Disaster-related communication preferences of homeless and nonhomeless VA patients

Alicia R. Gable, MPH; Claudia Der-Martirosian, PhD; Laura N. Pinnock, MSPH, PMP; Aram Dobalian, PhD, JD, MPH

doi:10.5055/jem.2018.0353

Authors

Alicia R. Gable, MPH
Claudia Der-Martirosian, PhD
Laura N. Pinnock, MSPH, PMP
Aram Dobalian, PhD, JD, MPH

DOI:

https://doi.org/10.5055/jem.2018.0353

Keywords:

disasters, communication, Veterans, Homeless

Abstract

Objective: To identify the communication preferences of homeless (H) and nonhomeless (NH) Veterans Affairs (VA) patients for receiving information about the impact of natural disasters on VA healthcare services.

Design: Probability-based sampling design stratified on age categories, urban/rural, coastal/noncoastal, and homelessness. Setting: Northeast United States.

Participants: Eligible NH and H participants included those who lived in and had at least one healthcare visit to a VA medical center/clinic in the region in the previous 24 months. Homeless participants included those receiving VA homeless services or having ICD9-CM V60.0 (Lack of Housing). 2,264/6,088 NH and 383/2,000 H completed the survey.

Intervention: Cross-sectional, mixed-mode survey administered August-November 2015.

Main Outcome Measures: Helpfulness of ten communication modes for receiving information about the impact of natural disasters on VA healthcare services.

Results: Despite sociodemographic and health status differences, the top five communication modes rated extremely/very helpful were the same for both groups: telephone (76 percent H; 81 percent NH), TV (63 percent H; 60 percent NH), text (62 percent H; 50 percent NH), e-mail (56 percent H; 58 percent NH), radio (54 percent H; 47 percent NH). Newspaper and online modes (VA/other Web sites, Twitter, Facebook, MyHealtheVet) were rated substantially lower.

Conclusions: H and NH patients prefer similar communication modes for receiving updates about the impact of natural disasters on VA healthcare services. Findings suggest that a multimodal communication strategy that incorporates phone, TV, text, e-mail, and radio will help Veterans Affairs (VA) reach its diverse patient population during natural disasters. Dissemination of messages via online modes, while rated less helpful, may augment the number of patients reached.

Author Biographies

Alicia R. Gable, MPH

Veterans Emergency Management Evaluation Center (VEMEC), US Department of Veterans Affairs, North Hills, California

Claudia Der-Martirosian, PhD

Veterans Emergency Management Evaluation Center (VEMEC), US Department of Veterans Affairs, North Hills, California

Laura N. Pinnock, MSPH, PMP

Center for Military and Veterans Health, Altarum Institute, Ann Arbor, Michigan

Aram Dobalian, PhD, JD, MPH

Veterans Emergency Management Evaluation Center (VEMEC), US Department of Veterans Affairs, North Hills, California; Division of Health Systems Management and Policy, University of Memphis School of Public Health, Memphis, Tennessee.

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