Validity and Reliability of the Disaster Preparedness Knowledge Instrument for Health Cadres in Volcanic Disaster-Prone Areas

Ridlwan Kamaluddin , Laksono Trisnantoro, Syahirul Alim

Ridlwan Kamaluddin
Student of Doctoral Program, Faculty of Medicine, Public Health and Nursing UGM, Yogyakarta, Indonesia Lecturer in Nursing Study Program, Health Science Faculty, Universitas Jenderal Soedirman, Purwokerto, Jawa Tengah Indonesia. Email: ridlwan.kamaluddin@unsoed.ac.id

Laksono Trisnantoro
Faculty of Medicine, Public Health and Nursing UGM, Yogyakarta, Indonesia.

Syahirul Alim
Faculty of Medicine, Public Health and Nursing UGM, Yogyakarta, Indonesia
Online First: December 01, 2019 | Cite this Article
Kamaluddin, R., Trisnantoro, L., Alim, S. 2019. Validity and Reliability of the Disaster Preparedness Knowledge Instrument for Health Cadres in Volcanic Disaster-Prone Areas. Bali Medical Journal 8(3): 871-877. DOI:10.15562/bmj.v8i3.1543

Background: Public health cadres can play an important role in improving disaster response and recovery. However, a multidimensional instrument is needed to assess the levels of disaster knowledge for community health cadres. This instrument is important to develop a complete and effective educational program for disaster preparation for health cadres. Therefore, this study aimed to test validity and reliability of the disaster preparedness knowledge instrument for health cadres in areas prone to volcanic disasters.

Methods: A cross-sectional study was conducted by involving 300 respondents. The instrument was developed by conducting literature review followed by completing a qualitative study. We reduced the original instrument from 50 items to a final instrument comprising 41 items, classified into 6 categories: 1) early warning [16 items]; 2) disaster triage [4 items]; 3) basic life support [7 items]; 4) first aid [7 items]; 5) search and rescue [5 items]; and 6) logistic, communications and team organization [2 items].  Instrument validation was assessed by using Pearson Product moment and the reliability was estimated by using internal consistency reliability.

Results: 300 respondents were involved in this study with all respondents were women aged between 40-49 years old. All of them were either health cadre or high school students. In instrumental testing, all 41 items of the instrument were confirmed through content validity (Pearson Product Moment). Using internal consistency reliability, the study found reasonable inter-item reliability for all items (Cronbach’s α: 0.785-0.807).

Conclusion: Higher score on disaster triage aspect suggest that health cadres have pivotal role in emergency care during disaster. The finding revealed that disaster triage technique and skills for health cadres or lay man is very important.



Dyah R, Husodo ZA, Suardi L. International Journal of Disaster Risk Reduction Developing a resilience index towards natural disasters in Indonesia. Int J Disaster Risk Reduct. 2014;10:327-340. doi:10.1016/j.ijdrr.2014.10.007

Ri KK. Ind P.

Penanggulangan P, Kesehatan K, Kesehatan K, Indonesia R. Pedoman Pemberdayaan Masyarakat dalam Penanggulangan Krisis Kesehatan.

Flint CG. Community Emergency Response Teams: From Disaster Responders to Community Builders. 2015;(March).

DeSimone CL. Response of Public Health Workers to Various Emergencies. AAOHN J. 2009;57(1):17-23. doi:10.1177/216507990905700106

Merchant RM, Leigh JE, Lurie N, Active VO. Health Care Volunteers and Disaster Response — First, Be Prepared. 2010:872-873.

Medhanyie A, Spigt M, Kifle Y, Schaay N, Sanders D, Blanco R et al. The role of health extension workers in improving utilization of maternal health services in rural areas in Ethiopia: a cross sectional study. BMC Heal Serv Res. 2012;12:352.

Fletcher TD, Major DA. Medical Students ’ Motivations to Volunteer : An Examination of the Nature of Gender Differences. 2004;51(July).

Fulmer T, Portelli I, Foltin GL, Zimmerman R, Chachkes E, Goldfrank LR. Organization-based incident management: developing a disaster volunteer role on a university campus. Disaster Manag Response. 2007;5(3):74-81. doi:10.1016/j.dmr.2007.06.001

Nicholls K, Picou JS, Curtis J, Lowman JA. The Utility of Community Health Workers in Disaster Preparedness , Recovery , and Resiliency. 2015. doi:10.1177/1936724415587046

Fredricks K, Dinh H, Kusi M, et al. Community Health Workers and Disasters : Lessons Learned from the 2015 Earthquake in Nepal. 2018;32(6). doi:10.1017/S1049023X1700680X

Lam KW, Hassan A, Sulaiman T, Lam KW, Hassan A, Sulaiman T. Evaluating the Face and Content Validity of an Instructional Technology Competency Instrument for University Lecturers in Malaysia Evaluating the Face and Content Validity of an Instructional Technology Competency Instrument for University Lecturers in Ma. 2018;8(5):367-385. doi:10.6007/IJARBSS/v8-i5/4108

Validity C. Educational and Psychological Measurement. 1980. doi:10.1177/001316448004000419

Chen T, Chou K, Liao Y, Ho C, Chung M. Construct validity and reliability of the Chinese version of the Disaster Preparedness Evaluation Tool in Taiwan. 2014;(250):1132-1143. doi:10.1111/jocn.12721

Flint CG, Stevenson J. Building Community Disaster Preparedness with Volunteers : Community Building Community Disaster Preparedness with Volunteers : Community Emergency Response Teams in Illinois. 2010;(March 2015). doi:10.1061/(ASCE)NH.1527-6996.0000014

Kamal A, Songwathana P, Sia WS. Knowledge and skills of Emergency Care During Disaster For Community Health Volunteers : A Literature Review. Nurse Media J Nurs. 2012;2(2):371-381. doi:10.14710/nmjn.v2i2.3970

Kano M, Siegel JM, Bourque LB. First-aid training and capabilities of the lay public: a potential alternative source of emergency medical assistance following a natural disaster. Disasters. 2005;29(1):58-74. doi:10.1111/j.0361-3666.2005.00274.x

Badan Penanggulangan Nasional Bencana (BNPB). Panduan Sistem Peringatan Dini Berbasis Masyarakat. Pandu Sist Peringatan Dini Berbas Masy. 2012;(September):8-15.

BNPB. Panduan Kesiapsiagaan Bencana Untuk Keluarga. 2018.

Mengukur P, Kesiapsiagaan T. Panduan Mengukur Tingkat Kesiapsiagaan Masyarakat dan Komunitas Sekolah. 2017;(January 2011).

UN-ISDR. Membangun Sistem Peringatan Dini: Sebuah Daftar Periksa. Konf Int Ketiga tentang Peringatan Dini_Dari Konsep ke Tindakan. 2006.

Gebbie KM, Markenson D, Barzansky B, et al. A Consensus-based Educational Framework and Competency Set for the Discipline of Disaster Medicine and Public Health Preparedness. 2007.

Hodge JG, Gebbie KM, Hoke C, Fenstersheib M, Hoffman S, Lynk M. Assessing Competencies for Public Health Emergency Legal Preparedness. J Law, Med Ethics. 2008;36:28-35.

Walsh L, Subbarao I, Gebbie K, et al. Core Competencies for Disaster Medicine and Public Health. 2012;6(1).

Carr J, Jensen J. Explaining the pre-disaster integration of Community Emergency Response Teams ( CERTs ). Nat Hazards. 2015;77(3):1551-1571. doi:10.1007/s11069-015-1664-3

Williams J, Nocera M, Casteel C. The Effectiveness of Disaster Training for Health Care Workers: A Systematic Review. Ann Emerg Med. 2008;52(3):211-222.e2. doi:10.1016/j.annemergmed.2007.09.030

Veenema TG, Rains AB, Casey-Lockyer M, Springer J, Kowal M. Quality of healthcare services provided in disaster shelters: An integrative literature review. Int Emerg Nurs. 2015;23(3):225-231. doi:10.1016/j.ienj.2015.01.004

Emergency C, Teams R. Community Emergency Response Teams: 2006;1(3).

No Supplementary Material available for this article.
Article Views      : 0
PDF Downloads : 0