CO-CREATE-Ex: Community-engaged Optimization of COVID-19 Rapid Evaluation And TEsting Experiences

CO-CREATE-Ex：社区参与优化 COVID-19 快速评估和测试体验

• 批准号: 10617124
• 负责人: LOUISE CHANG LAURENT
• 金额: $ 102.31万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-11-01 至 2024-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10617124
• 关键词: Acceleration; Action Research; Address; Administrator; Adoption; Area; Authorization documentation; COVID-19; COVID-19 impact; COVID-19 pandemic; COVID-19 test; COVID-19 testing; California; Clinic; Clinical; Communities; Community Participation; Counseling; County; Diagnostic Reagent Kits; Disparity; FDA approved; Federally Qualified Health Center; Generations; Goals; Health; Home; Human; Incidence; Institution; Investments; Knowledge; Latino; Learning; Linguistics; Maps; Measures; Methods; Mexico; Modeling; Organizational Change; Outcome; Participant; Phase; Population; Positioning Attribute; Practical Robust Implementation and Sustainability Model; Preparation; Preventive care; Protocols documentation; Provider; Public Health; RADx Underserved Populations; Reduce health disparities; Research; Research Design; Research Personnel; SARS-CoV-2 infection; Self Administration; Services; Site; Social Change; Specific qualifier value; Testing; Theory of Change; Trust; Walking; Work; antigen test; authority; care systems; community center; community organizations; ethnic minority; evaluation/testing; experience; flexibility; health disparity; health information technology; implementation design; implementation evaluation; implementation measures; implementation science; implementation strategy; innovation; member; minority communities; pandemic disease; practical application; primary care clinic; primary outcome; programs; prototype; public health research; rapid test; rapid testing; response; safety net; secondary outcome; self testing; success; testing uptake; transmission process; underserved community; uptake

PROJECT SUMMARY/ABSTRACT Cases of COVID-19 infection in San Diego have persistently remained high in the county’s central and southern communities near the US/Mexico border, home to primarily Latino residents who have been one of the ethnic minority communities most impacted by COVID-19. To address this, our Phase I RADx-UP project partnered with San Ysidro Health (SYH), a federally qualified health center, and the Global Action Research Center (Global ARC), a social change organization, to co-create and demonstrate the impact of a PCR-based COVID-19 testing program in San Ysidro. To date, we have administered approximately 15,000 PCR tests for >10,000 community members (92% Latino) and received requests from SYH to scale-out the testing program to additional primary care clinic sites. Responsive to RFA-OD-22-006, we will continue working with our community (Global ARC) and clinical (SYH) partners to refine, specify, implement, and evaluate an implementation strategy bundle that optimizes COVID-19 testing, expanding beyond current PCR testing to focus on FDA-authorized COVID-19 rapid antigen testing. Use of self-administered rapid antigen tests will allow participants to build capacity to self-test and use health information technology to access additional clinic services. Based on initial implementation mapping with the project’s established Community and Scientific Advisory Board, three implementation strategies were prioritized to accelerate sustained uptake of rapid COVID-19 testing. These three strategies include: (1) current, walk-up onsite free testing; (2) promotores-led COVID-19 test counseling and preventive care reminders; (3) vending machines that dispense FDA-authorized self-testing kits. Our primary objectives are to: 1) refine and operationalize our multi-component implementation strategy bundle and a related set of measures of success for rapid FDA- authorized COVID-19 testing and 2) implement and evaluate impact of our innovative, multilevel, and multicomponent implementation strategy bundle to optimize COVID-19 rapid testing among underserved, Latino communities using a roll-out implementation optimization study design across four clinics over 18 months. The COVID-19 pandemic has underscored the urgent and essential need to engage invested community parties continuously and meaningfully in public health research to reduce health disparities. This proposal is well-positioned to provide a set of strategies and measures of success that can be used in settings serving underserved communities while maintaining flexibility to adjust to the changing COVID-19 landscape.

项目摘要/摘要 圣地亚哥的Covid-19病例在该县的中部和南部仍然很高 美国/墨西哥边境附近的社区，这里是主要拉丁裔居民的所在地 少数族裔社区受到19号共同影响最大的影响。为了解决这个问题，我们的I阶段Radx-Up项目合作 在联邦合格的健康中心和全球行动研究中心（全球） Arc），一个社会变革组织，是为了共同创建和演示基于PCR的COVID-19测试的影响 在圣伊西德罗的计划。迄今为止，我们已经对> 10,000个社区进行了大约15,000个PCR测试 成员（拉丁裔为92％），并收到了SYH的请求，以扩大测试计划到其他主要 护理诊所地点。响应RFA-OD-22-006，我们将继续与社区（全球弧）和 临床（SYH）合作伙伴以完善，指定，实施和评估实施策略捆绑包 优化COVID-19测试，扩展超出当前PCR测试，专注于FDA授权的COVID-19 抗原测试。使用自我管理快速抗原测试将使参与者能够建立自我测试的能力 并使用健康信息技术访问其他诊所服务。基于初始实施 与该项目既定的社区和科学顾问委员会的映射，三个实施 优先考虑策略，以加速持续的Covid-19测试的持续吸收。这三个策略 包括：（1）当前，无现场测试； （2）启动子领导的Covid-19测试共同体和预防性 护理提醒； （3）分配FDA授权的自动测试套件的自动售货机。我们的主要目标是 至：1）完善和操作我们的多组分实施策略捆绑包和一组相关的集合 快速FDA授权COVID-19测试和2）实施和评估我们的影响的成功措施 创新，多级和多组分实施策略捆绑包，以优化COVID-19 在服务不足的拉丁裔社区中，使用了四个的推出实施优化研究设计 诊所超过18个月。 COVID-19大流行强调了参与的紧迫和基本需求 在公共卫生研究中不断地投资社区各方，以减少健康差异。 该提议的定位良好，以提供一套成功的策略和衡量标准 为服务不足的社区提供服务的设置，同时保持适应不断变化的Covid-19的灵活性 景观。