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Evaluation of a Pandemic Preparedness Training Intervention for Emergency Medical Services Personnel

Identifieur interne : 000806 ( Istex/Corpus ); précédent : 000805; suivant : 000807

Evaluation of a Pandemic Preparedness Training Intervention for Emergency Medical Services Personnel

Auteurs : Robyn R. M. Gershon ; Nikole Vandelinde ; Lori A. Magda ; Julie M. Pearson ; Andrew Werner ; David Prezant

Source :

RBID : ISTEX:E66B4AD73F454D2FBC8BBAD64B2B7E82F40D59FC

Abstract

AbstractIntroduction: Emergency medical services (EMS) personnel play an integral role during the national response to a pandemic event. To help ensure their health and safety, especially during the early stages of an outbreak, knowledge and adherence with personal protective equipment (PPE) and infection control strategies will be essential. Objectives: The objective of this study was to assess the effectiveness of a multi-method, pandemic preparedness training intervention using a pre-/post-test design. Methods: A convenience sample of 129 EMS personnel participated in a training program on pandemic preparedness. Training consisted of an educational intervention with a focus on the routes of transmission of the influenza virus, proper use of respiratory PPE, agency policies regarding infection control practices, and seasonal influenza vaccination. This was followed by a skill-based drill on respirator fit-checking and proper respirator donning and doffing procedures. Results: Pre-/post-test results indicate a significant increase in knowledge and behavioral intentions with respect to respirator use, vaccination with seasonal influenza vaccine, and willingness to report to duty during a pandemic. Conclusions: This method was effective in increasing knowledge and compliance intentions in EMS healthcare personnel. Further research should focus on whether training results in behavior modification.

Url:
DOI: 10.1017/S1049023X00007421

Links to Exploration step

ISTEX:E66B4AD73F454D2FBC8BBAD64B2B7E82F40D59FC

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<addr-line>New York</addr-line>
,
<addr-line>New York USA</addr-line>
</aff>
<aff id="aff2">
<label>
<sup>2</sup>
</label>
<addr-line>Fire Department of New York</addr-line>
,
<addr-line>New York</addr-line>
,
<addr-line>New York USA</addr-line>
</aff>
<author-notes>
<corresp id="cor1">
<addr-line>Mailman School of Public Health</addr-line>
<institution>Columbia University</institution>
<addr-line>722 West 168
<sup>th</sup>
Street</addr-line>
,
<addr-line>Room 938 New York</addr-line>
,
<addr-line>New York 10032 USA</addr-line>
E-mail:
<email xlink:href="rg405@columbia.edu">rg405@columbia.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub">
<month>12</month>
<year>2009</year>
</pub-date>
<volume>24</volume>
<issue>6</issue>
<fpage seq="9">508</fpage>
<lpage>511</lpage>
<history>
<date date-type="received">
<day>09</day>
<month>01</month>
<year>2009</year>
</date>
<date date-type="accepted">
<day>20</day>
<month>02</month>
<year>2009</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © World Association for Disaster and Emergency Medicine 2009</copyright-statement>
<copyright-year>2009</copyright-year>
<copyright-holder>World Association for Disaster and Emergency Medicine</copyright-holder>
</permissions>
<abstract abstract-type="normal">
<title>Abstract</title>
<sec id="sec01" sec-type="intro">
<title>
<bold>Introduction:</bold>
</title>
<p>Emergency medical services (EMS) personnel play an integral role during the national response to a pandemic event. To help ensure their health and safety, especially during the early stages of an outbreak, knowledge and adherence with personal protective equipment (PPE) and infection control strategies will be essential.</p>
</sec>
<sec id="sec02">
<title>
<bold>Objectives:</bold>
</title>
<p>The objective of this study was to assess the effectiveness of a multi-method, pandemic preparedness training intervention using a pre-/post-test design.</p>
</sec>
<sec id="sec03" sec-type="methods">
<title>
<bold>Methods:</bold>
</title>
<p>A convenience sample of 129 EMS personnel participated in a training program on pandemic preparedness. Training consisted of an educational intervention with a focus on the routes of transmission of the influenza virus, proper use of respiratory PPE, agency policies regarding infection control practices, and seasonal influenza vaccination. This was followed by a skill-based drill on respirator fit-checking and proper respirator donning and doffing procedures.</p>
</sec>
<sec id="sec04" sec-type="results">
<title>
<bold>Results:</bold>
</title>
<p>Pre-/post-test results indicate a significant increase in knowledge and behavioral intentions with respect to respirator use, vaccination with seasonal influenza vaccine, and willingness to report to duty during a pandemic.</p>
</sec>
<sec id="sec05" sec-type="conclusion">
<title>
<bold>Conclusions:</bold>
</title>
<p>This method was effective in increasing knowledge and compliance intentions in EMS healthcare personnel. Further research should focus on whether training results in behavior modification.</p>
</sec>
</abstract>
<kwd-group kwd-group-type="">
<title>Keywords</title>
<kwd>educational training intervention</kwd>
<kwd>emergency medical services</kwd>
<kwd>infection control</kwd>
<kwd>influenza vaccination</kwd>
<kwd>pandemic influenza</kwd>
<kwd>pandemic preparedness</kwd>
<kwd>respirator fit-checking</kwd>
<kwd>respiratory personal protective equipment</kwd>
</kwd-group>
<counts>
<page-count count="4"></page-count>
</counts>
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<back>
<ref-list>
<title>References</title>
<ref>
<citation id="ref001" citation-type="journal">
<label>1.</label>
<name>
<surname>Aledort</surname>
<given-names>JE</given-names>
</name>
,
<name>
<surname>Lurie</surname>
<given-names>N</given-names>
</name>
,
<name>
<surname>Wasserman</surname>
<given-names>J</given-names>
</name>
,
<name>
<surname>Bozzette</surname>
<given-names>SA</given-names>
</name>
:
<article-title>Non-pharmaceutical public health interventions for pandemic influenza: An evaluation of the evidence base</article-title>
.
<source>BMC Public Health</source>
<year>2007</year>
;
<volume>7</volume>
:
<fpage>208</fpage>
.</citation>
</ref>
<ref>
<citation id="ref002" citation-type="journal">
<label>2.</label>
<name>
<surname>Tokars</surname>
<given-names>J</given-names>
</name>
,
<name>
<surname>McKinley</surname>
<given-names>GF</given-names>
</name>
,
<name>
<surname>Otten</surname>
<given-names>J</given-names>
</name>
,
<etal></etal>
:
<article-title>Use and efficacy of tuberculosis infection control practices at hospitals with previous outbreaks of multi-resistant tuberculosis</article-title>
.
<source>Infect Control Hosp Epidemiol</source>
<year>2001</year>
;
<volume>22</volume>
(
<issue>7</issue>
):
<fpage>449</fpage>
<lpage>455</lpage>
.</citation>
</ref>
<ref>
<citation id="ref003" citation-type="journal">
<label>3.</label>
<name>
<surname>Shigayeva</surname>
<given-names>A</given-names>
</name>
,
<name>
<surname>Green</surname>
<given-names>K</given-names>
</name>
,
<name>
<surname>Raboud</surname>
<given-names>JM</given-names>
</name>
,
<etal></etal>
:
<article-title>Factors associated with critical-care healthcare workers' adherence to recommended barrier precautions during the Toronto severe acute respiratory syndrome outbreak</article-title>
.
<source>Infect Control Hosp Epidemiol</source>
<year>2007</year>
;
<volume>28</volume>
(
<issue>11</issue>
):
<fpage>1275</fpage>
<lpage>1283</lpage>
.</citation>
</ref>
<ref>
<citation id="ref004" citation-type="journal">
<label>4.</label>
<name>
<surname>Gamage</surname>
<given-names>B</given-names>
</name>
,
<name>
<surname>Moore</surname>
<given-names>D</given-names>
</name>
,
<name>
<surname>Copes</surname>
<given-names>R</given-names>
</name>
,
<etal></etal>
:
<article-title>Protecting healthcare workers from severe acute respiratory syndrome and other respiratory pathogens: A review of the infection control literature</article-title>
.
<source>AJIC</source>
<year>2005</year>
;
<volume>33</volume>
(
<issue>2</issue>
):
<fpage>114</fpage>
<lpage>121</lpage>
.</citation>
</ref>
<ref>
<citation id="ref005" citation-type="book">
<label>5.</label>
<name>
<surname>Visentin</surname>
<given-names>L</given-names>
</name>
,
<name>
<surname>Bondy</surname>
<given-names>S</given-names>
</name>
,
<name>
<surname>Schwartz</surname>
<given-names>B</given-names>
</name>
,
<name>
<surname>Morrison</surname>
<given-names>L</given-names>
</name>
:
<source>Knowledge, attitudes, and behaviour of paramedics regarding personal protective equipment for communicable respiratory disease outbreaks</source>
.
<publisher-name>Annual Meeting of the National Association of emergency medical services Physicians</publisher-name>
.
<publisher-loc>Naples, FL</publisher-loc>
,
<year>2008</year>
.</citation>
</ref>
<ref>
<citation id="ref006" citation-type="journal">
<label>6.</label>
<name>
<surname>Silverman</surname>
<given-names>AC</given-names>
</name>
,
<name>
<surname>Simor</surname>
<given-names>A</given-names>
</name>
,
<name>
<surname>Loutfy</surname>
<given-names>MR</given-names>
</name>
:
<article-title>Toronto emergency medical services and severe acute respiratory syndrome (Letters)</article-title>
.
<source>Emerg Infect Dis</source>
<year>2004</year>
;
<volume>10</volume>
(
<issue>9</issue>
):
<fpage>1688</fpage>
<lpage>1689</lpage>
.</citation>
</ref>
<ref>
<citation id="ref007" citation-type="journal">
<label>7.</label>
<name>
<surname>Moore</surname>
<given-names>D</given-names>
</name>
,
<name>
<surname>Gamage</surname>
<given-names>B</given-names>
</name>
,
<name>
<surname>Bryce</surname>
<given-names>E</given-names>
</name>
,
<etal></etal>
:
<article-title>Protecting healthcare workers from severe acute respiratory syndrome and other respiratory pathogens: organizational and individual factors that affect adherence to infection control guidelines</article-title>
.
<source>AJIC</source>
<year>2005</year>
;
<volume>33</volume>
(
<issue>2</issue>
):
<fpage>88</fpage>
<lpage>96</lpage>
.</citation>
</ref>
<ref>
<citation id="ref008" citation-type="journal">
<label>8.</label>
<name>
<surname>DeJoy</surname>
<given-names>DM</given-names>
</name>
:
<article-title>Theoretical models of health behavior and workplace self-protective behavior</article-title>
.
<source>J Safety Res</source>
<year>1996</year>
;
<volume>27</volume>
(
<issue>2</issue>
):
<fpage>61</fpage>
<lpage>72</lpage>
.</citation>
</ref>
<ref>
<citation id="ref009" citation-type="journal">
<label>9.</label>
<name>
<surname>Carrico</surname>
<given-names>RM</given-names>
</name>
,
<name>
<surname>Coty</surname>
<given-names>MB</given-names>
</name>
,
<name>
<surname>Goss</surname>
<given-names>LK</given-names>
</name>
,
<name>
<surname>LaJoie</surname>
<given-names>AS</given-names>
</name>
:
<article-title>Changing healthcare worker behavior in relation to respiratory disease transmission with a novel training approach that uses biosimulation</article-title>
.
<source>AJIC</source>
<year>2006</year>
;
<volume>35</volume>
(
<issue>1</issue>
):
<fpage>14</fpage>
<lpage>19</lpage>
.</citation>
</ref>
<ref>
<citation id="ref010" citation-type="journal">
<label>10.</label>
<name>
<surname>Gershon</surname>
<given-names>R</given-names>
</name>
,
<name>
<surname>Vlahov</surname>
<given-names>D</given-names>
</name>
,
<name>
<surname>Felknor</surname>
<given-names>S</given-names>
</name>
,
<etal></etal>
:
<article-title>Compliance with universal precautions among health care workers at three regional hospitals</article-title>
.
<source>AJIC</source>
<year>1995</year>
;
<volume>23</volume>
(
<issue>4</issue>
):
<fpage>293</fpage>
<lpage>299</lpage>
.</citation>
</ref>
<ref>
<citation id="ref011" citation-type="journal">
<label>11.</label>
<name>
<surname>Radonovich</surname>
<given-names>LJ</given-names>
</name>
,
<name>
<surname>Cheng</surname>
<given-names>J</given-names>
</name>
,
<name>
<surname>Shenal</surname>
<given-names>BV</given-names>
</name>
,
<etal></etal>
:
<article-title>Respirator tolerance in health care workers</article-title>
.
<source>JAMA</source>
<year>2009</year>
;
<volume>301</volume>
(
<issue>1</issue>
):
<fpage>36</fpage>
<lpage>38</lpage>
.</citation>
</ref>
<ref>
<citation id="ref012" citation-type="book">
<label>12.</label>
<name>
<surname>McMillan</surname>
<given-names>CH</given-names>
</name>
,
<name>
<surname>Jurkowski</surname>
<given-names>JM</given-names>
</name>
,
<name>
<surname>Dailey</surname>
<given-names>MW</given-names>
</name>
,
<etal></etal>
:
<source>Respiratory mask use amongst emergency responders: A needs assessment</source>
.
<publisher-name>Public Health Preparedness Summit</publisher-name>
.
<publisher-loc>Atlanta, Georgia</publisher-loc>
,
<year>2008</year>
.</citation>
</ref>
<ref>
<citation id="ref013" citation-type="journal">
<label>13.</label>
<name>
<surname>Shapira</surname>
<given-names>Y</given-names>
</name>
,
<name>
<surname>Marganitt</surname>
<given-names>B</given-names>
</name>
,
<name>
<surname>Roziner</surname>
<given-names>I</given-names>
</name>
,
<name>
<surname>Shochet</surname>
<given-names>T</given-names>
</name>
,
<etal></etal>
:
<article-title>Willingness of staff to report to their hospital duties following an unconventional missile attack: A state-wide survey</article-title>
.
<source>Isr J Med Sci</source>
<year>1991</year>
;
<volume>27</volume>
(
<issue>11–12</issue>
):
<fpage>704</fpage>
<lpage>711</lpage>
.</citation>
</ref>
<ref>
<citation id="ref014" citation-type="journal">
<label>14.</label>
<name>
<surname>Balicer</surname>
<given-names>RD</given-names>
</name>
,
<name>
<surname>Omer</surname>
<given-names>SB</given-names>
</name>
,
<name>
<surname>Barnett</surname>
<given-names>DJ</given-names>
</name>
,
<name>
<surname>Everly</surname>
<given-names>GS</given-names>
</name>
:
<article-title>Local public health workers' perceptions toward responding to an influenza pandemic</article-title>
.
<source>BMC Public Health</source>
<year>2006</year>
;
<volume>6</volume>
:
<fpage>99</fpage>
.</citation>
</ref>
<ref>
<citation id="ref015" citation-type="journal">
<label>15.</label>
<name>
<surname>Ehrenstein</surname>
<given-names>BP</given-names>
</name>
,
<name>
<surname>Hanses</surname>
<given-names>F</given-names>
</name>
,
<name>
<surname>Salzberger</surname>
<given-names>B</given-names>
</name>
:
<article-title>Influenza pandemic and professional duty: Family or patients first? A qualitative survey of hospital employees</article-title>
.
<source>BMC Public Health</source>
<year>2006</year>
;
<volume>6</volume>
:
<fpage>311</fpage>
.</citation>
</ref>
<ref>
<citation id="ref016" citation-type="journal">
<label>16.</label>
<name>
<surname>Qureshi</surname>
<given-names>K</given-names>
</name>
,
<name>
<surname>Gershon</surname>
<given-names>RRM</given-names>
</name>
,
<name>
<surname>Sherman</surname>
<given-names>MF</given-names>
</name>
,
<etal></etal>
:
<article-title>Healthcare worker's ability and willingness to report to duty during catastrophic disasters</article-title>
.
<source>J Urban Health</source>
<year>2005</year>
;
<volume>82</volume>
(
<issue>3</issue>
):
<fpage>378</fpage>
<lpage>388</lpage>
.</citation>
</ref>
<ref>
<citation id="ref017" citation-type="journal">
<label>17.</label>
<name>
<surname>DiMaggio</surname>
<given-names>D</given-names>
</name>
,
<name>
<surname>Markenson</surname>
<given-names>D</given-names>
</name>
,
<name>
<surname>Loo</surname>
<given-names>GT</given-names>
</name>
,
<name>
<surname>Redlener</surname>
<given-names>I</given-names>
</name>
:
<article-title>The willingness of U.S. emergency medical technicians to respond to terrorist incidents</article-title>
.
<source>Biosecur Bioterror</source>
<year>2005</year>
;
<volume>3</volume>
(
<issue>4</issue>
):
<fpage>331</fpage>
<lpage>337</lpage>
.</citation>
</ref>
<ref>
<citation id="ref018" citation-type="book">
<label>18.</label>
<name>
<surname>Slovic</surname>
<given-names>P</given-names>
</name>
: Perceived Risk, Trust, and Democracy. In:
<name>
<surname>Cvetkovich</surname>
<given-names>G</given-names>
</name>
,
<name>
<surname>Lofstedt</surname>
<given-names>RE</given-names>
</name>
(eds):
<source>Social Trust and the Management of Risk</source>
.
<publisher-loc>London</publisher-loc>
:
<publisher-name>Earthscan Publications Ltd.</publisher-name>
;
<year>1999</year>
.</citation>
</ref>
<ref>
<citation id="ref019" citation-type="journal">
<label>19.</label>
<name>
<surname>Nickell</surname>
<given-names>LA</given-names>
</name>
,
<name>
<surname>Crighton</surname>
<given-names>EJ</given-names>
</name>
,
<name>
<surname>Tracy</surname>
<given-names>CS</given-names>
</name>
,
<etal></etal>
:
<article-title>Psychosocial effects of severe acute respiratory syndrome on hospital staff: Survey of a large tertiary care institution</article-title>
.
<source>CMAJ</source>
<year>2004</year>
;
<volume>170</volume>
(
<issue>5</issue>
):
<fpage>793</fpage>
<lpage>798</lpage>
.</citation>
</ref>
<ref>
<citation id="ref020" citation-type="book">
<label>20.</label>
<collab>SPSS Inc</collab>
:
<source>SPSS Advanced Version</source>
. 16.0.1 ed.
<publisher-loc>Chicago IL</publisher-loc>
:
<publisher-name>SPSS Inc.</publisher-name>
;
<year>2008</year>
.</citation>
</ref>
<ref>
<citation id="ref021" citation-type="journal">
<label>21.</label>
<name>
<surname>Lee</surname>
<given-names>MC</given-names>
</name>
,
<name>
<surname>Takaya</surname>
<given-names>S</given-names>
</name>
,
<name>
<surname>Long</surname>
<given-names>R</given-names>
</name>
,
<name>
<surname>Joffe</surname>
<given-names>AM</given-names>
</name>
:
<article-title>Respirator-fit testing: Does it ensure the protection of healthcare workers against respirable particles carrying pathogens</article-title>
.
<source>Infect Control Hosp Epidemiol</source>
<year>2008</year>
;
<volume>29</volume>
(
<issue>12</issue>
):
<fpage>1149</fpage>
<lpage>1156</lpage>
.</citation>
</ref>
</ref-list>
</back>
</article>
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<title>Evaluation of a Pandemic Preparedness Training Intervention for Emergency Medical Services Personnel</title>
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<namePart type="given">Robyn R.M.</namePart>
<namePart type="family">Gershon</namePart>
<affiliation>Mailman School of Public Health, Columbia University, New York, New York USA</affiliation>
<affiliation>E-mail: rg405@columbia.edu</affiliation>
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<name type="personal">
<namePart type="given">Nikole</namePart>
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<affiliation>Fire Department of New York, New York, New York USA</affiliation>
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<namePart type="given">Lori A.</namePart>
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<namePart type="given">David</namePart>
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<abstract type="normal">AbstractIntroduction: Emergency medical services (EMS) personnel play an integral role during the national response to a pandemic event. To help ensure their health and safety, especially during the early stages of an outbreak, knowledge and adherence with personal protective equipment (PPE) and infection control strategies will be essential. Objectives: The objective of this study was to assess the effectiveness of a multi-method, pandemic preparedness training intervention using a pre-/post-test design. Methods: A convenience sample of 129 EMS personnel participated in a training program on pandemic preparedness. Training consisted of an educational intervention with a focus on the routes of transmission of the influenza virus, proper use of respiratory PPE, agency policies regarding infection control practices, and seasonal influenza vaccination. This was followed by a skill-based drill on respirator fit-checking and proper respirator donning and doffing procedures. Results: Pre-/post-test results indicate a significant increase in knowledge and behavioral intentions with respect to respirator use, vaccination with seasonal influenza vaccine, and willingness to report to duty during a pandemic. Conclusions: This method was effective in increasing knowledge and compliance intentions in EMS healthcare personnel. Further research should focus on whether training results in behavior modification.</abstract>
<subject>
<genre>Keywords</genre>
<topic>educational training intervention</topic>
<topic>emergency medical services</topic>
<topic>infection control</topic>
<topic>influenza vaccination</topic>
<topic>pandemic influenza</topic>
<topic>pandemic preparedness</topic>
<topic>respirator fit-checking</topic>
<topic>respiratory personal protective equipment</topic>
</subject>
<relatedItem type="host">
<titleInfo>
<title>Prehospital and Disaster Medicine</title>
</titleInfo>
<titleInfo type="abbreviated">
<title>Prehosp. Disaster med.</title>
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