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: 10616911
• 负责人: Camille C Cioffi
• 金额: $ 103.21万
• 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/10616911
• 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.

项目概要 该第三阶段项目建立在我们第一阶段和第二阶段项目成功的基础上，但采用了一种新颖的方法 适应不断变化的流行病环境；通过注射吸毒者 (PWID) 促进快速检测 支持就业计划，将注射吸毒者培训为同伴卫生工作者 (PHW)。吸毒者很容易受到 感染严重急性呼吸综合征冠状病毒 2 (SARS-CoV-2) 及其对该疾病的影响 由 SARS-CoV-2、2019 年冠状病毒病 (COVID-19) 引起，原因是结构缺陷、健康 脆弱性和污名化阻碍了人们充分获得医疗服务。虽然我们的项目有 此前，该公司为注射吸毒者进行了超过 6,000 次自行收集的聚合酶链反应 (PCR) 检测。 俄勒冈州、大流行不断变化的性质，包括新的变种和可用性 SARS-CoV-2 疫苗，呼吁采取额外的策略，以增加人们获得检测的机会和接受度 注射吸毒者。对于经历结构性漏洞的注射吸毒者，快速检测可能比 PCR 检测更具优势 例如无家可归和缺乏技术，以便他们能够实时收到结果并得到帮助 快速连接到所需的资源。吸毒者快速检测的可及性此前一直受到以下因素的限制： 劳动力短缺以及无法接触到需要检测的吸毒者。我们提出了一个新颖的社区—— 制定战略，通过支持性就业计划提高快速检测的可及性 PWID、Peer Connect2Test (PeerC2T) 将成为 PHW，向其他人分发 SARS-CoV-2 快速检测试剂盒 注射吸毒者。我们期望 PeerC2T 将提高 PHW 的知识、自我效能和健康行为（目标 1）。我们将使用目标 2 和 3 中的 RE-AIM 框架来评估 PeerC2T 是否改善 SARS-CoV-2 测试其他注射吸毒者的接受情况（RE；目标 2）并确定干预考虑因素（AIM；目标 3）。这 该项目的总体目标是在我们与 HIVA 的合作伙伴关系的基础上发展一个变革性的社区 - 推动干预措施，以促进吸毒者广泛获得快速检测。我们将继续 与 RADx-UP 协调和数据收集中心合作。调查结果将澄清其影响 支持注射吸毒者就业计划，以促进注射吸毒者和其他公众接受 SARS-CoV-2 检测 改善吸毒者健康结果的卫生努力。因此，这项研究的结果可能会引起广泛的公众关注 利用针对注射吸毒者的支持性就业计划来防止传播艾滋病毒对健康的影响 其他传染病。