Identifying and addressing critical social, ethical, and behavioral factors associated with COVID-19 testing and vaccination among Spanish speakers

识别并解决与西班牙语使用者中的 COVID-19 检测和疫苗接种相关的关键社会、道德和行为因素

• 批准号: 10446394
• 负责人: Scott D Rhodes
• 金额: $ 57.09万
• 依托单位: WAKE FOREST UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-01-01 至 2023-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10446394
• 关键词: Address; Administrator; Affect; Behavioral; COVID-19; COVID-19 disparity; COVID-19 pandemic; COVID-19 pandemic effects; COVID-19 testing; COVID-19 vaccination; Caring; Clinic; Communities; Community Health Aides; Coupled; Data; Data Collection; Enrollment; Ensure; Ethics; Focus Groups; Health; Health Personnel; Health Promotion; Hospitalization; Immunity; Individual; Infection; Institution; Intervention; Interview; Language; Latinx; Latinx population; Methods; Monitor; Participant; Policies; Prevention; Qualitative Methods; RADx Underserved Populations; Randomized; Recommendation; Research; Science; Services; Social Network; Testing; Training Support; Uncertainty; Underserved Population; United States; Universities; Vaccination; Vaccines; Variant; Virus; Vulnerable Populations; base; booster vaccine; community based participatory research; comparison intervention; design; disparity reduction; empowerment; evidence base; follow-up; group intervention; health disparity; health equity promotion; infection burden; innovation; mHealth; member; mortality; novel; pandemic disease; peer; post intervention; randomized trial; research study; safety net; social; success; theories; trial design

Summary Latinx communities are disproportionately affected by the COVID-19 pandemic, with Spanish-speaking Latinx communities carrying even heavier burdens of infection, hospitalization, and mortality. Major barriers to COVID-19 testing and vaccination exist, and a profound need remains to understand and address the social, ethical, and behavioral implications (SEBI) of COVID-19 testing and vaccination within Latinx communities. Our well-established community-academic partnership proposes a rigorous mixed-methods, community-based participatory research (CBPR) study better understand the SEBI of COVID-19 testing and vaccination and to refine and test a novel and culturally congruent intervention to increase COVID-19 testing and vaccination within Spanish-speaking Latinx communities. In Aim 1, we will conduct individual in-depth interviews with health providers and representatives from Latinx- serving community-based organizations and focus groups with Spanish-speaking Latinx community members to expand our understanding of the individual, interpersonal, institutional, community, and policy factors influencing COVID-19 testing and vaccination within Spanish-speaking Latinx communities. In Aim 2, we will integrate findings from other relevant COVID-19 studies and from Aim 1 to refine a Spanish-language intervention known as NuestraSaludSegura (Our Safe Health) designed to increase COVID-19 testing and vaccination among Spanish-speaking Latinx persons. NuestraSaludSegura harnesses the complementary strengths of peer navigation and mHealth. We will also test the intervention using a longitudinal group- randomized trial design assessing participants at: (1) baseline and (2) immediate post intervention. We anticipate that participants in the intervention group, relative to their counterparts in the delayed -intervention group, will demonstrate increased COVID-19 testing and vaccination. In Aim 3, we will develop and disseminate practice, research, intervention, and policy priorities and recommendations to increase COVID-19 testing and vaccination, reduce COVID-19 disparities, and promote health equity in Spanish-speaking Latinx communities by conducting an empowerment theory-based community forum. This CBPR study will advance prevention science and practice through increased understanding of the SEBI of COVID-19 testing and vaccination and testing an innovative intervention to promote and support COVID-19 testing and vaccination among a particularly underserved and vulnerable population – Spanish-speaking Latinx communities in the United States.

概括 拉丁裔社区受到 COVID-19 大流行的影响尤为严重，其中讲西班牙语的拉丁裔社区 感染、住院和死亡负担更重的社区。 COVID-19 检测和疫苗接种已经存在，而且仍然迫切需要了解和解决社会问题， 我们的拉丁裔社区内 COVID-19 检测和疫苗接种的道德和行为影响 (SEBI)。 完善的社区学术伙伴关系提案 严格的混合方法、基于社区的 参与式研究 (CBPR) 研究可以更好地了解 COVID-19 检测和疫苗接种的 SEBI，并 完善和测试一种新颖且文化上一致的干预措施，以增加 COVID-19 检测和疫苗接种 在西班牙语拉丁裔社区内。 在目标 1 中，我们将与来自拉丁裔的医疗服务提供者和代表进行单独的深入访谈—— 与讲西班牙语的拉丁裔社区成员一起为社区组织和焦点小组提供服务 扩大我们对个人、人际、机构、社区和政策因素的理解 在目标 2 中，我们将在西班牙语拉丁裔社区内进行 COVID-19 测试并影响疫苗接种。 整合其他相关 COVID-19 研究和目标 1 的结果，完善西班牙语 称为 NuestraSaludSegura（我们的安全健康）的干预措施，旨在增加 COVID-19 检测和 NuestraSaludSegura 在讲西班牙语的拉丁裔人群中进行疫苗接种。 我们还将使用纵向小组来测试干预措施。 随机试验设计评估参与者：（1）基线和（2）干预后立即。 预期干预组的参与者相对于延迟干预组的参与者 小组将展示增加的 COVID-19 检测和疫苗接种。在目标 3 中，我们将开发和疫苗接种。 传播实践、研究、干预和政策优先事项以及建议，以增加 COVID-19 的数量 测试和疫苗接种、减少 COVID-19 差异并促进西班牙语拉丁裔的健康公平 通过举办基于赋权理论的社区论坛来建立社区。 这项 CBPR 研究将通过加深对 SEBI 的了解来推进预防科学和实践 COVID-19 检测和疫苗接种以及测试创新干预措施以促进和支持 COVID-19 在服务特别不足和弱势群体中进行检测和疫苗接种——西班牙语拉丁裔 美国的社区。