Center for American Indian and Rural Health Equity

美洲印第安人和农村健康公平中心

基本信息

批准号：
10255113
负责人：
Alexandra K. Adams
金额：
$ 111.6万
依托单位：
MONTANA STATE UNIVERSITY - BOZEMAN
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-11-17 至 2023-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10255113
关键词：
2019-nCoV Adult Affect Agricultural Workers American Indians COVID testing COVID-19 COVID-19 pandemic COVID-19 testing Cardiovascular Diseases Characteristics Chronic Disease Clinical Research Collaborations Communities Community Health Community Outreach Diabetes Mellitus Diagnostic Reagent Kits Economics Educational Materials Face Focus Groups Harvest Health Educators Health behavior Hispanics Home Indian reservation Individual Influenza Instruction Interview Latino Malignant Neoplasms Materials Testing Methods Migrant Misinformation Modeling Montana Northwestern United States Outcome Measure Participant Population Positioning Attribute Prognosis Protocols documentation Qualitative Research RADx Underserved Populations Randomized Research Reservations Respiratory Tract Infections Risk Rural Rural Community Rural Health SARS-CoV-2 transmission Salish and Kootenai Tribes Seasons Site Surveys Telephone Testing Training Travel Trust Universities Washington Work Yakima Valley acceptability and feasibility active method arm base behavioral economics community based participatory research community based research dissemination strategy electronic consent experience farm worker flu health care availability health disparity health equity high risk home test implementation strategy informant interest member outreach point of care point of care testing primary outcome randomized trial respiratory virus rural underserved secondary outcome self testing social sociodemographics testing uptake trial design tribal community

项目摘要

Project Summary The COVID-19 pandemic has disproportionately affected American Indian (AI) and Latino communities, and these groups also have increased risk of poor prognosis due to high rates of chronic disease such as diabetes, cardiovascular disease, and cancer. In the northwestern United States, AI and Latino communities already face significant disparities in health care access, which have been further exacerbated by the COVID-19 pandemic. In the proposed study, Protecting Our Community: A Pragmatic Randomized Trial of Home-Based COVID Testing with American Indian and Latino Communities, we will leverage our long-term community- based participatory research partnerships to test the hypothesis that home-based testing will be feasible, impactful, and better-accepted using active delivery of test kits by trusted community health educators in two vulnerable, high-risk rural communities. Our two long-term partner communities are the Flathead Indian Reservation of the Confederated Salish and Kootenai Tribes in Montana, and the Yakima Valley of Washington, a large Latino community. We will determine the cultural, social, behavioral, and economic barriers to home-based SARS-CoV-2 testing; culturally adapt and enhance home-testing educational materials and create home-testing instructional graphics and YouTube videos; conduct a 2-arm pragmatic randomized trial of active (delivered by community health educator) vs. passive (mailed) home-based testing kits (n = 200/community) for testing completion; and create model community-driven testing protocols that can have significant impact for increasing home-based testing uptake among AI and Latino communities nationally. This work will enable underserved AI and Latino communities to take full advantage of the coming wave of rapid point-of-care home tests and decrease the significant impact of COVID-19 in their communities.

项目概要 COVID-19 大流行对美洲印第安人 (AI) 和拉丁裔社区造成了不成比例的影响，并且由于糖尿病等慢性疾病的高发病率，这些群体的预后不良风险也增加，心血管疾病和癌症。在美国西北部，人工智能和拉丁裔社区已经面临医疗保健获取方面的巨大差异，而 COVID-19 进一步加剧了这种差异大流行。在拟议的研究中，保护我们的社区：基于家庭的务实随机试验与美洲印第安人和拉丁裔社区进行新冠病毒检测，我们将利用我们的长期社区- 基于参与性研究伙伴关系，以检验家庭测试是否可行的假设，由值得信赖的社区健康教育者主动提供检测试剂盒，在两个领域具有影响力，并且更容易被接受脆弱、高风险的农村社区。我们的两个长期合作伙伴社区是 Flathead Indian 蒙大拿州萨利希部落和库特奈部落联盟以及亚基马山谷的保留地华盛顿，一个大型拉丁裔社区。我们将确定文化、社会、行为和经济家庭 SARS-CoV-2 检测的障碍；在文化上适应和增强家庭测试教育材料并创建家庭测试教学图形和 YouTube 视频；进行 2 臂实用随机主动（由社区健康教育者提供）与被动（邮寄）家庭检测套件的试验（n = 200/社区）用于测试完成；并创建模型社区驱动的测试协议对提高全国人工智能和拉丁裔社区的家庭测试采用率产生重大影响。这这项工作将使服务不足的人工智能和拉丁裔社区能够充分利用即将到来的快速发展浪潮护理点家庭测试并减少 COVID-19 对社区的重大影响。