Enhancing patient and organizational readiness for cardiovascular risk reduction among ethnic minority patients living with HIV

加强患者和组织为降低少数族裔艾滋病毒感染者的心血管风险做好准备

• 批准号: 10367750
• 负责人: ARLEEN F. BROWN
• 金额: $ 15.6万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-08-15 至 2023-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10367750
• 关键词: Address; Administrative Supplement; Affect; Bioethical Issues; Bioethics; COVID-19; COVID-19 morbidity; COVID-19 mortality; COVID-19 vaccine; California; Cardiovascular system; Caring; Clinic; Color; Communities; Decision Making; Education; Enrollment; Event; Face; Goals; HIV; Health; Healthcare Systems; Heart; Home; Hot Spot; Hour; Immunocompromised Host; Incentives; Individual; Knowledge; Latinx; Link; Mind; Outcome Study; Parents; Participant; Patients; Perception; Population; Public Health; Research; Resources; Risk; Risk Reduction; Source; Tablets; Trauma; Trust; Vaccines; cardiovascular risk factor; commune; community engagement; design; ethnic minority population; experience; healing; high risk; innovation; interest; maltreatment; novel; organizational readiness; programs; public health relevance; recruit; response; telehealth; vaccine acceptance; vaccine hesitancy; virtual; Address; Administrative Supplement; Affect; Bioethical Issues; Bioethics; COVID-19; COVID-19 morbidity; COVID-19 mortality; COVID-19 vaccine; California; Cardiovascular system; Caring; Clinic; Color; Communities; Decision Making; Education; Enrollment; Event; Face; Goals; HIV; Health; Healthcare Systems; Heart; Home; Hot Spot; Hour; Immunocompromised Host; Incentives; Individual; Knowledge; Latinx; Link; Mind; Outcome Study; Parents; Participant; Patients; Perception; Population; Public Health; Research; Resources; Risk; Risk Reduction; Source; Tablets; Trauma; Trust; Vaccines; cardiovascular risk factor; commune; community engagement; design; ethnic minority population; experience; healing; high risk; innovation; interest; maltreatment; novel; organizational readiness; programs; public health relevance; recruit; response; telehealth; vaccine acceptance; vaccine hesitancy; virtual

Project Summary/Abstract In response to NOT-OD-21-020, Notice of Special Interest: Administrative Supplement for Research and Capacity Building Efforts Related to Bioethical Issues, this innovative proposal aims to conduct bioethical research to promote equitable COVID-19 vaccine decision-making among Black and Latinx people living with HIV (PLWHIV) and cardiovascular (CVD) risk. To mitigate the disproportionate impact of COVIID-19 on communities of color, COVID-19 vaccines must quickly reach those in greatest need. However, vaccine hesitancy and lack of access to reliable COVID-19 information compromise informed decision-making, reducing equitable and fair access to COVID-19 vaccines and inhibiting vaccine uptake in vulnerable subpopulations. This proposal seeks to expand the reach of public health messages (e.g., The COVID-19 Vaccine Education Initiative Public Health Toolkit and The Community Engagement Alliance (CEAL) against COVID-19),with an interactive session that acknowledges COVID-19 vaccine concerns, supports discussion of sources of hesitancy, and facilitates equitable access to reliable information within the context of multiple values (e.g., personal, bodily, communal) that impact COVID-19 vaccine decision-making. The Specific Aims are to: 1) evaluate the effect of a virtual session on knowledge of, access to, and trust in reliable COVID-19 public health messages among 60 HHMB participants (20 Spanish) living with HIV and at risk for CVD, 2) identify COVID-19 vaccine concerns specifically related to HIV and CVD risks, 3) determine the impact of the virtual session on HHMB participants’ perception that they have adequate information to make a COVID-19 vaccine decision, making a COVID-19 decision, and whether or not the decision is to receive a COVID- 19 vaccine, and 4) evaluate the relationship between use of personal, bodily, and communal values taught in the virtual session, making a COVID-19 decision, and deciding whether or not to receive a COVID-19 vaccine. These aims will be addressed through a novel, culturally consistent session, “Promoting COVID-19 Vaccine Decision-Making (HHMB-PVDM) for enrolled virtual HHMB participants. Without the opportunity to engage in dialogue about personal and historical experiences that impact hesitancy and provide support for increasing knowledge of and access to accurate, clear, and understandable COVID-19 public health and vaccine information, Black and Latinx PLWHIV and CVD risks will continue to lack equity in making COVID-19 vaccine decisions. Supporting COVID-19 vaccine decision-making approaches will facilitate population-level vaccine uptake, contributing to the mitigation of disparities in COVID-19 morbidity and mortality in communities of color. Findings will be refined to inform vaccine decision-making approaches to reach other vulnerable subpopulations.

项目摘要/摘要 为了响应Not-OD-21-020，特殊兴趣通知：研究的行政补充 以及与生物伦理问题有关的能力建设工作，该创新的提议旨在进行 生物伦理研究，以促进黑人和拉丁裔公平的共同疫苗决策 患有艾滋病毒（PLWHIV）和心血管（CVD）风险的人。减轻不成比例的影响 在Coviid-19关于有色社区的COVIID中，Covid-19疫苗必须迅速达到最需要的疫苗。 但是，疫苗犹豫不决，无法获得可靠的Covid-19信息损害知情 决策，减少对COVID-19-19疫苗的公平和公平的访问并抑制疫苗 吸收脆弱的亚群。该建议旨在扩大公共卫生的影响力 消息（例如，COVID-19疫苗教育计划公共卫生工具包和社区 互动联盟（CEAL）反对COVID-19），并通过互动会议承认 Covid-19-19疫苗的关注，支持对犹豫来源的讨论，并促进公平 在多个值的上下文中访问可靠的信息（例如，个人，身体，公共） 这会影响Covid-19-19疫苗决策。具体目的是：1）评估 关于可靠的Covid-19的知识，访问和信任的虚拟会议 在60位HHMB参与者（20名西班牙语）患有艾滋病毒和有CVD风险的参与者中，2）确定Covid-19 与艾滋病毒和CVD风险特别相关的疫苗问题，3）确定虚拟的影响 关于HHMB参与者的看法，他们有足够的信息来进行COVID-19 疫苗的决定，做出共同的19个决定，以及该决定是否是接受covid- 19疫苗和4）评估个人，身体和公共价值的使用之间的关系 在虚拟会议上教授，做出19009的决定，并决定是否接受 2019冠状病毒病疫苗。这些目标将通过小说，文化一致的会议来解决 “促进COVID-19疫苗决策（HHMB-PVDM）为招募的虚拟HHMB参与者。 没有机会就影响的个人和历史经历进行对话 犹豫并为增加对准确，清晰和获得的知识提供了支持 可理解的Covid-19-19 在做出COVID-19-19疫苗决策时，风险将继续缺乏公平性。支持Covid-19疫苗 决策方法将有助于人口水平的疫苗吸收，从而有助于缓解 共vid-19-19的发病率和死亡率的差异。调查结果将被完善 告知疫苗决策方法以达到其他脆弱的亚群。