Supported employment to create a community culture of SARS-CoV-2 rapid testing among people who inject drugs: PeerConnect2Test

支持就业，在注射吸毒者中创建 SARS-CoV-2 快速检测的社区文化：PeerConnect2Test

• 批准号: 10845930
• 负责人: Camille C Cioffi
• 金额: $ 99.79万
• 依托单位: UNIVERSITY OF OREGON
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-12-01 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10845930
• 关键词: 2019-nCoV; Adoption; American; Behavior; Benchmarking; COVID-19; COVID-19 complications; COVID-19 impact; COVID-19 risk; COVID-19 testing; COVID-19 vaccine; Caring; Cessation of life; Collaborations; Common Data Element; Communicable Diseases; Communities; Contracts; County; Data; Data Collection; Diagnostic Reagent Kits; Disadvantaged; Discrimination; Disease; Education; Effectiveness; Employment; Equity; Exposure to; Fright; Future; Goals; HIV; Harm Reduction; Health; Health Professional; Health Services Accessibility; Health behavior; Hepatitis C; Human immunodeficiency virus test; Hygiene; Immune; Improve Access; Individual; Injecting drug user; Intervention; Knowledge; Learning; Link; Maintenance; Medical; Methods; Modeling; Mutation; Nature; Oregon; Outcome; Phase; Policies; Polymerase Chain Reaction; Preventive; Probability; Procedures; Process; Public Health; RADx Underserved Populations; Reach, Effectiveness, Adoption, Implementation, and Maintenance; Resources; Risk; SARS-CoV-2 infection; Sampling; Self Efficacy; Services; Social Distance; Societies; Stigmatization; Supervision; Supported Employment; Surveys; Technology; Testing; Time; Training Programs; Trust; Tuberculosis; Vaccination; Variant; Viral hepatitis; Virus; Writing; disorder prevention; experience; financial incentive; follow up assessment; health care availability; housing instability; improved; novel; novel strategies; pandemic disease; peer; predictive test; prevent; prevention service; programs; rapid test; rapid testing; skills; structural health determinants; success; testing uptake; transmission process; vaccine access

Project Summary This Phase III project builds on the successes of our Phase I and Phase II projects but uses a novel approach to adapt to the changing pandemic context; facilitation of rapid testing by people who inject drugs (PWID) via a supported employment program that trains PWID as peer health workers (PHW). PWID are vulnerable to contracting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and to the effects of the disease caused by SARS-CoV-2, coronavirus disease 2019 (COVID-19) due to structural disadvantage, health vulnerabilities, and stigmatization that prevents adequate access to medical care. While our project has previously processed more than 6,000 self-collected polymerase chain reaction (PCR) tests for PWID across the state of Oregon, the ever-changing nature of the pandemic, including new variants and the availability of SARS-CoV-2 vaccines, calls for additional strategies that can increase access to and uptake of testing among PWID. Rapid tests may offer an advantage over PCR tests for PWID experiencing structural vulnerabilities such as houselessness and lack of access to technology so that they can receive results in real-time and be quickly connected to needed resources. Accessibility of rapid testing for PWID has been previously limited by workforce shortages and the inability to reach PWID who need testing. We propose a novel community- engaged strategy to improve the accessibility of rapid tests through a supported employment program for PWID, Peer Connect2Test (PeerC2T), to become PHW to distribute SARS-CoV-2 rapid test kits to other PWID. We expect that PeerC2T will improve knowledge, self-efficacy, and health behaviors among PHW (Aim 1). We will use the RE-AIM framework in Aims 2 and 3 to evaluate whether PeerC2T improves SARS-CoV-2 testing uptake among other PWID (RE; Aim 2) and identify intervention considerations (AIM; Aim 3). The overall goal of this project is to build on our partnership with HIVA to develop a transformative community- driven intervention to promote widespread access to rapid testing among PWID. We will continue to collaborate with the RADx-UP Coordination and Data Collection Center. Findings will clarify the implications of supported employment programs for PWID for SARS-CoV-2 testing uptake among PWID and other public health efforts to improve health outcomes among PWID. Thus, findings from this study may have broad public health implications for leveraging supported employment programs for PWID to prevent the transmission of other infectious diseases.

项目摘要 该阶段III项目建立在我们第一阶段和第二阶段项目的成功基础上，但使用了一种新颖的方法 适应不断变化的大流行背景；通过A注入药物（PWID）的人快速测试的促进 支持培训PWID担任同伴卫生工作者（PHW）的支持就业计划。 PWID容易受到影响 患有严重的急性呼吸道综合征冠状病毒2（SARS-COV-2），并与疾病的影响 由SARS-COV-2，2019年冠状病毒病（COVID-19）引起 脆弱性和污名化阻止了足够的医疗服务。虽然我们的项目有 先前对PWID进行了6,000多个自聚聚合酶链反应（PCR）测试的处理 俄勒冈州的状态，大流行的不断变化的本质，包括新变体和可用性 SARS-COV-2疫苗，呼吁采取其他策略，以增加对测试的访问和吸收 PWID。快速测试可能比PCR测试的PWID具有优势 例如无房屋和无法获得技术的途径，以便他们可以实时获得结果并成为 快速连接到所需的资源。以前已 劳动力短缺以及无法接触需要测试的PWID。我们提出了一个新颖的社区 - 通过支持 PWID，PEER CONNECT2TEST（PEERC2T），成为PHW，以将SARS-COV-2快速测试套件分发到其他 PWID。我们预计PEERC2T将改善PHW的知识，自我效能和健康行为（AIM 1）。我们将在AIM 2和3中使用RE-AIM框架来评估PEERC2T是否改善SARS-COV-2 测试其他PWID（RE； AIM 2）并确定干预注意事项（AIM; AIM 3）。这 该项目的总体目标是建立我们与Hiva的合作伙伴关系，以发展一个变革性的社区 - 驱动干预措施可促进PWID之间广泛的快速测试。我们将继续 与RADX-UP协调和数据收集中心合作。调查结果将阐明 支持PWID的SARS-COV-2测试吸收PWID和其他公众的雇佣计划 健康努力为改善PWID的健康状况。因此，这项研究的发现可能有广泛的公众 对利用支持的就业计划的健康影响，以防止传播 其他传染病。