when called upon.
METHODS
Between June 2009 and October 2010, eight clusters of US LHDs (n = 49) received PHIT. Two rounds of focus groups at each intervention site were used to evaluate PHIT. The first round of focus groups included separate sessions for trainers and trainees, 3 weeks after PHIT. The second round of focus groups combined trainers and trainees in a single group at each site 6 months following PHIT. During the second focus group round, participants were asked to self-assess their preparedness before and after PHIT implementation.
SETTING
Focus groups were conducted at eight geographically representative clusters of LHDs.
PARTICIPANTS
Focus group participants included PHIT trainers and PHIT trainees within each LHD cluster.
MAIN OUTCOME MEASURE(S)
Focus groups were used to assess attitudes toward the curricular intervention and modifications of willingness to respond (WTR) to an emergency; self-efficacy; and response efficacy.
RESULTS
Participants reported that despite challenges in administering the training, PHIT was well designed and appropriate for multiple management levels and disciplines. Positive mean changes were observed for all nine self-rated preparedness factors (p < 0.001). The findings show PHIT's benefit in improving self-efficacy and WTR among participants.
CONCLUSIONS
The PHIT has the potential to enhance emergency response willingness and related self-efficacy among LHD workers.
DOI: 10.5055/ajdm.2014.0145
PubMed: 25068938
Affiliations:
- États-Unis
- Floride, Idaho, Indiana, Maryland, Minnesota, Missouri (État), Oregon, Virginie, Wisconsin
Links toward previous steps (curation, corpus...)
Le document en format XML
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Harrison</name><affiliation wicri:level="2"><nlm:affiliation>Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Errett, Nicole A" sort="Errett, Nicole A" uniqKey="Errett N" first="Nicole A" last="Errett">Nicole A. Errett</name><affiliation wicri:level="2"><nlm:affiliation>Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Rutkow, Lainie" sort="Rutkow, Lainie" uniqKey="Rutkow L" first="Lainie" last="Rutkow">Lainie Rutkow</name><affiliation wicri:level="2"><nlm:affiliation>Assistant Professor, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Assistant Professor, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Thompson, Carol B" sort="Thompson, Carol B" uniqKey="Thompson C" first="Carol B" last="Thompson">Carol B. Thompson</name><affiliation wicri:level="2"><nlm:affiliation>Assistant Scientist, Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Assistant Scientist, Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Anderson, Marilyn K" sort="Anderson, Marilyn K" uniqKey="Anderson M" first="Marilyn K" last="Anderson">Marilyn K. Anderson</name><affiliation wicri:level="2"><nlm:affiliation>Position Training Specialist, Eastern Idaho Public Health District, Idaho Falls, Idaho.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Idaho</region></placeName><wicri:cityArea>Position Training Specialist, Eastern Idaho Public Health District, Idaho Falls</wicri:cityArea></affiliation></author><author><name sortKey="Ferrell, Justin L" sort="Ferrell, Justin L" uniqKey="Ferrell J" first="Justin L" last="Ferrell">Justin L. Ferrell</name><affiliation wicri:level="2"><nlm:affiliation>Emergency Planner, Lord Fairfax Health District, Virginia Department of Health, Winchester, Virginia.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Virginie</region></placeName><wicri:cityArea>Emergency Planner, Lord Fairfax Health District, Virginia Department of Health, Winchester</wicri:cityArea></affiliation></author><author><name sortKey="Freiheit, Jennifer M" sort="Freiheit, Jennifer M" uniqKey="Freiheit J" first="Jennifer M" last="Freiheit">Jennifer M. Freiheit</name><affiliation wicri:level="2"><nlm:affiliation>Graduate Assistant, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Wisconsin</region></placeName><wicri:cityArea>Graduate Assistant, University of Wisconsin-Milwaukee, Milwaukee</wicri:cityArea></affiliation></author><author><name sortKey="Hudson, Robert" sort="Hudson, Robert" uniqKey="Hudson R" first="Robert" last="Hudson">Robert Hudson</name><affiliation wicri:level="2"><nlm:affiliation>Administrator, Butler County Health Department, Poplar Bluff, Missouri.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Missouri (État)</region></placeName><wicri:cityArea>Administrator, Butler County Health Department, Poplar Bluff</wicri:cityArea></affiliation></author><author><name sortKey="Koch, Michelle M" sort="Koch, Michelle M" uniqKey="Koch M" first="Michelle M" last="Koch">Michelle M. Koch</name><affiliation wicri:level="2"><nlm:affiliation>Emergency Preparedness Coordinator, Meeker County Public Health, Litchfield, Minnesota.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Minnesota</region></placeName><wicri:cityArea>Emergency Preparedness Coordinator, Meeker County Public Health, Litchfield</wicri:cityArea></affiliation></author><author><name sortKey="Mckee, Mary" sort="Mckee, Mary" uniqKey="Mckee M" first="Mary" last="Mckee">Mary Mckee</name><affiliation wicri:level="2"><nlm:affiliation>Director, Public Health Practice, Marion County Health Department, Indianapolis, Indiana.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Indiana</region></placeName><wicri:cityArea>Director, Public Health Practice, Marion County Health Department, Indianapolis</wicri:cityArea></affiliation></author><author><name sortKey="Mejia Echeverry, Alvaro" sort="Mejia Echeverry, Alvaro" uniqKey="Mejia Echeverry A" first="Alvaro" last="Mejia-Echeverry">Alvaro Mejia-Echeverry</name><affiliation wicri:level="2"><nlm:affiliation>Advanced Registered Nurse Practitioner, Miami-Dade County Health Department, Doral, Florida.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Floride</region></placeName><wicri:cityArea>Advanced Registered Nurse Practitioner, Miami-Dade County Health Department, Doral</wicri:cityArea></affiliation></author><author><name sortKey="Spitzer, James B" sort="Spitzer, James B" uniqKey="Spitzer J" first="James B" last="Spitzer">James B. Spitzer</name><affiliation wicri:level="2"><nlm:affiliation>Emergency Preparedness Coordinator (retired), Office of the Director, Multnomah County Health Department, Portland, Oregon.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Oregon</region></placeName><wicri:cityArea>Emergency Preparedness Coordinator (retired), Office of the Director, Multnomah County Health Department, Portland</wicri:cityArea></affiliation></author><author><name sortKey="Storey, Doug" sort="Storey, Doug" uniqKey="Storey D" first="Doug" last="Storey">Doug Storey</name><affiliation wicri:level="2"><nlm:affiliation>Assistant Professor, Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Assistant Professor, Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Barnett, Daniel J" sort="Barnett, Daniel J" uniqKey="Barnett D" first="Daniel J" last="Barnett">Daniel J. Barnett</name><affiliation wicri:level="2"><nlm:affiliation>Assistant Professor, Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Assistant Professor, Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore</wicri:cityArea></affiliation></author></analytic><series><title level="j">American journal of disaster medicine</title><idno type="ISSN">1932-149X</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Attitude of Health Personnel (MeSH)</term><term>Civil Defense (education)</term><term>Curriculum (MeSH)</term><term>Emergency Responders (education)</term><term>Emergency Responders (psychology)</term><term>Focus Groups (MeSH)</term><term>Humans (MeSH)</term><term>Public Health (education)</term><term>Self Efficacy (MeSH)</term><term>Volition (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Attitude du personnel soignant (MeSH)</term><term>Auto-efficacité (MeSH)</term><term>Groupes de discussion (MeSH)</term><term>Humains (MeSH)</term><term>Intervenants d'urgence (enseignement et éducation)</term><term>Intervenants d'urgence (psychologie)</term><term>Programme d'études (MeSH)</term><term>Protection civile (enseignement et éducation)</term><term>Santé publique (enseignement et éducation)</term><term>Volition (MeSH)</term></keywords><keywords scheme="MESH" qualifier="education" xml:lang="en"><term>Civil Defense</term><term>Emergency Responders</term><term>Public Health</term></keywords><keywords scheme="MESH" qualifier="enseignement et éducation" xml:lang="fr"><term>Intervenants d'urgence</term><term>Protection civile</term><term>Santé publique</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Intervenants d'urgence</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Emergency Responders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Attitude of Health Personnel</term><term>Curriculum</term><term>Focus Groups</term><term>Humans</term><term>Self Efficacy</term><term>Volition</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Attitude du personnel soignant</term><term>Auto-efficacité</term><term>Groupes de discussion</term><term>Humains</term><term>Programme d'études</term><term>Volition</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>This study evaluated the impact of a novel multimethod curricular intervention using a train-the-trainer model: the Public Health Infrastructure Training (PHIT). PHIT was designed to 1) modify perceptions of self-efficacy, response efficacy, and threat related to specific hazards and 2) improve the willingness of local health department (LHD) workers to report to duty when called upon.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Between June 2009 and October 2010, eight clusters of US LHDs (n = 49) received PHIT. Two rounds of focus groups at each intervention site were used to evaluate PHIT. The first round of focus groups included separate sessions for trainers and trainees, 3 weeks after PHIT. The second round of focus groups combined trainers and trainees in a single group at each site 6 months following PHIT. During the second focus group round, participants were asked to self-assess their preparedness before and after PHIT implementation.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>Focus groups were conducted at eight geographically representative clusters of LHDs.</p></div><div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b></p><p>Focus group participants included PHIT trainers and PHIT trainees within each LHD cluster.</p></div><div type="abstract" xml:lang="en"><p><b>MAIN OUTCOME MEASURE(S)</b></p><p>Focus groups were used to assess attitudes toward the curricular intervention and modifications of willingness to respond (WTR) to an emergency; self-efficacy; and response efficacy.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Participants reported that despite challenges in administering the training, PHIT was well designed and appropriate for multiple management levels and disciplines. Positive mean changes were observed for all nine self-rated preparedness factors (p < 0.001). The findings show PHIT's benefit in improving self-efficacy and WTR among participants.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The PHIT has the potential to enhance emergency response willingness and related self-efficacy among LHD workers.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25068938</PMID><DateCompleted><Year>2014</Year><Month>09</Month><Day>16</Day></DateCompleted><DateRevised><Year>2014</Year><Month>07</Month><Day>29</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1932-149X</ISSN><JournalIssue CitedMedium="Print"><Volume>9</Volume><Issue>2</Issue><PubDate><Year>2014</Year><Season>Spring</Season></PubDate></JournalIssue><Title>American journal of disaster medicine</Title><ISOAbbreviation>Am J Disaster Med</ISOAbbreviation></Journal><ArticleTitle>An intervention for enhancing public health crisis response willingness among local health department workers: a qualitative programmatic analysis.</ArticleTitle><Pagination><MedlinePgn>87-96</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.5055/ajdm.2014.0145</ELocationID><ELocationID EIdType="pii" ValidYN="Y">ajdm.2014.0145</ELocationID><Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">This study evaluated the impact of a novel multimethod curricular intervention using a train-the-trainer model: the Public Health Infrastructure Training (PHIT). PHIT was designed to 1) modify perceptions of self-efficacy, response efficacy, and threat related to specific hazards and 2) improve the willingness of local health department (LHD) workers to report to duty when called upon.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Between June 2009 and October 2010, eight clusters of US LHDs (n = 49) received PHIT. Two rounds of focus groups at each intervention site were used to evaluate PHIT. The first round of focus groups included separate sessions for trainers and trainees, 3 weeks after PHIT. The second round of focus groups combined trainers and trainees in a single group at each site 6 months following PHIT. During the second focus group round, participants were asked to self-assess their preparedness before and after PHIT implementation.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">Focus groups were conducted at eight geographically representative clusters of LHDs.</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">Focus group participants included PHIT trainers and PHIT trainees within each LHD cluster.</AbstractText><AbstractText Label="MAIN OUTCOME MEASURE(S)" NlmCategory="METHODS">Focus groups were used to assess attitudes toward the curricular intervention and modifications of willingness to respond (WTR) to an emergency; self-efficacy; and response efficacy.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Participants reported that despite challenges in administering the training, PHIT was well designed and appropriate for multiple management levels and disciplines. Positive mean changes were observed for all nine self-rated preparedness factors (p < 0.001). The findings show PHIT's benefit in improving self-efficacy and WTR among participants.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The PHIT has the potential to enhance emergency response willingness and related self-efficacy among LHD workers.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Harrison</LastName><ForeName>Krista L</ForeName><Initials>KL</Initials><AffiliationInfo><Affiliation>Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Errett</LastName><ForeName>Nicole A</ForeName><Initials>NA</Initials><AffiliationInfo><Affiliation>Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rutkow</LastName><ForeName>Lainie</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Assistant Professor, Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Thompson</LastName><ForeName>Carol B</ForeName><Initials>CB</Initials><AffiliationInfo><Affiliation>Assistant Scientist, Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Anderson</LastName><ForeName>Marilyn K</ForeName><Initials>MK</Initials><AffiliationInfo><Affiliation>Position Training Specialist, Eastern Idaho Public Health District, Idaho Falls, Idaho.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ferrell</LastName><ForeName>Justin L</ForeName><Initials>JL</Initials><AffiliationInfo><Affiliation>Emergency Planner, Lord Fairfax Health District, Virginia Department of Health, Winchester, Virginia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Freiheit</LastName><ForeName>Jennifer M</ForeName><Initials>JM</Initials><AffiliationInfo><Affiliation>Graduate Assistant, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hudson</LastName><ForeName>Robert</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Administrator, Butler County Health Department, Poplar Bluff, Missouri.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Koch</LastName><ForeName>Michelle M</ForeName><Initials>MM</Initials><AffiliationInfo><Affiliation>Emergency Preparedness Coordinator, Meeker County Public Health, Litchfield, Minnesota.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McKee</LastName><ForeName>Mary</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Director, Public Health Practice, Marion County Health Department, Indianapolis, Indiana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mejia-Echeverry</LastName><ForeName>Alvaro</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Advanced Registered Nurse Practitioner, Miami-Dade County Health Department, Doral, Florida.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Spitzer</LastName><ForeName>James B</ForeName><Initials>JB</Initials><AffiliationInfo><Affiliation>Emergency Preparedness Coordinator (retired), Office of the Director, Multnomah County Health Department, Portland, Oregon.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Storey</LastName><ForeName>Doug</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Assistant Professor, Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Barnett</LastName><ForeName>Daniel J</ForeName><Initials>DJ</Initials><AffiliationInfo><Affiliation>Assistant Professor, Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>1P01TP00288-01</GrantID><Acronym>TP</Acronym><Agency>OPHPR CDC HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType><PublicationType UI="D013487">Research Support, U.S. Gov't, P.H.S.</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Am J Disaster Med</MedlineTA><NlmUniqueID>101291100</NlmUniqueID><ISSNLinking>1932-149X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D001291" MajorTopicYN="N">Attitude of Health Personnel</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002959" MajorTopicYN="N">Civil Defense</DescriptorName><QualifierName UI="Q000193" MajorTopicYN="Y">education</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D003479" MajorTopicYN="N">Curriculum</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D060731" MajorTopicYN="N">Emergency Responders</DescriptorName><QualifierName UI="Q000193" MajorTopicYN="Y">education</QualifierName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D017144" MajorTopicYN="N">Focus Groups</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011634" MajorTopicYN="N">Public Health</DescriptorName><QualifierName UI="Q000193" MajorTopicYN="Y">education</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D020377" MajorTopicYN="N">Self Efficacy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014836" MajorTopicYN="Y">Volition</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>7</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>7</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>9</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25068938</ArticleId><ArticleId IdType="pii">ajdm.2014.0145</ArticleId><ArticleId IdType="doi">10.5055/ajdm.2014.0145</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Floride</li><li>Idaho</li><li>Indiana</li><li>Maryland</li><li>Minnesota</li><li>Missouri (État)</li><li>Oregon</li><li>Virginie</li><li>Wisconsin</li></region></list><tree><country name="États-Unis"><region name="Maryland"><name sortKey="Harrison, Krista L" sort="Harrison, Krista L" uniqKey="Harrison K" first="Krista L" last="Harrison">Krista L. Harrison</name></region><name sortKey="Anderson, Marilyn K" sort="Anderson, Marilyn K" uniqKey="Anderson M" first="Marilyn K" last="Anderson">Marilyn K. Anderson</name><name sortKey="Barnett, Daniel J" sort="Barnett, Daniel J" uniqKey="Barnett D" first="Daniel J" last="Barnett">Daniel J. Barnett</name><name sortKey="Errett, Nicole A" sort="Errett, Nicole A" uniqKey="Errett N" first="Nicole A" last="Errett">Nicole A. Errett</name><name sortKey="Ferrell, Justin L" sort="Ferrell, Justin L" uniqKey="Ferrell J" first="Justin L" last="Ferrell">Justin L. Ferrell</name><name sortKey="Freiheit, Jennifer M" sort="Freiheit, Jennifer M" uniqKey="Freiheit J" first="Jennifer M" last="Freiheit">Jennifer M. Freiheit</name><name sortKey="Hudson, Robert" sort="Hudson, Robert" uniqKey="Hudson R" first="Robert" last="Hudson">Robert Hudson</name><name sortKey="Koch, Michelle M" sort="Koch, Michelle M" uniqKey="Koch M" first="Michelle M" last="Koch">Michelle M. Koch</name><name sortKey="Mckee, Mary" sort="Mckee, Mary" uniqKey="Mckee M" first="Mary" last="Mckee">Mary Mckee</name><name sortKey="Mejia Echeverry, Alvaro" sort="Mejia Echeverry, Alvaro" uniqKey="Mejia Echeverry A" first="Alvaro" last="Mejia-Echeverry">Alvaro Mejia-Echeverry</name><name sortKey="Rutkow, Lainie" sort="Rutkow, Lainie" uniqKey="Rutkow L" first="Lainie" last="Rutkow">Lainie Rutkow</name><name sortKey="Spitzer, James B" sort="Spitzer, James B" uniqKey="Spitzer J" first="James B" last="Spitzer">James B. Spitzer</name><name sortKey="Storey, Doug" sort="Storey, Doug" uniqKey="Storey D" first="Doug" last="Storey">Doug Storey</name><name sortKey="Thompson, Carol B" sort="Thompson, Carol B" uniqKey="Thompson C" first="Carol B" last="Thompson">Carol B. Thompson</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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