COVID-19 testing and vaccination social network diffusion for diverse criminal legal involved communities

COVID-19 检测和疫苗接种社交网络传播到涉及不同刑事法律的社区

• 批准号: 10447453
• 负责人: Russell Brewer
• 金额: $ 122.61万
• 依托单位: UNIVERSITY OF CHICAGO
• 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/10447453
• 关键词: Acquaintances; Address; Affect; Age; Behavior; Behavioral; Behavioral Model; COVID-19; COVID-19 prevention; COVID-19 testing; COVID-19 vaccination; COVID-19 vaccine; Caring; Characteristics; Chicago; Communication; Communities; Diffuse; Diffusion; Diffusion of Innovation; Dimensions; Diversion Program; Drug Courts; Family; Focal Infection; Friends; Future; Government; Health Status; Health behavior; Imprisonment; Individual; Infection; Influentials; Infrastructure; Intervention; Knowledge; Legal; Mental Health; Mind; Modality; Participant; Persons; Phase; Population; Prevention; Process; RADx Underserved Populations; Randomized Controlled Trials; Reach Effectiveness Adoption Implementation and Maintenance; Recording of previous events; Reporting; Research; Safety; Self Efficacy; Site; Social Network; Structure; Support System; Testing; Time; Training; Trauma; Trust; Vaccinated; Vaccination; Variant; Voice; Vulnerable Populations; Work; Writing; behavior change; booster vaccine; density; design; disenfranchised population; efficacy testing; empowerment; experience; flexibility; infection rate; innovation; intervention effect; member; motivational enhancement therapy; novel; novel vaccines; pandemic disease; parole; peer; post SARS-CoV-2 infection; preventive intervention; primary outcome; probation; recruit; respiratory virus; secondary outcome; testing uptake; trial design; uptake; vaccine acceptance; vaccine access; vaccine hesitancy

Abstract: This RADx-UP Phase II proposal, “Social network diffusion of COVID-19 prevention for diverse Criminal Legal Involved Communities”, will implement a situation appropriate COVID-19 testing and vaccination social network diffusion intervention – C3 – building upon RADx-UP Phase I lessons and successful social network prevention interventions developed previously by the research team. C3 Criminal Legal Involved (CLI) populations encompass those non-incarcerated who have experienced recent arrest, incarceration, probation, parole or diversion programs such as drug courts. While increases in COVID-19 testing have been observed among this group, there remain members with limited testing history as well as individuals who are vaccine hesitant. COVID-19 prevention messaging can no longer be simplified to “everyone test and/or everyone vaccinate” as testing and vaccination decisions among community members are sensitive to personal histories (i.e., prior infection), local infection rates (i.e., low rates) and testing/vaccination availability. As COVID-19 prevention efforts have become more complicated (i.e., test if exposed), people tend to focus on the messenger, and particularly those that are close to them. Personal connections and communications within existing personal network structures, such as families, friends and other trusted acquaintances represent the cornerstone to increase situation appropriate testing and overcoming COVID-19 vaccine hesitancy. C3 builds upon RADx-UP I, by using a network diffusion approach facilitated through motivational interviewing purposefully geared to mobilize one’s own organic social network to increase context appropriate testing and vaccine uptake. Through this process we will maximize the primary benefit and impact of this type of intervention which also has the intended effect of increasing likelihood that the messenger themselves will undergo the same behavior change that they have been trained to promote. We will leverage infrastructure developed in RADx-UP Phase I, which includes 4 high-impact sites across the Central US from Phase I: Baton Rouge LA, Little Rock AR, Indianapolis IN, and Chicago IL. We will utilize established engagement efforts already in place and continue to fully integrate communities in the strategic application of the intervention. We will use the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework to guide implementation. C3 aims to: Aim 1a. Test the efficacy (3-month situation appropriate testing or vaccination) of a network diffusion intervention (C3) versus an existing COVID-19 testing and vaccine linkage to care intervention among: 1) primary study participants (primary outcome); and 2) secondary study participants connected to primary participants (secondary outcome) using a RCT design. Aim 1b. Explore the mechanisms for differential intervention effects at the individual and network-level that may increase situation appropriate testing and/or vaccination uptake. Aim 2. Examine key RE-AIM components in real time tied to the implementation of the network diffusion intervention (C3).

摘要：该 RADx-UP 第二阶段提案“针对不同群体的 COVID-19 预防的社交网络传播” “刑事法律相关社区”将根据具体情况实施适当的 COVID-19 检测和 疫苗接种社交网络扩散干预 – C3 – 基于 RADx-UP 第一阶段的经验教训和 C3 Crime 研究团队之前开发了成功的社交网络预防干预措施。 法律相关人群 (CLI) 包括那些最近经历过逮捕的非监禁人群、 监禁、缓刑、假释或转移计划，例如毒品法庭，而 COVID-19 人数有所增加。 已在该群体中观察到测试，但仍有成员的测试历史有限，并且 对于疫苗接种犹豫不决的个人，无需再向其传达 COVID-19 预防信息。 “每个人都检测和/或每个人都接种疫苗”作为社区成员之间的检测和疫苗接种决定 对个人病史（即既往感染）、当地感染率（即低感染率）和 随着 COVID-19 预防工作变得更加复杂（即测试是否可用）。 暴露），人们倾向于关注信息传递者，尤其是那些与他们关系密切的人。 现有个人网络结构内的联系和通信，例如家人、朋友和 其他值得信赖的熟人是增加情况适当测试和的基石 通过使用网络扩散方法，C3 建立在 RADx-UP I 的基础上，克服了 COVID-19 疫苗的犹豫。 通过动机性访谈来促进，有目的地调动自己的有机社交网络 通过这一过程，我们将最大限度地提高初级检测率。 此类干预措施的益处和影响还具有增加以下可能性的预期效果： 信使本身也会经历他们所接受的培训所要促进的相同行为改变。 我们将利用 RADx-UP 第一阶段开发的基础设施，其中包括遍布整个地区的 4 个高影响力站点 第一阶段的美国中部：路易斯安那州巴吞鲁日、阿肯色州小石城、印第安纳州印第安纳波利斯和伊利诺伊州芝加哥。 既定的参与努力已经到位，并继续将社区充分纳入战略 我们将使用 RE-AIM（范围、有效性、采用、实施和 维护）框架来指导实施 C3 的目的是： 测试功效（3 个月的情况） 网络扩散干预 (C3) 与现有的 COVID-19 测试的比较 疫苗与护理干预之间的联系：1) 主要研究参与者（主要结果）；2) 使用 RCT 设计将次要研究参与者与主要参与者（次要结果）联系起来。 1b. 探索可能在个人和网络层面产生差异化干预效果的机制 目标 2. 检查 RE-AIM 中的关键组成部分。 实时与网络扩散干预（C3）的实施相关。