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

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.

项目概要/摘要 回应 NOT-OD-21-020，特别关注通知：研究行政补充 和与生物伦理问题相关的能力建设工作，这一创新提案旨在开展 生物伦理学研究促进黑人和拉丁裔之间公平的 COVID-19 疫苗决策 艾滋病毒感染者 (PLWHIV) 和心血管疾病 (CVD) 风险减轻不成比例的影响。 鉴于 COVIID-19 对有色人种社区的影响，COVID-19 疫苗必须迅速送达最需要的人群。 然而，对疫苗的犹豫和缺乏可靠的 COVID-19 信息影响了知情权 决策、减少公平公正地获得 COVID-19 疫苗和抑制疫苗 该提案旨在扩大公共卫生的覆盖范围。 消息（例如，COVID-19 疫苗教育倡议公共卫生工具包和社区 针对 COVID-19 的参与联盟 (CEAL)），通过互动会议确认 COVID-19 疫苗问题，支持对犹豫根源的讨论，并促进公平 在多种价值观（例如个人、身体、公共）的背景下获取可靠信息 影响 COVID-19 疫苗决策的具体目标是： 1) 评估疫苗的效果。 关于了解、获取和信任可靠的 COVID-19 公共卫生信息的虚拟会议 在 60 名 HHMB 参与者（20 名西班牙人）中感染 HIV 并有 CVD 风险，2) 识别出 COVID-19 与 HIV 和 CVD 风险特别相关的疫苗问题，3) 确定虚拟疫苗的影响 关于 HHMB 参与者认为他们有足够的信息来制定 COVID-19 的看法的会议 疫苗决定、做出 COVID-19 决定以及该决定是否要接受 COVID- 19 疫苗，以及 4) 评估个人、身体和公共价值观的使用之间的关系 在虚拟课程中教授，做出有关 COVID-19 的决定，并决定是否接受 COVID-19 疫苗。这些目标将通过一次新颖的、文化上一致的会议来实现， “为注册的虚拟 HHMB 参与者促进 COVID-19 疫苗决策 (HHMB-PVDM)。 没有机会就影响的个人和历史经历进行对话 犹豫不决，并为增加对准确、清晰和准确的知识的了解和获取提供支持 易于理解的 COVID-19 公共卫生和疫苗信息、黑人和拉丁裔 PLWHIV 和 CVD 在制定 COVID-19 疫苗决策时，风险将继续缺乏公平性。 决策方法将促进人口层面的疫苗接种，有助于缓解疫情 有色人种社区中 COVID-19 发病率和死亡率差异的调查结果将进一步细化。 为疫苗决策方法提供信息，以覆盖其他弱势群体。