VALE+TU SALUD: CORNER-BASED RANDOMIZED TRIAL TO TEST A LATINO DAY LABORER PROGRAM ADAPTED TO PREVENT COVID 19

VALE TU SALUD：基于角落的随机试验，测试旨在预防 COVID 19 的拉丁裔日工计划

• 批准号: 10595648
• 负责人: MARIA EUGENIA FERNANDEZ-ESQUER
• 金额: $ 62.88万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-07-10 至 2026-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10595648
• 关键词: Acute; Address; Adherence; Adopted; Adoption; COVID-19; COVID-19 pandemic; COVID-19 pandemic effects; COVID-19 prevention; COVID-19 risk; COVID-19 vaccine; Central America; Cluster randomized trial; Communities; County; Crowding; Dangerousness; Economics; Educational Curriculum; Effectiveness; Equation; Ethnic Population; Exposure to; Goals; Handwashing; Health; Hospitalization; Immigrant; Immigrant worker; Injury; Intervention; Latino; Latino Population; Learning; Life; Mexico; Modeling; Needs Assessment; Occupations; Patient Recruitments; Patients; Phase; Prevention program; Problem Solving; Random Allocation; Reporting; Research; Resources; Risk; Risk Reduction; SARS-CoV-2 positive; Secure; Services; Site; Social Distance; Surveys; Testing; Texas; Time; United States National Institutes of Health; Vulnerable Populations; Work; base; bed capacity; community intervention; community organizations; coronavirus disease; current pandemic; evidence base; health disparity populations; infection rate; intervention mapping; member; men; pandemic disease; pandemic impact; personal protective equipment; portability; post intervention; prevent; programs; randomized trial; response; social media; socioeconomics; stressor

VALE+TU SALUD: Corner-Based Randomized Trial to Test a Latino Day Laborer Program Adapted to Prevent COVID 19 The ongoing COVID 19 pandemic is having a devastating impact on Latino immigrants, whose members include day laborers. In Texas, addressing COVID-19 is increasingly urgent given the dramatic rise in cases during July 2020. At the time of this application, the state has exceeded its base ICU beds capacity and 65% of COVID-19 hospitalizations are Latino patients. And in Harris county, the site of this proposed study, Latinos represent the ethnic group with the highest COVID 19 positivity rate (30%) and live in the top 10 zip codes with the highest infection rates. Latino day laborers (LDL) are immigrant men from Mexico and Central America who work primarily in the construction and service sectors and are routinely exposed to multiple personal and job- related stressors, where the later occur in a working context that is dangerous, temporary, poorly paid, and exploitive. During the current pandemic these stressors have become more acute and have compeled LDL to continue to seek work daily, live in crowded conditions to afford the rent, and work without needed protections for maintaining social distancing or securing personal protective equipment (PPE). COVID 19 is likely to severely impact LDL unless action is taken to address their stressors and support their efforts to prevent it. Based on a readily available and portable injury risk-reduction program Vales+Tu (You Are Worth More) that has been successfully tested among LDL, the Vale+Tu Salud (Your Health is Worth More) study will adapt its evidence-based participant recruitment, engagement, and intervention strategies to promote group problem solving and a plan to implement together COVID 19 mitigation strategies. Guided by a Community Advisory Board (CAB) and led by LDL promotores, this corner-based program will be tested in a randomized trial to answer this question: Can an adapted Latino day laborer program increase adherence to mitigation practices that reduce the risk of COVID 19? To answer this question, we will pursue these aims: AIM1: Determine the cultural, socioeconomic, interpersonal and work-related factors that influence COVID 19 mitigation practices including social distancing, hand-washing and PPE use. AIM 2: Adapt, implement, and test Vale+Tu Salud in a cluster randomized trial to assess the extent to which LDL report increased adherence with COVID 19 mitigation practices 1 month post intervention. AIM 3: Promote Vales+Tu Salud just-in-time results and increase its capacity to rapidly disseminate findings among groups that serve LDL and other Latino immigrants. In the short term, we expect our program to address the urgent need to prevent COVID 19 among LDL by testing its effectiveness in promoting mitigation practices and the COVID 19 vaccine, when it becomes available. Over the longer term, we expect that the lessons learned in this COVID 19 prevention program will transfer to other work and life domains where LDL may adopt similar practices to reduce other health risks.

VALE+TU SALUD：基于角落的随机试验，测试拉丁裔日工计划是否适应 预防新冠肺炎 (COVID-19) 持续的 COVID 19 大流行正在对拉丁裔移民造成毁灭性影响，其成员 包括日工。在德克萨斯州，鉴于病例急剧增加，解决 COVID-19 问题变得越来越紧迫 2020 年 7 月期间。在提出本申请时，该州已超出其 ICU 床位基础容量，并且 65% COVID-19 住院患者为拉丁裔患者。在这项拟议研究的地点哈里斯县，拉丁裔 代表了 COVID 19 阳性率最高 (30%) 的族裔群体，并且居住在排名前 10 的邮政编码区 感染率最高。拉丁裔日工 (LDL) 是来自墨西哥和中美洲的移民男性，他们 主要在建筑和服务行业工作，经常接触多种个人和工作环境 相关的压力源，后者发生在危险的、临时的、低薪的工作环境中，以及 剥削性的。在当前的大流行期间，这些压力源变得更加严重，迫使低密度脂蛋白 继续每天寻找工作，居住在拥挤的环境中以支付房租，并且在没有必要保护的情况下工作 用于保持社交距离或确保个人防护装备 (PPE) 的安全。 COVID 19 很可能 除非采取行动解决他们的压力源并支持他们预防低密度脂蛋白的努力，否则会严重影响低密度脂蛋白。 基于现成的便携式伤害风险降低计划 Vales+Tu (You Are Worth More) 已成功在 LDL 中进行测试，Vale+Tu Salud（您的健康更值得）研究将调整其 促进群体问题的基于证据的参与者招募、参与和干预策略 解决方案并计划共同实施 COVID 19 缓解策略。以社区咨询为指导 委员会 (CAB) 并由 LDL promotores 领导，这个基于角落的计划将在一项随机试验中进行测试，以 回答这个问题：经过调整的拉丁裔日工计划能否提高对缓解措施的遵守率 可以降低感染 COVID 19 的风险吗？为了回答这个问题，我们将追求以下目标： AIM1：确定 影响 COVID 19 缓解措施的文化、社会经济、人际和工作相关因素 包括保持社交距离、洗手和使用个人防护装备。目标 2：调整、实施和测试 Vale+Tu Salud 整群随机试验评估 LDL 报告增加对 COVID 19 依从性的程度 干预后 1 个月的缓解措施。目标 3：促进 Vales+Tu Salud 及时取得成果并 提高其在为 LDL 和其他拉丁裔移民服务的群体中快速传播研究结果的能力。 在短期内，我们希望我们的计划能够通过以下方式解决 LDL 中预防 COVID 19 的迫切需要： 测试其在促进缓解措施和 COVID 19 疫苗方面的有效性，当它成为 可用的。从长远来看，我们预计从这一 COVID 19 预防计划中汲取的经验教训将 转移到其他工作和生活领域，LDL 可能会采取类似的做法来降低其他健康风险。