RAPID: Risk perception and health-related knowledge and practice

人道主义救援人员感染与旅行有关的疾病的风险很高，这些疾病可能会带回美国，对民众的健康构成威胁。知识、态度和行为(KAP)是与旅行相关疾病风险相关的重要因素，但对风险认知如何影响人道主义救援人员的行为知之甚少。研究小组开发了一个概念框架，将风险感知三方模型(TRIRISK)整合到KAP框架中，以评估旅行相关健康风险的KAP是否影响TRIRISK的认知，以及这些认知是否反过来影响保护性健康行为和最终健康结果。使用该模型的研究将重点放在行为意图作为结果上。这项研究通过验证TRIRISK模型在急性疾病中的应用来扩展TRIRISK模型，并首次考察了知识在形成TRIRISK知觉中的作用以及TRIRISK知觉与健康行为之间的关联。这项研究提高了我们对知识和风险认知如何影响人道主义工作者应对灾害的决策、行为和健康结果的理解，并使我们能够为机构和医疗保健提供者开发更有针对性和更有效的指导材料，与旅行者分享。这项研究项目的总体目标是确定人道主义援助人员对他们在部署到外国灾区期间所从事的健康行为的知识和风险认知，以及这些行为与他们患病风险的关系。该项目对风险感知三方模型(TRIRISK)进行了修改，包括对它的知识、态度和实践，并探索了健康行为和健康结果。这项研究使用了100名人道主义援助人员的有目的的样本，他们正在对两个热带气旋做出反应。这些人道主义援助人员来自美国政府机构(主要是美国国际开发署)、联合国和世卫组织机构以及非政府组织。研究小组管理一份问卷，评估与旅行时保护他们的健康有关的知识、态度和做法，以及评估与旅行有关的疾病的风险认知。此外，参与者每天都会记录他们的饮食和卫生行为，以及他们在部署期间的任何疾病发作。数据的多变量建模遵循调整后的理论模型，分析KAP和风险认知对健康行为和最终健康结果的影响。该奖项反映了NSF的法定使命，并通过使用基金会的智力优势和更广泛的影响审查标准进行评估，被认为值得支持。

Humanitarian responders have a high risk of contracting travel-related illnesses which can be carried back to the US and pose a threat to the health of the population. Knowledge, attitudes and practices (KAP) are important factors relating to risk of travel-related illness, yet little is known about how risk perception impacts behavior among humanitarian responders. The research team developed a conceptual framework that integrates the Tripartite Model of Risk Perception (TRIRISK) Model into a KAP framework to assess whether KAPs on travel-related health risks influence TRIRISK perceptions and whether those perceptions, in turn, influence protective health behaviors and ultimately health outcomes. Research using this model has focused on behavioral intentions as the outcome. This study extends the TRIRISK Model by validating its use in acute diseases and provides the first look at the role knowledge has in forming TRIRISK perceptions and the association between the TRIRISK perceptions and health behaviors. This research improves our understanding of how knowledge and risk perception impact the decisions, behaviors and health outcomes for humanitarian workers responding to disasters and enables the development of more targeted and effective guidance materials for agencies and healthcare providers to share with travelers. The overall goal of this research project is to identify the knowledge and risk perception of humanitarian aid workers in relation to the health behaviors they engage in during a deployment to a foreign disaster zone and how those behaviors relate to their risk of becoming ill. This project adapts the Tripartite Model of Risk Perception (TRIRISK) by including knowledge, attitudes, and practices to it and exploring both health behaviors and health outcomes. The research uses a purposive sample of 100 humanitarian aid workers who are responding to the two tropical cyclones. These humanitarian aid workers are from US government agencies (primarily USAID), UN and WHO agencies, and non-governmental organizations. The research team administers a questionnaire assessing Knowledge, Attitudes, and Practices related to protecting their health while traveling, as well as assessing risk perceptions in relation to travel-related illness. Additionally, the participants maintain a daily log of their eating, drinking, and hygiene behaviors as well as any illness episodes during their deployment. Multi-variate modeling of the data follows the adapted theoretical model analyzing the impact of KAP and risk perception on health behaviors and ultimately health outcomes.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.