Increasing COVID-19 vaccine uptake through a patient navigation intervention among underserved populations

通过对服务不足的人群进行患者导航干预来增加 COVID-19 疫苗的接种率

• 批准号: 10403900
• 负责人: Richard Matthew Cripps
• 金额: $ 29.91万
• 依托单位: SAN DIEGO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-01 至 2023-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10403900
• 关键词: 2019-nCoV; Address; Adult; Affect; African American; Age; Award; Behavior Therapy; COVID-19; COVID-19 morbidity; COVID-19 mortality; COVID-19 test; COVID-19 testing; COVID-19 vaccination; COVID-19 vaccine; Cessation of life; Communities; Community Health Aides; Community Healthcare; Contact Tracing; Cross-Over Trials; Data; Ethnic Origin; Exposure to; FDA Emergency Use Authorization; Family; Federally Qualified Health Center; Filipino; Friends; Funding; Future; Health; Health Personnel; Health behavior; Health education; Home visitation; Hospitalization; Immigrant; Individual; Infrastructure; Intervention; Knowledge; Latinx; Location; Mediator of activation protein; Minority Groups; Modeling; Morbidity - disease rate; Occupations; Outcome; Participant; Patients; Population; Poverty; Process; Public Health; RADx Underserved Populations; Race; Randomized; Randomized Controlled Trials; Reporting; Research; Resistance; Risk; Schools; Series; Site; Social Justice; Socioeconomic Status; Target Populations; Test Result; Testing; Time; Underserved Population; United States; Vaccinated; Vaccination; Vaccines; Work; aged; arm; base; community based research; community intervention; community partnership; comparison intervention; coronavirus disease; cultural competence; disparities in morbidity; disparity reduction; distrust; effectiveness evaluation; efficacy evaluation; efficacy testing; ethnic minority population; experience; fighting; flexibility; health disparity; high risk; home test; implementation strategy; innovation; insight; mortality; motivational enhancement therapy; novel; novel strategies; pandemic disease; personalized approach; point of care; point of care testing; programs; racial and ethnic; racial minority; scale up; severe COVID-19; sex; testing access; testing uptake; uptake; vaccination strategy; vaccine acceptance; vaccine hesitancy

PROJECT SUMMARY (of funded award) The novel SARS-CoV-2 continues to spread in the United States, with almost 5 million confirmed cases of and over 150,000 deaths. Given observed disparities in morbidity, hospitalization, and mortality across race, ethnicity, and socioeconomic status, there is a great need to increase testing access and uptake with rapid return of test results. We propose a community health worker (CHW)-led approach to facilitate COVID-19 testing for underserved populations, with a focus on increasing testing access, uptake, and impact among Latinx, African American, Filipino, and immigrant communities using different testing implementation strategies. Our project will utilize existing COVID-19 contact tracing and community partner infrastructure to reach individuals aged 12 and above exposed or at high-risk of COVID-19 exposure who may be less able to test. We will use a cluster randomized crossover trial to test mobile and home-based testing strategies for increasing testing uptake among contacts, referred high-risk friends and family, and the broader community. Our specific aims are to: 1) Implement COVID-19 testing integrated into community health worker contact tracing home visits and compare the subsequent uptake of testing for referred high-risk friends and family in a mobile testing vs. home-based testing approach; 2) Using a community-led rapid cycle research process, identify effective strategies to promote uptake of COVID-19 testing through mobile/pop-up testing for Latinx, African American, Filipino, and immigrant populations exposed or at high risk of exposure to COVID-19 who are not accessing testing; 3) Gather CHW and community insights to establish best practices for future scale-up and sustainability. We expect to test over 40,000 individuals through these efforts. The project will contribute to health disparity reductions in COVID-19 morbidity and mortality and produce high impact through the our core strengths in drawing on local knowledge, the team’s existing community partnerships, use of culturally-competent community healthcare workers, point-of-care rapid and inexpensive testing, and the use of real-time geospatial data from our contact tracing program to prioritize locations for mobile pop-up testing. Our focus on underserved populations with high COVID-19 exposures without prior testing access will inform both future testing and vaccination efforts.

项目摘要（资助奖） 小说Sars-Cov-2在美国继续蔓延，近500万 确认案件及15万人死亡。给定观察到的发病差异 住院和跨种族，种族和社会经济地位的死亡率，有一个很好的 需要在测试结果的快速返回下增加测试访问和吸收。我们提出了一个 社区卫生工作者（CHW）领导的方法，以促进COVID-19的测试 服务不足的人群，重点是增加测试访问，吸收和影响 拉丁裔，非裔美国人，菲律宾和移民社区使用不同的测试 实施策略。我们的项目将利用现有的Covid-19联系跟踪和 社区合作伙伴基础设施，以接触12岁及以上或高危的个人 COVID-19的暴露可能较低的测试能力。我们将使用一个随机的群集 分频试验以测试移动和家庭基于家庭的测试策略，以增加测试吸收 在联系人中，推荐的高风险朋友和家人以及更广泛的社区。我们的具体 目的是：1）实施共同纳入社区卫生工作者联系的COVID-19测试 追踪家庭访问并比较随后对推荐的高风险朋友的测试的吸收 和家庭中的家庭测试与基于家庭的测试方法； 2）使用社区主导的快速 循环研究过程，确定有效策略以促进COVID-19测试的吸收 通过拉丁裔，非裔美国人，菲律宾和移民人口的移动/弹出测试 暴露或有高风险暴露于未访问测试的COVID-19； 3）聚集chw 以及社区见解，以建立未来扩大和可持续性的最佳实践。我们 预计通过这些努力测试40,000多人。该项目将有助于健康 19009年的发病率和死亡率的差异降低，并通过 我们借鉴当地知识的核心优势，该团队现有的社区伙伴关系， 使用具有文化竞争的社区医疗保健工作者，快速和廉价的护理点 测试以及从我们的联系跟踪计划中使用实时地理空间数据以优先考虑 移动弹出测试的位置。我们专注于服务不足的人口高达19岁 无需事先测试访问的曝光将为将来的测试和疫苗接种工作提供信息。