Engaging Socially Vulnerable Populations in Community Wildfire Protection Plans

23 p. : col. ill.Recent catastrophic wildfires in the United States provided images of the destruction of multimillion-dollar homes, dense urban neighborhoods, and vast estates that overlook beautiful forests or the southern California ocean. These images depict real pain and suffering for those who have lost their homes and possessions. What the images fail to show, however, are the small homes, rural communities, and working settlements that experience the same kind of pain and suffering. All communities risk tremendous losses in the face of wildfires, but some communities risk losing more of their assets when their homes or their properties burn. Many rural and under-served communities have no insurance to rebuild their homes; renters are displaced and have no means to recover their valuables; and elderly and disabled residents confront additional threats when responding to events and caring for themselves and their families. Catastrophic wildfire can result in the loss of livelihood for residents and communities as a whole, including loss of jobs, natural resource and tourism industries, and other economic opportunities in the community. The purpose of this document is to provide tools to low-income and under-served communities for protection from wildfire. • Ensure that low capacity communities are incorporated within Community Wildfire Protection Plan (CWPP) goals. • Conduct risk assessments that include social as well as biophysical dimensions of risk. • Identify vulnerable populations and develop strategies to meet their needs within a CWPP. • Monitor and evaluate the impact of CWPPs

Development and usability testing of HEARTPA♀N: protocol for a mixed methods strategy to develop an integrated smartphone and web-based intervention for women with cardiac pain

Introduction: More women experience cardiac pain related to coronary artery disease and cardiac procedures compared with men. The overall goal of this programme of research is to develop an integrated smartphone and web-based intervention (HEARTPA♀N) to help women recognise and self-manage cardiac pain. Methods and analysis: This protocol outlines the mixed methods strategy used for the development of the HEARTPA♀N content/core feature set (phase 2A), usability testing (phase 2B) and evaluation with a pilot randomised controlled trial (RCT) (phase 3). We are using the individual and family self-management theory, mobile device functionality and pervasive information architecture of mHealth interventions, and following a sequential phased approach recommended by the Medical Research Council to develop HEARTPA♀N. The phase 3 pilot RCT will enable us to refine the prototype, inform the methodology and calculate the sample size for a larger multisite RCT (phase 4, future work). Patient partners have been actively involved in setting the HEARTPA♀N research agenda, including defining patient-reported outcome measures for the pilot RCT: pain and health-related quality of life (HRQoL). As such, the guidelines for Inclusion of Patient-Reported Outcomes in Clinical Trial Protocols (SPIRIT-PRO) are used to report the protocol for the pilot RCT (phase 3). Quantitative data (eg, demographic and clinical information) will be summarised using descriptive statistics (phases 2AB and 3) and a content analysis will be used to identify themes (phase 2AB). A process evaluation will be used to assess the feasibility of the implementation of the intervention and a preliminary efficacy evaluation will be undertaken focusing on the outcomes of pain and HRQoL (phase 3). Ethics and dissemination: Ethics approval was obtained from the University of Toronto (36415; 26 November 2018). We will disseminate knowledge of HEARTPA♀N through publication, conference presentation and national public forums (Café Scientifique), and through fact sheets, tweets and webinars