BACKGROUND
Older adults comprise a substantial proportion of the U.S. population requiring support during disaster events. Previous research demonstrates older adults are resilient but deficient in disaster preparedness and lacking in community engagement. There is a gap in high quality research in this area.
OBJECTIVE
Our study aims to fill this gap by developing a four phased intervention to improve mobility, balance and decrease fall risks (mitigation), increase knowledge of disaster preparedness (preparedness), improve community emergency operation plans (response), and improve self-efficacy in disaster recovery (recovery) for older adults.
METHODS
This is a community based ten-month study in a large Midwest urban/suburban location targeting community dwelling older adults. Seminars are provided to improve disaster preparedness and recovery planning. Mitigation efforts to improve mobility and safety are offered with ten visits to the older adult’s residences adapting physical activity and balance exercises to the individual’s needs. Emergency Operations Plans for two of the major cities will be reviewed and amended for specific functional needs and access guidelines. Measurements include accelerometers to assess improvement in mobility, fall risk assessments, an abbreviated FEMA Household Survey, Assessment for Disaster Engagement with Partners Tool, Brief Pain Inventory Assessment, and the General Self-Efficacy Scale. Overarching objectives prioritized during this intervention include underscoring respect for the experience and resilience found in older adults and engaging them in specialized roles supporting their communities during disaster events.
RESULTS
The intervention began November 2023 and will conclude October 2024. Published study results can be expected in early 2025.
CONCLUSIONS
With improved disaster preparedness, mobility, recovery planning, and inclusion as a resource in community disasters, older adults are expected to be safer and able to age in place. If successful, future studies will focus on outreach and sustainability. This study will serve as a model for older adult disaster preparedness and community involvement.