Community-Based Education: An Effective Policy for Earthquake Preparedness in Iran: Empirical Study Publisher

Summary: Face-to-face training best for quake prep in villages? RCT on 190 Iranian moms showed cascade method edges short-term gains in all dimensions, but both sustain long-term—tailoring methods saves lives. #DisasterPreparedness #CommunityHealth

Shams L¹ ; Shirzad M² ; Atighechian G³ ; Nasiri T^{4, 5} ; Shahbazi S^{6, 7}
Source: Journal of Education and Health Promotion Published:2024

Abstract

BACKGROUND: As natural or man-made shocks, disasters are sudden events that require emergency and fundamental measures. The need to be prepared for disasters has become clearer than ever worldwide. This study aimed to investigate the effect of earthquake preparedness training using the face-To-face or cascade method in rural households living in Juybar County (Iran) in 2018. METHODS AND MATERIAL: Following an experimental design with a pretest and posttest, the study was performed on married women aged 10-49 living in Kurdkolay village of Juybar county (n = 372). Participants were randomly categorized into two groups of training (n = 95) and face-To-face cascade method (n = 95). Data were collected using the Disaster Preparedness Assessment Index, comprising demographic and education sections. Data were collected using the disaster preparedness assessment index and analyzed using SPSS version 24. RESULTS: The findings indicated improved preparedness in all five dimensions in both groups. There was a significant difference between the study groups immediately and one week after the intervention (P < 0.05); i.e. a higher impact for the face-To-face cascade method. Meanwhile, both groups presented a similar level of preparedness 90 days after receiving the intervention (P > 0.05). CONCLUSIONS: The face-To-face cascade method was more effective in the short term, while no difference was found in the long term. Crisis managers and policymakers should choose their preferred method based on available facilities, human resources, and context to increase preparedness against earthquakes. Mothers play a vital role in educating and nurturing their children. It is suggested to conduct educational programs at the community level using the most appropriate methods that are chosen based on the best evidence. © 2024 Wolters Kluwer Medknow Publications. All rights reserved.