The goal of this cluster randomized trial is to develop and test a new method for preparing indigenous (locally termed as Orang Asli) households in Selangor, a state in Malaysia, for outbreaks and Disease X, a potential unknown infectious threat. It aims to determine if the new method, a health education package comprised of workshops, simulation exercises, and card game play sessions, can enhance the readiness of these families for such outbreaks.

The main questions it is looking to answer are:

1. Will the intervention package increase the level of preparedness for a Disease X and outbreaks among indigenous households in Selangor?
2. Will the intervention improve the awareness and attitudes of the indigenous people in Selangor towards outbreak preparedness?
3. Will it lead to more proactive preparedness actions by these households?

To evaluate the effectiveness of the intervention package, researchers will compare outcomes between two groups: the intervention group receiving both the intervention package and educational brochures on communicable disease prevention, and the control group receiving only the brochures.

Participants will:

1. Participate in the activities in the newly developed intervention package, which would include workshops, simulation exercises, and card game play sessions.
2. Answer surveys four times: before, immediately after, 1 month after and 2 months after the intervention, to measure any changes in their preparedness levels for an outbreak.

Inclusion Criteria:

• Orang Asli ethnicity
• Malaysian citizen
• Age between 18 to 99 years old
• The head of the household, or the person who contributes to, or influences health-related decisions for the household
• Live in a household with at least three members
• Able to converse in Malay

Exclusion Criteria:

• Having physical or cognitive disabilities (e.g., blindness, deafness, schizophrenia and dementia)
• Having severe health conditions (e.g., respiratory and cardiovascular disease requiring oxygen support such as severe asthma/chronic obstructive pulmonary disease/heart failure and congenital heart diseases)
• Residing temporarily (less than 2 years)
• Intending to relocate to a different residence within the next 2 years

Individual participant data (IPD) underlying the published study results may be considered for sharing but will not be distributed without the consent of Universiti Teknologi Mara, the Ministry of Health Malaysia, and the Department of Orang Asli Development. Other researchers must first obtain permission from these entities. The datasets generated or analyzed during this study will not contain any identifiers and will be made available to other researchers upon request after receiving their approval. The decision regarding the extent of data to be shared will be based on the reasonableness of the request. Participants can request access to their own individual results but not to those of other participants. Additionally, participants may request access to the general final study findings or to published articles resulting from the study.

Data will become available after the study results publication date and will remain accessible for up to 7 years following that date.

Permission must be obtained from Universiti Teknologi Mara, the Ministry of Health Malaysia, and the Department of Orang Asli Development before access to the IPD is granted. Other researchers interested in accessing the datasets must submit a request outlining the purpose of their research. The decision to share data will be based on the reasonableness and scientific merit of the request. Access is limited strictly to anonymized IPD underlying the published study results.