{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T10:45:26Z","timestamp":1791888326378,"version":"4.3.4"},"reference-count":12,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"unspecified","delay-in-days":285,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["24K01115"],"award-info":[{"award-number":["24K01115"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["25K08232"],"award-info":[{"award-number":["25K08232"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1935789326104662_sec1\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Public health officials hold critical roles in nuclear emergencies, but repeated, scenario-based training is often hindered by regulatory and safety constraints surrounding the use of radioactive sources. This pilot study evaluated the feasibility and preliminary educational outcomes of a modular training program incorporating radiation source-free simulation modules for public health officials.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326104662_sec2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We developed a half-day program integrating augmented reality (AR) for simulated contamination searches and a radiation source-free measurement system (USOTOPE). Twenty local government public health officials participated; paired pre-post analyses included 19 participants. Assessments measured radiation-related knowledge and self-rated procedural confidence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326104662_sec3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Analysis of 19 participants showed significant improvements in knowledge (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.001) and procedural confidence (\n                      <jats:italic>P<\/jats:italic>\n                      &lt; 0.001). Item-level analyses suggested larger improvements in practical contamination management and context-specific knowledge, whereas some items addressing procedural details showed smaller changes. Participants rated the AR and USOTOPE modules as highly realistic and educationally valuable. The radiation source-free simulation modules were feasible to implement without dedicated radioactive sources or specialized source-management requirements.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1935789326104662_sec4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This modular training program incorporating radiation source-free simulation modules was associated with short-term improvements in knowledge and procedural confidence among public health officials. Further validation using objective measures of operational performance and preparedness is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/dmp.2026.10466","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T09:51:00Z","timestamp":1791885060000},"source":"Crossref","is-referenced-by-count":0,"title":["Pilot Evaluation of a Modular Simulation Training Program Incorporating Radiation Source-Free Modules for Nuclear Disaster Preparedness Among Public Health Officials in Japan"],"prefix":"10.1017","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6721-9531","authenticated-orcid":false,"given":"Atsushi","family":"Kumagai","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05szqz470","id-type":"ROR","asserted-by":"publisher"}],"name":"National Institutes for Quantum Science and Technology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroko","family":"Kitamura","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05szqz470","id-type":"ROR","asserted-by":"publisher"}],"name":"National Institutes for Quantum Science and Technology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuke","family":"Koba","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05szqz470","id-type":"ROR","asserted-by":"publisher"}],"name":"National Institutes for Quantum Science and Technology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ken\u2019ichi","family":"Tsuchiya","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03g9ek587","id-type":"ROR","asserted-by":"publisher"}],"name":"National Research Institute of Police Science"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshinori","family":"Matsumoto","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02kn6nx58","id-type":"ROR","asserted-by":"publisher"}],"name":"Keio University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yo","family":"Ishigaki","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/02x73b849","id-type":"ROR","asserted-by":"publisher"}],"name":"The University of Electro-Communications"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Munehiko","family":"Kowatari","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05szqz470","id-type":"ROR","asserted-by":"publisher"}],"name":"National Institutes for Quantum Science and Technology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinichi","family":"Kanemoto","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05erkh051","id-type":"ROR","asserted-by":"publisher"}],"name":"Ibaraki Prefectural Government"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Moritake","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/05szqz470","id-type":"ROR","asserted-by":"publisher"}],"name":"National Institutes for Quantum Science and Technology"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"key":"S1935789326104662_r5","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2022.65"},{"key":"S1935789326104662_r9","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.1234"},{"key":"S1935789326104662_r4","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2018.168"},{"key":"S1935789326104662_r11","doi-asserted-by":"publisher","DOI":"10.2196\/12959"},{"key":"S1935789326104662_r1","volume-title":"Disaster Resilience: An Integrated Approach","author":"Paton","year":"2017"},{"key":"S1935789326104662_r2","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.14.146498"},{"key":"S1935789326104662_r3","unstructured":"3. Ibaraki Prefecture. Ibaraki Prefecture Wide-Area Evacuation Plan for Nuclear Emergency Preparedness. 2023. Accessed February 20, 2026. Available at: https:\/\/www.pref.ibaraki.jp\/seikatsukankyo\/gentai\/kikaku\/nuclear\/bosai\/documents\/ibarakiken-kouikihinan-keikaku.pdf"},{"key":"S1935789326104662_r7","first-page":"179","volume-title":"Countering Radiological and Nuclear Threats: Proceedings of the 4th International CBRNe Workshop (IW CBRNE 2018)","author":"Tsuchiya","year":"2019"},{"key":"S1935789326104662_r8","first-page":"96","article-title":"A framework for designing, implementing, and evaluating simulations used as teaching strategies in nursing","volume":"26","author":"Jeffries","year":"2005","journal-title":"Nurs Educ Perspect."},{"key":"S1935789326104662_r12","volume-title":"Proceedings of the 62nd Annual Meeting on Radioisotopes and Radiation Researches","author":"Akanuma","year":"2025"},{"key":"S1935789326104662_r6","doi-asserted-by":"publisher","DOI":"10.1017\/dmp.2023.188"},{"key":"S1935789326104662_r10","doi-asserted-by":"publisher","DOI":"10.1097\/SIH.0000000000000675"}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789326104662","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T09:51:12Z","timestamp":1791885072000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789326104662\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":12,"alternative-id":["S1935789326104662"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2026.10466","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"value":"1935-7893","type":"print"},{"value":"1938-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"e184"}}