title: Factors influencing readiness to deploy in disaster response: findings from a cross-sectional survey of the Department of Veterans Affairs Disaster Emergency Medical Personnel System.
abstract: BACKGROUND
  The Disaster Emergency Medical Personnel System (DEMPS) program provides a system of volunteers whereby active or retired Department of Veterans Affairs (VA) personnel can register to be deployed to support other VA facilities or the nation during national emergencies or disasters. Both early and ongoing volunteer training is required to participate.
  
  
  METHODS
  This study aims to identify factors that impact willingness to deploy in the event of an emergency. This analysis was based on responses from 2,385 survey respondents (response rate, 29%). Latent variable path models were developed and tested using the EQS structural equations modeling program. Background demographic variables of education, age, minority ethnicity, and female gender were used as predictors of intervening latent variables of DEMPS Volunteer Experience, Positive Attitude about Training, and Stress. The model had acceptable fit statistics, and all three intermediate latent variables significantly predicted the outcome latent variable Readiness to Deploy.
  
  
  RESULTS
  DEMPS Volunteer Experience and a Positive Attitude about Training were associated with Readiness to Deploy. Stress was associated with decreased Readiness to Deploy. Female gender was negatively correlated with Readiness to Deploy; however, there was an indirect relationship between female gender and Readiness to Deploy through Positive Attitude about Training.
  
  
  CONCLUSIONS
  These findings suggest that volunteer emergency management response programs such as DEMPS should consider how best to address the factors that may make women less ready to deploy than men in order to ensure adequate gender representation among emergency responders. The findings underscore the importance of training opportunities to ensure that gender-sensitive support is a strong component of emergency response, and may apply to other emergency response programs such as the Medical Reserve Corps and the American Red Cross.
authors.forename: Nicole K
authors.initials: NK
authors.lastname: Zagelbaum
authors.forename: Kevin C
authors.initials: KC
authors.lastname: Heslin
authors.forename: Judith A
authors.initials: JA
authors.lastname: Stein
authors.forename: Josef
authors.initials: J
authors.lastname: Ruzek
authors.forename: Robert E
authors.initials: RE
authors.lastname: Smith
authors.forename: Tam
authors.initials: T
authors.lastname: Nyugen
authors.affiliation: Veterans Emergency Management Evaluation Center, 16111 Plummer Street MS-152, North Hills, CA 91343, USA. Aram.Dobalian@va.gov.
authors.forename: Aram
authors.initials: A
authors.lastname: Dobalian
mesh_terms: D000293:Adolescent; D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D004189:Disaster Planning; D004630:Emergencies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020377:Self Efficacy; D012737:Sex Factors; D011795:Surveys and Questionnaires; D013663:Teaching; D014481:United States; D014493:United States Department of Veterans Affairs / Q000458:organization & administration*; D014838:Volunteers / Q000193:education* / Q000523:psychology*; D055815:Young Adult