REDES: a peer network and mobile health (mHealth) enhanced CHW model to maximize COVID-19 vaccination among low income Latinos

REDES：对等网络和移动医疗 (mHealth) 增强的 CHW 模型，可最大限度地提高低收入拉丁美洲人的 COVID-19 疫苗接种率

• 批准号: 10609761
• 负责人: Kathleen R Page
• 金额: $ 73.66万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-04-13 至 2026-12-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10609761
• 关键词: Address; Adult; Appointments and Schedules; Attention; Authorization documentation; Behavioral; COVID-19; COVID-19 booster; COVID-19 disparity; COVID-19 pandemic; COVID-19 testing; COVID-19 vaccination; COVID-19 vaccine; Clinic; Communities; Community Health Aides; Community Healthcare; Consolidated Framework for Implementation Research; Control Groups; Disparity; Dizziness; Dose; Enrollment; Equity; Evaluation; Family; Friends; Funding; Future; Health; Hospitalization; Hotlines; Immigrant; Immigration; Individual; Influenza vaccination; Infrastructure; Intake; Interdisciplinary Study; Intervention; Interview; Knowledge; Language; Latino; Latino Population; Life; Limited English Proficiency; Low income; Maryland; Methodology; Modeling; Motivation; Not Hispanic or Latino; Participant; Persons; Policies; Public Opinion; RADx Underserved Populations; Randomized; Reach, Effectiveness, Adoption, Implementation, and Maintenance; Recommendation; Recording of previous events; Reduce health disparities; Reporting; Resources; Respondent; Sampling; Social Network; Structure; Surveys; Testing; Text Messaging; Touch sensation; Training; Trust; United States National Institutes of Health; Vaccinated; Vaccination; Vaccines; authority; behavior change; bilingualism; cohort; community building; community engagement; digital; disparity reduction; effective intervention; efficacy evaluation; efficacy testing; experimental group; flexibility; health literacy; implementation determinants; implementation evaluation; implementation outcomes; implementation science; implementation strategy; indexing; interest; mHealth; marginalization; member; outreach; peer; peer coaching; peer networks; prospective; recruit; reinforced behavior; response; seasonal influenza; skills; success; theories; tool; unvaccinated; uptake; vaccine acceptance; vaccine access; vaccine hesitancy

Project Summary The COVID-19 pandemic disproportionately impacts Latinos in the US. Failing to provide equitable access to vaccines will exacerbate the profound disparities in COVID-19 and other health conditions among Latinos communities. Our team has established a community coalition and identified effective interventions to reduce disparities among low-income limited English proficiency (LEP) Latino communities using qualitative, survey, and implementation science methodologies. We will test the efficacy of a combination intervention REDES (“Networks”) - a social network and mobile health (mHealth) enhanced community health worker (CHW) intervention - to address COVID-19 vaccine hesitancy and uptake among a cohort of Latinos and their networks in Maryland. We will recruit 300 index participants who have taken the COVID-19 vaccine. Half of the index participants will be randomized to the experimental group (n=150). CHWs will train them to be peer mentors to conduct peer outreach in-person and by text messages and to promote vaccine acceptance and uptake with their networks. Index participants in the control group (n=150) will receive an equal attention intervention. In addition, we will recruit unvaccinated primary and secondary network members of indexes for study participation and COVID-19 vaccination. We will enroll an estimated total of 1,590 primary and secondary network members. All participants will be followed prospectively at 3, 6, 12, and 18 months after baseline intake. The specific aims are: 1) Evaluate the efficacy of a combination intervention REDES to promote COVID-19 vaccine uptake among Latinos; 2) Examine ongoing barriers and facilitators of vaccine uptake among Latinos and their networks to tailor our intervention and address new challenges, and 3) Evaluate the implementation determinants and outcomes of REDES to inform future broad-scale implementation. Our multi-disciplinary research team brings together Latino health, social network, mHealth interventions, vaccine hesitancy expertise; a long-term history of community engagement with partner organizations in Maryland; and existing bilingual/bicultural CHW capacity and a rich local infrastructure for COVID-19 response. If this combination intervention demonstrates the efficacy, we will develop an implementation strategy toolkit, both in English and Spanish, for community partners and health departments interested in replicating the approach. This proposal primarily focuses on COVID-19 vaccination, but knowledge gained will be relevant to future vaccine equity initiatives, such as COVID-19 boosters (if needed) and seasonal influenza vaccination.

项目摘要 共同19-19大流行对美国的拉丁美洲人的影响不成比例。无法公平地访问 疫苗将加剧与拉丁美洲人的Covid-19和其他健康状况的深刻分布 社区。我们的团队已经建立了一个社区联盟，并确定了有效的干预措施以减少 低收入有限英语水平（LEP）拉丁裔社区的差异，使用定性，调查， 和实施科学方法。我们将测试组合干预的效率 （“网络”） - 社交网络和移动健康（MHealth）增强了社区卫生工作者（CHW） 干预 - 解决Covid -19 -19 马里兰州的网络。我们将招募300名服用Covid-19疫苗的指数参与者。一半 索引参与者将被随机分为实验组（n = 150）。 CHW会训练他们成为同伴 指导者进行同行宣传和通过短信，并促进疫苗的接受和 吸收他们的网络。对照组的索引参与者（n = 150）将受到同等关注 干涉。此外，我们还将招募未接种的索引的未接种主要和次要网络成员 研究参与和COVID-19疫苗接种。我们将注册估计总计1,590个小学和 次要网络成员。所有参与者将在3、6、12和18个月后前瞻性遵循 基线摄入量。具体目的是：1）评估组合干预的效率重新为 促进拉丁美洲裔疫苗的疫苗摄取； 2）检查疫苗的持续障碍和促进因子 拉丁美洲人及其网络之间的吸收以量身定制我们的干预并应对新的挑战，3） 评估实施的确定和结果，以告知未来的大规模 执行。我们的多学科研究团队汇集了拉丁裔健康，社交网络，MHealth 干预措施，疫苗犹豫专业知识；与合作伙伴的社区参与的长期历史 马里兰州的组织；以及现有的双语/双文化CHW容量和丰富的本地基础设施 COVID-19响应。如果这种组合干预证明了效率，我们将开发 为社区合作伙伴和卫生部门的英语和西班牙语实施策略工具包 有兴趣复制该方法。该提案主要集中于共同疫苗接种，但 获得的知识将与未来的疫苗资产计划有关，例如COVID-19-19 和季节性影响者疫苗接种。