Getting Asian Americans INFORMED to Facilitate COVID-19 Testing and Vaccination

让亚裔美国人了解情况以促进 COVID-19 检测和疫苗接种

• 批准号: 10259559
• 负责人: Janice Y Tsoh
• 金额: $ 59万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-12-01 至 2022-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10259559
• 关键词: Address; Affect; American; Asian Americans; Behavioral; COVID-19; COVID-19 diagnosis; COVID-19 mortality; COVID-19 outbreak; COVID-19 pandemic; COVID-19 testing; COVID-19 vaccination; California; Cessation of life; Chinese People; Clinical Trials; Color; Colorectal; Communication; Communities; Competitive Behavior; Conflict (Psychology); Confusion; Data; Decision Making; Diagnosis; Disease; Disease Progression; Education; Education and Outreach; Educational Intervention; Ethics; Face; Family; Filipino; Fright; Goals; Government; Guidelines; Health; Hepatitis B; Hepatitis C; Home; Household; Immigrant; Immunization; Incidence; Individual; Inequality; Intervention; Intervention Studies; Investigation; Knowledge; Korean American; Koreans; Limited English Proficiency; Measures; Parents; Participant; Persons; Physical activity; Population; Preventive care; Randomized Controlled Trials; Readiness; Research; Resources; Rural Community; SARS-CoV-2 infection; Shelter facility; Smoker; Testing; Text; Text Messaging; Time; Tobacco use; Training; Trust; Uncertainty; United States; Urban Community; Vaccination; Videoconferencing; arm; authority; base; behavior change; breast and cervical cancer screening; combustible cigarette; community burden; community partnership; electronic cigarette use; experience; hate crimes; male; novel strategies; nutrition; outreach; pandemic disease; programs; prospective; recruit; reduce tobacco use; social culture; social stigma; testing uptake; uptake; vaccine acceptance

PROJECT SUMMARY This time sensitive proposal, Getting Asian Americans INFORMED to Facilitate COVID-19 Testing and Vaccinations, is to identify and address sociocultural, ethical and behavioral barriers related to COVID-19 testing and COVID-19 vaccination to enable Asian Americans to make well-informed decisions about getting tested for COVID-19. Asian Americans have experienced among the highest COVID-19 mortality rates when measured in case fatality and proportionate mortality due to COVID-19. Excess COVID-19 related deaths observed in Asian Americans are in part due to under-testing. Asian Americans may face multiple challenges, including sociocultural (limited English proficiency, lack of trust, excess fears and social stigma related COVID-19), ethical (lack of proven benefits of various guidelines, unequal access to testing resources), and behavioral (tobacco and e-cigarette use, other competitive behaviors) factors. The pandemic is rapidly evolving and presents urgent needs to develop highly efficient channels to communicate accurate, easily comprehensive, cultural appropriate and practical information. This application is a supplement to a parent R01 “A Family- Focused Intervention for Asian American Male Smokers,” as known to the public as a community-based intervention research program “Healthy Family Project.” The Healthy Family Project has provided more than 1,100 smokers and families a family-oriented intervention delivered by lay health workers (LHW) showing efficacies in in reducing tobacco use and promoting healthy nutrition and physical activity among Chinese and Vietnamese Americans. Prior to the parent R01, our team tested LHW interventions targeting individual behavior change in increasing colorectal, cervical and breast cancer screening and hepatitis B and C testing, and healthy nutrition and physical activity among Chinese, Hmong, Korean, Filipino and Vietnamese Americans. Leveraging the community partnerships and the individual / family-based LHW intervention approaches that we developed, we propose these aims: (1) Develop and evaluate “INdividual and Family- Oriented Responsive Messaging EDucation” (INFORMED) intervention in increasing knowledge about COVID- 19 testing and decreasing decisional conflicts of getting tested for COVID-19. A 2-arm randomized controlled trial will compare INFORMED delivered by LHW educational outreach plus SMS text messaging to SMS text with LHW support. (2) Conduct in-depth prospective investigation of sociocultural, ethical and behavioral factors related to COVID-19 testing in Chinese, Hmong and Vietnamese American over-time. In addition, we will explore factors affecting acceptance for vaccination research trial participation and vaccination uptake and how vaccination acceptance is associated with COVID-19 testing uptake.

项目摘要 这段时间敏感的建议，让亚裔美国人被告知促进Covid-19测试和19 疫苗接种是为了识别和解决与Covid-19的社会文化，道德和行为 测试和COVID-19疫苗接种，使亚裔美国人能够大约一段时间做出明智的决定 COVID-19 如果由于19号而导致的死亡和比例死亡率。 亚裔美国人的一部分是由于亚裔美国人的测试不足。 社会文化（英语学识有限，缺乏信任，过度感觉和与社会污名相关的covid-19）， 道德（各种准则缺乏智力益处，无法获得测试资源的不平等）和行为 （烟草和电子烟的使用，其他竞争性行为）大流行正在迅速发展和 礼物紧急需要开发高效率渠道，以沟通准确的，易于全面的， 文化适当和实用的信息。 对亚裔美国人的男性吸烟者的重点干预，“公众为社区闻名 干预研究计划“健康家庭项目”。 1,100名吸烟者和家庭由外行卫生工作者（LHW）熟食的面向家庭的干预措施显示 减少烟草使用以及促进中国人和健康的健康营养和物理的功效 越南美国人。 行为变化增加结直肠 以及中国，苗族，韩国，菲律宾和越南的健康营养和体育锻炼 美国人。 我们开发的方法，我们提出了这些AMS：（1）开发和评估“个人和家庭 - 对消息传递教育的定向反应”（明智的）干预越来越多地了解covid- 19进行测试并减少对Covid-19的测试的决策冲突。 试验将比较LHW Educational Outreach和SMS文本消息传递的信息 通过LHW支持（2）。 与中国人，苗族和越南人一起进行的Covid-19测试有关的因素 将探讨影响疫苗接种接受研究试验的因素，尤其是摄入和疫苗接种吸收和疫苗接种的因素 疫苗接种的接受方式与COVID-19测试摄取有关。