Hostname: page-component-84c44f86f4-d6p2c Total loading time: 0 Render date: 2025-10-14T19:45:39.015Z Has data issue: false hasContentIssue false

Effect of Disaster Awareness Education on General Disaster Preparedness Beliefs: A Quasi-Experimental Study

Published online by Cambridge University Press:  06 October 2025

Ömer Demirbilek
Affiliation:
Faculty of Health Sciences, Department of Emergency Aid and Disaster Management, Malatya Turgut Özal University , Malatya, Türkiye
Ramazan Aslan*
Affiliation:
Faculty of Health Sciences, Department of Emergency Aid and Disaster Management, Ardahan University , Ardahan, Türkiye
*
Corresponding author: Ramazan Aslan; Email: ramazanaslan@ardahan.edu.tr

Abstract

Objective

This study examines the impact of a disaster awareness education program on general disaster preparedness beliefs in Türkiye, utilizing the Health Belief Model as a theoretical framework.

Methods

A quasi-experimental, single-group design with pre-test, post-test, and follow-up measurements was employed. Participants were enrolled in a Disaster Awareness Education course at a Public Education Center. Data were gathered using a demographic questionnaire and the General Disaster Preparedness Belief (GDPB) Scale. Repeated measures ANOVA was conducted to assess changes over time.

Results

Significant improvements were observed in perceived susceptibility, perceived severity, perceived barriers, cues to action, and self-efficacy following the intervention. While male participants showed no significant changes, female and middle-income participants experienced substantial improvements. Perceived susceptibility initially increased but reverted to baseline at follow-up. Perceived severity decreased and remained low, whereas perceived barriers declined post-education but were not sustained. Cues to action showed a steady increase, suggesting ongoing motivation. Self-efficacy improved significantly and was maintained over time.

Conclusions

Disaster education has a positive impact on general disaster preparedness beliefs. Tailored interventions may be especially beneficial for specific demographic groups such as males and lower-income individuals. It is recommended that future studies investigate the mechanisms underlying demographic disparities in educational impact, particularly among male and low-income participants.

Information

Type
Original Research
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Centre for Research on the Epidemiology of Disasters. Human Cost of Disasters (2000-2019). 2020. Accessed July 24, 2023. https://cred.be/sites/default/files/CredCrunch61-Humancost.pdfGoogle Scholar
Centre for Research on the Epidemiology of Disasters. 2023 Disasters in Numbers: A Significant Year of Disaster Impact. 2024. Accessed July 7, 2024. https://files.emdat.be/reports/2023_EMDAT_report.pdfGoogle Scholar
Inter-Agency Standing Committee and the European Commission. INFORM REPORT 2024: 10 Years of INFORM. Publications Office of the European Union; 2024.Google Scholar
Zhang, D, Zhu, X, Zhou, Z, et al. Research on disaster literacy and affecting factors of college students in central China. Disaster Med Public Health Prep. 2021;15(2):216222. doi:10.1017/dmp.2020.33CrossRefGoogle ScholarPubMed
Sakurai, A, Sato, T. Promoting education for disaster resilience and the Sendai Framework for Disaster Risk Reduction. J Disaster Res. 2016;11(3):402412. doi:10.20965/jdr.2016.p0402CrossRefGoogle Scholar
Mızrak, S. Education, disaster education and community disaster resilience. MSKU Journal of Education. 2018;5(1):5667. doi:10.21666/muefd.321970Google Scholar
Ejeta, LT, Ardalan, A, Paton, D. Application of behavioral theories to disaster and emergency health preparedness: a systematic review. PLoS Curr. 2015;7. doi:10.1371/currents.dis.31a8995ced321301466db400f1357829Google ScholarPubMed
Amberson, T, Wells, C, Gossman, S. Increasing disaster preparedness in emergency nurses: a quality improvement initiative. J Emerg Nurs. 2020;46(5):654665. doi:10.1016/j.jen.2020.05.001CrossRefGoogle ScholarPubMed
Alim, S, Kawabata, M, Nakazawa, M. Evaluation of disaster preparedness training and disaster drill for nursing students. Nurse Educ Today. 2015;35(1):2531. doi:10.1016/j.nedt.2014.04.016CrossRefGoogle ScholarPubMed
Sahebzadeh, M, Gherekhloo, AH, Atighechian, G. The effect of educational intervention on health care providers’ preparedness in the natural disasters: a case study of health care providers in Shahreza City, Iran. Health in Emergencies and Disasters Quarterly. 2020;6(1):3946. doi:10.32598/hdq.6.1.345.1CrossRefGoogle Scholar
Mirzaei, S, Eftekhari, A, Sadeghian, Mr, et al. The effect of disaster management training program on knowledge, attitude, and practice of hospital staffs in natural disasters. JDER. 2019;2(1):916. doi:10.18502/jder.v2i1.566Google Scholar
Shaw, R, Takeuchi, Y, Ru Gwee, Q, et al. Disaster education: an introduction. In: Shaw, R, Shiwaku, K, Takeuchi, Y, eds. Disaster Education: Community, Environment and Disaster Risk Management. 7th ed. Emerald Group Publishing; 2011:122.10.1108/S2040-7262(2011)7CrossRefGoogle Scholar
Tan, Y, Liao, X, Su, H, et al. Disaster preparedness among university students in Guangzhou, China: assessment of status and demand for disaster education. Disaster Med Public Health Prep. 2017;11(3):310317. doi:10.1017/dmp.2016.124CrossRefGoogle ScholarPubMed
Baker, LR, Cormier, LA. Disaster preparedness and families of children with special needs: a geographic comparison. J Community Health. 2013;38(1):106112. doi:10.1007/s10900-012-9587-3CrossRefGoogle Scholar
Codeanu, TA, Celenza, A, Jacobs, I. Does disaster education of teenagers translate into better survival knowledge, knowledge of skills, and adaptive behavioral change? a systematic literature review. Prehosp Disaster Med. 2014;29(6):629642. doi:10.1017/S1049023X14001083CrossRefGoogle ScholarPubMed
Shannon, C. Understanding community-level disaster and emergency response preparedness. Disaster Med Public Health Prep. 2015;9(3):239244. doi:10.1017/dmp.2015.28CrossRefGoogle ScholarPubMed
Preston, J. Disaster Education: Race, Equity and Pedagogy. Sense Publishers; 2012.10.1007/978-94-6091-873-5CrossRefGoogle Scholar
United Nations Office for Disaster Risk Reduction (UNISDR). Sendai Framework for Disaster Risk Reduction (2015-2030). 2015. Accessed February 25, 2022. https://www.undrr.org/publication/sendai-framework-disaster-risk-reduction-2015-2030Google Scholar
Kitagawa, K. Conceptualising “disaster education”. Education Sciences. 2021;11(5):233. doi:10.3390/educsci11050233CrossRefGoogle Scholar
UNESCO Institute for Statistics. International Standard Classification of Education: ISCED 2011. 2012. Accessed July 8, 2024. http://uis.unesco.org/en/topic/international-standard-classification-education-iscedGoogle Scholar
Anadolu Agency. Türkiye’de 53 milyon 763 bin kişi afet eğitimi aldı. Published December 5, 2021. Accessed July 8, 2024. https://www.aa.com.tr/tr/gundem/turkiyede-53-milyon-763-bin-kisi-afet-egitimi-aldi/2439108Google Scholar
General Directorate of Lifelong Learning. Monitoring and Evaluation Report-2020. 2021. Accessed February 20, 2022. https://hbogm.meb.gov.tr/meb_iys_dosyalar/2021_08/05112450_2020-RAPOR-2020_rp_duzeltme-2.8.2021-yayYnlanan.pdfGoogle Scholar
General Directorate of Lifelong Learning. Monitoring and Evaluation Report 2023. 2024. Accessed July 9, 2024. https://hbogm.meb.gov.tr/meb_iys_dosyalar/2024_05/14104707_izlemevedegerlendirmeraporu2023.pdfGoogle Scholar
Bandura, A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191215. doi:10.1037/0033-295X.84.2.191CrossRefGoogle Scholar
Janz, NK, Becker, MH. The Health Belief Model: a decade later. Health Educ Q. 1984;11(1):147. doi:10.1177/109019818401100101CrossRefGoogle ScholarPubMed
Rosenstock, IM. Historical origins of the Health Belief Model. Health Educ Monogr. 1974;2(4):328335. doi:10.1177/109019817400200403CrossRefGoogle Scholar
Champion, VL, Skinner, CS. The health belief model. In: Glanz, K, Rimer, BK, Viswanath, K, eds. Health Behavior and Health Education: Theory, Research, and Practice. 4th ed. Jossey-Bass; 2008:4565.Google Scholar
Mhd Noor, MT, Shahar, HK, Baharudin, MR, et al. A systematic review on an optimal dose of disaster preparedness intervention utilizing Health Belief Model theory. Pertanika J Sci Technol. 2023;31(1):149159. doi:10.47836/pjst.31.1.10CrossRefGoogle Scholar
Amini, R, Biglari, F, Khodaveisi, M, et al. Effect of education based on the health belief model on earthquake preparedness in women. Int J Disaster Risk Reduct. 2021;52:101954. doi:10.1016/j.ijdrr.2020.101954CrossRefGoogle Scholar
Tashiro, A. Assessing green management in health belief model: an analysis of a post-disaster rural context. J Environ Manage. 2022;302(Pt A):114025. doi:10.1016/j.jenvman.2021.114025CrossRefGoogle Scholar
Ejeta, LT, Ardalan, A, Paton, D, et al. Predictors of community preparedness for flood in Dire-Dawa town, Eastern Ethiopia: applying adapted version of Health Belief Model. Int J Disaster Risk Reduct. 2016;19:341354. doi:10.1016/j.ijdrr.2016.09.005CrossRefGoogle Scholar
Azmi, ES, How, V, Abdul Rahman, H. Effect of health belief model on flood-risk educational approach among elementary school children in Malaysia. Jàmbá: Journal of Disaster Risk Studies. 2021;13(1):a1102. doi:10.4102/jamba.v13i1.1102CrossRefGoogle ScholarPubMed
Kahaleh, AA, Truong, H-A. Applications of the Health Belief Model and continuing professional development for emergency preparedness and response. Am J Pharm Educ. 2021;85(1):8376. doi:10.5688/ajpe8376CrossRefGoogle ScholarPubMed
Lachlan, KA, Eastman, A, Gilbert, C. Responses to risk messaging concerning Hurricane Sandy: two studies utilizing the health belief model. Atl J Commun. 2021;29(4):216229. doi:10.1080/15456870.2020.1754823CrossRefGoogle Scholar
Ullah, F, Ragazzoni, L, Hubloue, I, et al. The use of the Health Belief Model in the context of heatwaves research: a rapid review. Disaster Med Public Health Prep. 2024;18:e34. doi:10.1017/dmp.2024.26CrossRefGoogle ScholarPubMed
Azhar, N, Jaes, L, Rameli, N, et al. Application of behavioural model to disaster preparedness in a developing country Malaysia: an overview. J Social Transform Reg Dev. 2022;4(2):3036. doi:10.30880/jstard.2022.04.02.004Google Scholar
Inal, E, Dogan, N. Improvement of General Disaster Preparedness Belief Scale based on Health Belief Model. Prehosp Disaster Med. 2018;33(6):627636. doi:10.1017/S1049023X18001012CrossRefGoogle ScholarPubMed
Al-Qbelat, RM, Subih, MM, Malak, MZ. Effect of educational program on knowledge, skills, and personal preparedness for disasters among emergency nurses: a quasi-experimental study. Inquiry. 2022;59:469580221130881. doi:10.1177/00469580221130881CrossRefGoogle ScholarPubMed
Stratton, SJ. Quasi-experimental design (pre-test and post-test studies) in prehospital and disaster research. Prehosp Disaster Med. 2019;34(6):573574. doi:10.1017/S1049023X19005053CrossRefGoogle ScholarPubMed
Osman, M, Altıntaş, KH. Domains and psychometric properties of scales measuring disaster preparedness among general population: a systematic literature review. Prehosp Disaster Med. 2023;38(5):636644. doi:10.1017/S1049023X23006386CrossRefGoogle ScholarPubMed
Turkish Republic Ministry of National Education, General Directorate of Lifelong Learning. Life and Property Safety Area: Disaster Awareness Training Course Program. 2018.Google Scholar
Cohen, J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Routledge; 1988.Google Scholar
Rostami-Moez, M, Rabiee-Yeganeh, M, Shokouhi, M, et al. Earthquake preparedness of households and its predictors based on health belief model. BMC Public Health. 2020;20(1):646. doi:10.1186/s12889-020-08814-2CrossRefGoogle ScholarPubMed
Ertuğrul, B, Ünal, SD. Determination of general disaster preparedness beliefs of students studying at a foundation university health services vocational school. J Disaster Risk. 2020;3(1):3145. doi:10.35341/afet.653911Google Scholar
Dasci Sonmez, E, Gokmenoglu, T. Understanding the teachers’ disaster preparedness beliefs. Int J Disaster Risk Reduct. 2023;85:103511. doi:10.1016/j.ijdrr.2022.103511CrossRefGoogle Scholar
Aliakbari, F, Heidari, M, Moezzi, M. Designing a disaster training program and examining its impact on the level of competence of nursing students. Disaster Emerg Med J. 2022;7(3):142149. doi:10.5603/DEMJ.a2022.0023CrossRefGoogle Scholar
Inal, E, Altintas, KH, Dogan, N. General disaster preparedness beliefs and related sociodemographic characteristics: the example of Yalova University, Turkey. Turk J Public Health. 2019;17(1):117.Google Scholar