An intervention for enhancing public health crisis response willingness among local health department workers: a qualitative programmatic analysis.

Objectives: This study evaluated the impact of a novel multimethod curricular intervention using a train-the-trainer model: the Public Health Infrastructure Training (PHIT). PHIT was designed to 1) modify perceptions of self-efficacy, response efficacy, and threat related to specific hazards and 2) improve the willingness of local health department (LHD) workers to report to duty when called upon.

Methods: Between June 2009 and October 2010, eight clusters of US LHDs (n = 49) received PHIT.

Determinants of emergency response willingness in the local public health workforce by jurisdictional and scenario patterns: a cross-sectional survey.

Background: The all-hazards willingness to respond (WTR) of local public health personnel is critical to emergency preparedness. This study applied a threat-and efficacy-centered framework to characterize these workers' scenario and jurisdictional response willingness patterns toward a range of naturally-occurring and terrorism-related emergency scenarios.

Methods: Eight geographically diverse local health department (LHD) clusters (four urban and four rural) across the U.