Community-engaged optimization of COVID-19 rapid evaluation and testing experiences: roll-out implementation optimization trial.
Community-engaged optimization of COVID-19 rapid evaluation and testing experiences: roll-out implementation optimization trial.
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COVID的社区参与优化-19快速评估和测试经验：推出实施优化试验。
DOI：
10.1186/s13012-023-01306-y
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发表时间：
2023-10-02
影响因子：
7.2
通讯作者：
Rabin, Borsika A.
中科院分区：
文献类型：
--
作者：
Stadnick, Nicole A.;Laurent, Louise C.;Cain, Kelli L.;Seifert, Marva;Burola, Maria Linda;Salgin, Linda;Watson, Paul;Oswald, William;Munoz, Fatima A.;Velasquez, Sharon F.;Smith, Justin D.;Zou, Jingjing;Rabin, Borsika A.
关键词：
持续需要务实、以社区为中心和可持续的COVID-19检测。这项研究将完善和测试社区合作伙伴优先考虑的实施策略：（1）步行免费检测，（2）社区卫生工作者（promotores）促进检测和预防保健咨询，（3）自动售货机分发免费的自我检测试剂盒。来自早期研究阶段的共同设计的变化理论和实用，稳健的实施和维持模型（PRISM）将指导研究设计，措施选择和评估。第一个目标是完善和实施多组件实施战略包和COVID-19检测结果措施。将成立一个社区和科学咨询委员会（CSAB），成员包括社区成员、合作的联邦合格卫生中心（CSAHC）的临床提供者/工作人员、公共卫生研究人员、政策制定者和县卫生部门大使。CSAB成员的参与将通过结构化人种学和关于参与实践的质量和数量的调查进行评估。第二个目标是实施和评估实施战略包的影响，以使用推出实施优化（ROIO）设计优化社区的COVID-19测试。在18个月内，将在四个卫生和保健中心诊所登记7500名社区成员。参与者将被邀请完成一项关于其人口统计数据、健康状况和COVID-19检测结果和经验的电子调查。CSAB成员和诊所合作伙伴将在每个诊所推出之前和试验后参加PRISM适合和决定因素评估。在每个诊所进行为期3个月的推广期后，将与60名社区参与者和12名提供者/工作人员进行访谈，询问他们对实施战略的经验。定量数据将使用分层多层次模型进行分析，以确定实施战略的影响。将使用快速定性方法分析定性数据，以总结实施经验，并在随后推出之前确定必要的变化。将采用矩阵方法，根据PRISM领域对来自定量和定性来源的数据进行三角测量。这是首批使用ROIO设计的务实实施试验之一，旨在共同创建可持续和公平的COVID-19测试计划。研究结果可能会推广到其他公共卫生预防工作。NCT 05894655 2023年3月2日。
There continues to be a need for COVID-19 testing that is pragmatic, community-centered, and sustainable. This study will refine and test implementation strategies prioritized by community partners: (1) walk-up no-cost testing, (2) community health worker (promotores)-facilitated testing and preventive care counseling, (3) vending machines that dispense no-cost, self-testing kits. A co-designed Theory of Change from an earlier study phase and the Practical, Robust Implementation and Sustainment Model (PRISM) will guide the study design, measures selection, and evaluation. The first aim is to refine and operationalize a multi-component implementation strategy bundle and outcome measures for COVID-19 testing. A Community and Scientific Advisory Board (CSAB) will be established and include community members, clinical providers/staff from the partnering Federally Qualified Health Center (FQHC), public health researchers, policymakers, and a county health department ambassador. Engagement of CSAB members will be assessed through structured ethnography and a survey about the quality and quantity of engagement practices. The second aim is to implement and evaluate the impact of the implementation strategy bundle to optimize COVID-19 testing in communities using a roll-out implementation optimization (ROIO) design. Seven thousand and five hundred community members will be enrolled across four FQHC clinics over 18 months. Participants will be invited to complete an electronic survey about their demographics, health, and COVID-19 testing results and experiences. CSAB members and clinic partners will participate in PRISM fit and determinant assessments prior to each clinic rollout and post-trial. Interviews will be conducted with 60 community participants and 12 providers/staff following a 3-month rollout period at each clinic, inquiring about their experiences with the implementation strategies. Quantitative data will be analyzed using hierarchical multilevel models to determine the impact of implementation strategies. Qualitative data will be analyzed using rapid qualitative approaches to summarize implementation experiences and identify necessary changes prior to subsequent rollouts. A matrix approach will be used to triangulate data from quantitative and qualitative sources based on PRISM domains. This is one of the first pragmatic implementation trials to use a ROIO design and aims to co-create a sustainable and equitable COVID-19 testing program. Findings are likely to generalize to other public health prevention efforts. NCT05894655 March 2, 2023.
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影响因子：
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作者：
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