Harlem Community Academic Partnership: Influenza Immunizations

哈莱姆社区学术合作伙伴：流感免疫接种

• 批准号: 8037097
• 负责人: DAVID VLAHOV
• 金额: $ 8.67万
• 依托单位: NEW YORK ACADEMY OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-05-22 至 2011-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8037097
• 关键词: AIDS prevention; Address; Adopted; Adult; Area; Attitude; Avian Influenza; Awareness; Behavioral Risk Factor Surveillance System; Centers for Disease Control and Prevention (U.S.); Child; Cities; Communities; Community Health; Data; Development; Disadvantaged; Education; Elements; Equipment and supply inventories; Evaluation; Goals; Group Meetings; Health; Health Promotion; Health Surveys; Healthy People 2010; Immunization; Immunization Programs; Influenza; Influenza A Virus, H5N1 Subtype; Influenza vaccination; Intercept; Intervention; Joints; Knowledge; Learning; Measures; Methods; Minority; Mission; Motivation; Mutate; Neighborhoods; New York; New York City; Nurses; Nursing Services; Online Systems; Outcome; Persons; Population; Principal Investigator; Process; Provider; Research Infrastructure; Research Project Grants; Role; Services; Site; Social support; Source; Structure; Surveys; Testing; Trust; Vaccination; Vaccines; Visiting Nurse; Work; Yellow Jackets; base; community based participatory research; design; disorder prevention; experience; high risk; improved; influenza virus vaccine; intervention program; meetings; novel vaccines; outreach; pandemic disease; post intervention; programs; racial and ethnic disparities; response; scale up; social; social health determinants; working group

DESCRIPTION (provided by applicant): Proposed is a community based participatory research project (CBPR) and evaluation for improving influenza immunizations in high risk populations within disadvantaged minority communities. The Harlem Community and Academic Partnership (HCAP)'s Board includes residents, community based organizations, academic partners and the local health department who meet monthly to plan, conduct and review neighborhood assessments, interventions and evaluation activities; topic-specific issues are addressed through formation of Intervention Work Groups (IWGs). The HCAP Board noted especially low rates of influenza immunizations in Harlem and formed the VIVA (Venue Intensive Vaccine for Adults) IWG. This IWG has conducted separate pilots including a survey on barriers to immunization, development of culturally informed intervention materials, a pilot of "yellow jacket" outreach workers to engage and educate hard-to reach populations, and provision of immunizations at non-traditional sites. The goal of this proposal is to assemble these components to formally scale up and test the intervention for adults in the Harlem communities. To achieve these aims, the HCAP VIVA IWG will plan, organize and implement an intervention; our primary partner, Palladia Inc, provides outreach educators and a service network of over 120 CBOs to educate and mobilize the community for immunization as well as coordinate congregating persons with traditional and new non-traditional venues for immunizations; the local Visiting Nurse Service has agreed to provide nurses and influenza vaccines at the selected venues gratis. This program does not replace, but rather supplements existing vaccination programs in the city by adding more relevant education and new "non-traditional" venues. We expect that this program will increase rates of immunizations overall including the hard-to-reach populations. To evaluate this program, we will compare annual rates of immunization between Harlem and communities similar to Harlem in NYC, with data available by neighborhood through the NYC annual "Community Health Survey" (modified BRFSS from CDC) which includes 10,000 adult NYC residents. We will also conduct two cross sectional street intercept surveys (n=800) before and after each annual intervention program between harlem and comparison community residents. These data combined with yearly inventories of CBOs, will provide measures of barriers, intervention experiences and outcomes to broaden input for continuous program improvement.

描述（由申请人提供）：拟议的是一个基于社区的参与性研究项目（CBPR）和改善处境不利的少数群体中高风险人群中流感免疫接种的评估。哈林社区与学术合作伙伴关系（HCAP）的董事会包括居民，社区组织，学术合作伙伴和当地卫生部门，他们每月开会以计划，进行和审查邻里评估，干预和评估活动；特定于主题的问题是通过组建干预工作组（IWG）来解决的。 HCAP委员会指出，哈林的流感免疫接种率特别低，并形成了Viva（成人的场地强化疫苗）IWG。该IWG进行了单独的飞行员，包括一项有关免疫障碍的调查，开发文化知情的干预材料，“黄色外套”外展工人的飞行员，以吸引和教育难以到达的人群以及在非传统场所提供免疫接种。该提案的目的是组装这些组成部分，以正式扩展和测试哈林社区成年人的干预措施。为了实现这些目标，HCAP Viva IWG将计划，组织和实施干预；我们的主要合作伙伴Palladia Inc提供了外展教育者和一个由120多个CBO的服务网络，以教育和动员社区进行免疫接种，并协调聚会人员与传统和新的非传统场所进行免疫接种；当地来访的护士服务已同意免费在所选场所提供护士和流感疫苗。该计划不会取代，而是通过增加更相关的教育和新的“非传统”场所来补充城市中现有的疫苗接种计划。我们预计该计划将提高总体上的免疫接种率，包括难以到达的人群。为了评估该计划，我们将比较Harlem与类似于Harlem在纽约市的社区之间的年度免疫接种率，以及通过NYC年度“社区健康调查”（CDC修改的BRFS）提供的社区数据，其中包括10,000名成人纽约市居民。我们还将在Harlem和比较社区居民之间的每年年度干预计划之前和之后进行两次横截面街道拦截调查（n = 800）。这些数据与年度CBO库存相结合，将提供障碍，干预经验和结果的度量，以扩大持续计划改进的投入。