Dunn, Peter T.; Ahn, Alicia Y. E.; Bostrom, Ann; Vidale, John E. (2016). Perceptions of Earthquake Early Warnings on the US West Coast. International Journal Of Disaster Risk Reduction, 20, 112 – 122.
View Publication
Abstract
Earthquake early warning systems can provide seconds to minutes of lead time by alerting people that an earthquake has started and shaking is coming, enabling them to take protective action. To examine how earthquake early warnings might be received on the U.S. West coast, we conducted surveys of residents in the west coast states of Washington, Oregon and California (N=2595) through Google paywall intercept surveys administered in three rounds between September 2014 and September 2015. A majority of residents in all states (61% WA, 54% OR, 70% CA) have personally experienced an earthquake. Those who have experienced an earthquake perceive higher risk and greater potential for effectively reducing that risk with earthquake early warning. Although respondents feel that federal and local government should pay for earthquake early warning, almost two-thirds report being willing to pay something for an Earthquake Early Alert app on [their] smartphone or personal computer. Median willingness to pay per month is $1. Perceived risk, perceived effectiveness of earthquake early warning, and anticipated or experienced emotional responses to earthquakes influence judgments of and preferences for earthquake early warning, although personal experience of earthquakes conditions these influences. Further, highly visible mass media communications such as the New Yorker article The Really Big One and the movie San Andreas increase earthquake risk perceptions. Overall, interest in and support for earthquake early warning on the U.S. West Coast appears strong.
Keywords
Fear Appeals; Hazard; Model; Risk; Preparedness; Information; Adjustment; Context; Earthquake Early Warning; Risk Perception; Risk Communication; Hazard Preparation; Willingness To Pay
Cova, Thomas J.; Dennison, Philip E.; Li, Dapeng; Drews, Frank A.; Siebeneck, Laura K.; Lindell, Michael K. (2017). Warning Triggers in Environmental Hazards: Who Should Be Warned to Do What and When? Risk Analysis, 37(4), 601 – 611.
View Publication
Abstract
Determining the most effective public warnings to issue during a hazardous environmental event is a complex problem. Three primary questions need to be answered: Who should take protective action? What is the best action? and When should this action be initiated? Warning triggers provide a proactive means for emergency managers to simultaneously answer these questions by recommending that a target group take a specified protective action if a preset environmental trigger condition occurs (e.g., warn a community to evacuate if a wildfire crosses a proximal ridgeline). Triggers are used to warn the public across a wide variety of environmental hazards, and an improved understanding of their nature and role promises to: (1) advance protective action theory by unifying the natural, built, and social themes in hazards research into one framework, (2) reveal important information about emergency managers' risk perception, situational awareness, and threat assessment regarding threat behavior and public response, and (3) advance spatiotemporal models for representing the geography and timing of disaster warning and response (i.e., a coupled natural-built-social system). We provide an overview and research agenda designed to advance our understanding and modeling of warning triggers.
Keywords
Situation Awareness; Evacuation; Model; Management; Simulation; Decisions; Vehicles; Support; Systems; Hazards; Protective Actions; Warning Systems; Emergency Communications Systems; Disasters; Emergency Preparedness; Environmental Hazards; Environmental Conditions; Public Concern; Risk Perception; Emergency Management; Situational Awareness; Information Management; Geography; Emergency Warning Programs; Wildfires; Action; Risk Assessment; Timing; Warnings
Dannenberg, Andrew L.; Burpee, Heather. (2018). Architecture for Health Is Not Just for Healthcare Architects. Health Environments Research & Design Journal (herd) (sage Publications, Ltd.), 11(2), 8 – 12.
View Publication
Keywords
Building Design & Construction; Public Health; Quality Of Life; Built Environment; Public Spaces
Stewart, Orion T.; Moudon, Anne Vernez; Littman, Alyson J.; Seto, Edmund; Saelens, Brian E. (2018). The Association between Park Facilities and Duration of Physical Activity During Active Park Visits. Journal Of Urban Health, 95(6), 869 – 880.
View Publication
Abstract
Public parks provide places for urban residents to obtain physical activity (PA), which is associated with numerous health benefits. Adding facilities to existing parks could be a cost-effective approach to increase the duration of PA that occurs during park visits. Using objectively measured PA and comprehensively measured park visit data among an urban community-dwelling sample of adults, we tested the association between the variety of park facilities that directly support PA and the duration of PA during park visits where any PA occurred. Cross-classified multilevel models were used to account for the clustering of park visits (n=1553) within individuals (n=372) and parks (n=233). Each additional different PA facility at a park was independently associated with a 6.8% longer duration of PA bouts that included light-intensity activity, and an 8.7% longer duration of moderate to vigorous PA time. Findings from this study are consistent with the hypothesis that more PA facilities increase the amount of PA that visitors obtain while already active at a park.
Keywords
Park Facilities; Physical Activity; Park Use; Recreation; Built Environment; Global Positioning System; Accelerometer; Gis; Gps; Accelerometer Data; United-states; Adults; Proximity; Features; Walking; Size; Attractiveness; Improvements; Environment; Parks & Recreation Areas; Parks; Luminous Intensity; Clustering; Urban Areas
Salcido, Christine Galvan; Ray, James V.; Caudy, Michael; Viglione, Jill; Walter, Rebecca J. (2019). Associations Between Psychopathic Traits and Readiness for Change: An Exploratory Analysis. Personality And Individual Differences, 141, 86 – 91.
View Publication
Abstract
Readiness to change (RTC) indicates an individual's recognition of a problem as well as confidence in their ability to change (Gaume, Bertholet, & Daeppen, 2016), and is hypothesized to play an important role in therapeutic processes aimed at changing offending behaviors (Polaschek & Ross, 2010). However, prior research has generally failed to consider RTC among severe offender subgroups (Hodge & Renwick, 2002; Howells & Day, 2007) such as those with psychopathic personality features whom have often been characterized as resistant to treatment (Harris & Rice, 2006; Salekin, 2002). In the current sample of formerly incarcerated persons (N = 70), we explore the relationship between psychopathic personality traits, as measured by the Triarchic Psychopathy Measure (TriPM; Patrick, 2010), and the unique components of RTC, as measured by an originally constructed assessment called the Change Readiness Scale (CRS). Each item of the CRS has been empirically supported and combined to form five subscales of change readiness (recognition, action, social bonds, human agency, and self efficacy). Results show unique associations between the subscales of the TriPM and aspects of the RTC construct, yielding it necessary to further explore these relationships to better understand how these factors may contribute to treatment and justice system outcomes.
Keywords
High-risk; Therapeutic Alliance; Personality; Validation; Construct; Behavior; Psychopathy; Readiness To Change; Triarchic Psychopathy Measure; Reentry; Offender
Le, Vi T.; Dannenberg, Andrew L. (2020). Moving Toward Physical Activity Targets by Walking to Transit: National Household Transportation Survey, 2001-2017. American Journal Of Preventive Medicine, 59(3), E115 – E123.
View Publication
Abstract
Introduction: Public transportation systems can help people engage in physical activity. This study assesses sociodemographic correlates and trends in the daily time spent walking to and from transit in the U.S. from 2001 to 2017. Methods: This cross-sectional study used data from the 2001, 2009, and 2017 National Household Transportation Survey. Data were analyzed in 2019 to assess the daily level of physical activity attained solely by walking to and from transit. Regression models were used to examine predictors of daily transit-associated walking. Results: Compared with the full National Household Transportation Survey sample, transit users who walked to and from transit tended to be younger, from households earning <$25,000 per year, in areas with rail infrastructure, and did not have a household-owned car. Transit walkers spent a median of 20 minutes per day (95% CI=18.5, 21.5) walking to and from transit in 2017, compared with a median of 19 minutes (95% CI=17.5, 20.5) in 2001. Among transit walkers, daily transitassociated physical activity was 27% higher for those residing in areas with rail infrastructure (adjusted coefficient=1.27, 95% CI=1.11, 1.46) and 34% higher for those from households earning $99,999 per year (adjusted coefficient=1.34, 95% CI=1.15, 1.56). Conclusions: As documented in a growing literature, most public transit trips include at least some walking; thus, efforts to encourage transit use are favorable to public health. Continued monitoring by transportation surveys is important as new forms of mobility and changing demographics may impact future transit use and associated physical activity. (C) 2020 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
Keywords
Physical Activity; Household Surveys; Public Transit; Cross-sectional Method; Public Health; Walking; Exercise; Research Funding; Transportation; Replacing Sedentary Time; Public-transit; Travel; Mortality; Adults; Health; Work
Berrigan, David; Dannenberg, Andrew L.; Lee, Michelle; Rodgers, Kelly; Wojcik, Janet R.; Wali, Behram; Tribby, Calvin P.; Buehler, Ralph; Sallis, James F.; Roberts, Jennifer D.; Steedly, Ann; Peng, Binbin; Eisenberg, Yochai; Rodriguez, Daniel A. (2021). The 2019 Conference on Health and Active Transportation: Research Needs and Opportunities. International Journal Of Environmental Research And Public Health, 18(22).
View Publication
Abstract
Active transportation (AT) is widely viewed as an important target for increasing participation in aerobic physical activity and improving health, while simultaneously addressing pollution and climate change through reductions in motor vehicular emissions. In recent years, progress in increasing AT has stalled in some countries and, furthermore, the coronavirus (COVID-19) pandemic has created new AT opportunities while also exposing the barriers and health inequities related to AT for some populations. This paper describes the results of the December 2019 Conference on Health and Active Transportation (CHAT) which brought together leaders from the transportation and health disciplines. Attendees charted a course for the future around three themes: Reflecting on Innovative Practices, Building Strategic Institutional Relationships, and Identifying Research Needs and Opportunities. This paper focuses on conclusions of the Research Needs and Opportunities theme. We present a conceptual model derived from the conference sessions that considers how economic and systems analysis, evaluation of emerging technologies and policies, efforts to address inclusivity, disparities and equity along with renewed attention to messaging and communication could contribute to overcoming barriers to development and use of AT infrastructure. Specific research gaps concerning these themes are presented. We further discuss the relevance of these themes considering the pandemic. Renewed efforts at research, dissemination and implementation are needed to achieve the potential health and environmental benefits of AT and to preserve positive changes associated with the pandemic while mitigating negative ones.
Keywords
Improving Arterial Roads; Physical-activity; Cost-effectiveness; Built Environment; Autonomous Vehicles; Walking; Behavior; Impact; Active Transportation; Covid-19; Climate Change; Physical Activity; Public Health; Pandemics; Public Transportation; Collaboration; Transportation; Economic Models; Environmental Impact; Outdoor Air Quality; Vehicle Emissions; Coronaviruses; Hispanic Americans; Fatalities; Systems Analysis; African Americans; Infrastructure; Medical Research; Committees; Land Use; Economic Analysis; New Technology; United States--us
Mugerauer, Robert. (2021). Professional Judgement in Clinical Practice (Part 3): A Better Alternative to Strong Evidence-Based Medicine. Journal Of Evaluation In Clinical Practice, 27(3), 612 – 623.
View Publication
Abstract
Parts 1 and 2 in this series of three articles have shown that and how strong evidence-based medicine has neither a coherent theoretical foundation nor creditable application to clinical practice. Because of its core commitment to the discredited positivist tradition it holds both a false concept of scientific knowledge and misunderstandings concerning clinical decision-making. Strong EBM continues attempts to use flawed adjustments to recover from the unsalvageable base view. Paper three argues that a promising solution is at hand if we can manage several modes of inclusion. A modified original, moderate version of EBM continues though usually overshadowed. As definitively laid out by Sackett in the 1990s, clinical decision making is intended to be person-centered, recognizing and integrating multiple modes of evidence and knowledge that have been marginalized: professional experience, illness narratives, and individual patients' values and preferences. Complementary resources are at hand: interpretative understanding and practice, such as philosophical anthropology, hermeneutical phenomenology, complexity theory, and phronetic practices respond to the major problems and open new possibilities. Phronesis is especially important in regard to public decision making. Within part 3 an additional tone necessarily occurs. While most of papers 1, 2, and 3 are written in the classical mode of contrasting the theoretical-logical and empirical evidence offered by contending positions bearing on the decision making and judgement in clinical practice, a shift occurs when considerations move beyond what is possible for clinical practitioners to accomplish. A different, discontinuous level of power operates in the trans-personal realm of instrumental policy, insurance, and hospital management practices. In this social-economic-political-ethical realm what happens in clinical practice today increasingly becomes a matter of what is done unto clinical practitioners, of what hampers their professional action and thus care of individual patients and clients.
Keywords
Medical Policy; Judgment (psychology); Professions; Evidence-based Medicine; Patient-centered Care; Phenomenology; Decision Making In Clinical Medicine; Casuistry; Decision Making; Evidence‚Äêbased Medicine; Phronƒìsis; 2009 Cancer-control; Integrating Evidence; Decision-making; Health-care; G. H.; Mental-health; Tonelli; Challenge; Knowledge; Evidence‐ Based Medicine; Phronē Sis
Wang, Yiyuan; Shen, Qing; Abu Ashour, Lamis; Dannenberg, Andrew L. (2022). Ensuring Equitable Transportation For The Disadvantaged: Paratransit Usage By Persons With Disabilities During The Covid-19 Pandemic. Transportation Research Part A: Policy & Practice, 159, 84 – 95.
View Publication
Abstract
Paratransit services developed under the Americans with Disabilities Act are a critical transportation means for persons with disabilities to meet their basic needs, but the COVID-19 pandemic posed an unprecedented challenge to service providers. To safeguard transportation equity, this study used complete records of service trips and riders obtained from the Access Transportation Program in the Seattle region for an empirical analysis aimed at answering two research questions. First, how did the ridership and trip purposes of paratransit change after the outbreak of COVID-19? Second, what factors explained the users' changing levels of service usage in response to the pandemic? Statistical methods, including a Hurdle model, were employed as the analytical tools. The results show that paratransit ridership dramatically decreased during 2020 with the most substantial reductions of working and non-essential personal trips, and that most of the remaining trips were for medical purposes. The results also indicate that riders' service usage during the pandemic was associated with their sociodemographic characteristics, disability conditions, and pre-pandemic travel demand. When controlling for other factors, riders who lived in neighborhoods with lower income and lower access to personal vehicles were more dependent on the service. Based on the empirical findings, we recommend that when developing plans for future disruptive events, public transit agencies should promptly implement safety measures, identify and prioritize neighborhoods that are most in need of mobility services, and actively pursue collaboration with other organizations for innovative service delivery options.
Keywords
Covid-19 Pandemic; Public Transit; People With Disabilities; Americans With Disabilities Act Of 1990; Public Transit Ridership; Paratransit Services; Seattle (wash.); Americans With Disabilities Act (ada); Hurdle Model; Paratransit; Transportation Equity; Mobility; Justice
Burpee, Heather; McDade, Erin. (2014). Comparative Analysis of Hospital Energy Use: Pacific Northwest and Scandinavia. Health Environments Research & Design Journal (HERD) (Vendome Group LLC), 8(1), 20 – 44.
View Publication
Abstract
OBJECTIVE: This study aimed to establish the potential for significant energy reduction in hospitals in the United States by providing evidence of Scandinavian operational precedents with high Interior Environmental Quality (IEQ) and substantially lower energy profiles than comparable U.S. facilities. These facilities set important precedents for design teams seeking operational examples for achieving aggressive energy and interior environmental quality goals. This examination of operational hospitals is intended to offer hospital owners, designers, and building managers a strong case and concrete framework for strategies to achieve exceptionally high performing buildings. BACKGROUND: Energy efficient hospitals have the potential to significantly impact the U.S.'s overall energy profile, and key stakeholders in the hospital industry need specific, operationally grounded precedents in order to successfully implement informed energy reduction strategies. This study is an outgrowth of previous research evaluating high quality, low energy hospitals that serve as examples for new high performance hospital design, construction, and operation. Through extensive interviews, numerous site visits, the development of case studies, and data collection, this team has established thorough qualitative and quantitative analyses of several contemporary hospitals in Scandinavia and the Pacific Northwest. Many Scandinavian hospitals demonstrate a low energy profile, and when analyzed in comparison with U.S. hospitals, such Scandinavian precedents help define the framework required to make significant changes in the U.S. hospital building industry. METHODS: Eight hospitals, four Scandinavian and four Pacific Northwest, were quantitatively compared using the Environmental Protection Agency's Portfolio Manager, allowing researchers to answer specific questions about the impact of energy source and architectural and mechanical strategies on energy efficiency in operational hospitals. RESULTS: Specific architectural, mechanical, and plant systems make these Scandinavian hospitals more energy efficient than their Pacific Northwest counterparts. More importantly, synergistic systems integration allows for their significant reductions in energy consumption. CONCLUSIONS: This quantitative comparison of operational Scandinavian and Pacific Northwest hospitals resulted in compelling evidence of the potential for deep energy savings in the U.S., and allowed researchers to outline specific strategies for achieving such reductions.
Keywords
Environmental Quality; Energy Consumption; Health Facility Design & Construction; Comparative Studies; Energy Consumption In Hospitals; Pacific Northwest; Scandinavia; Built Environment; Case Study; Design Process; Healthcare Facility Design; Hospital; Post Occupancy