ADAPTATIONS DUE TO THE COVID-19 PANDEMIC IN A COMMUNITY- BASED PARTICIPATORY RESEARCH RANDOMIZED CONTROL TRIAL EXAMINING SEXUAL AND REPRODUCTIVE HEALTH OUTCOMES AMONG AMERICAN INDIAN YOUTH
ADAPTATIONS DUE TO THE COVID-19 PANDEMIC IN A COMMUNITY- BASED PARTICIPATORY RESEARCH RANDOMIZED CONTROL TRIAL EXAMINING SEXUAL AND REPRODUCTIVE HEALTH OUTCOMES AMONG AMERICAN INDIAN YOUTH
复制标题
DOI：
10.5820/aian.2902.2022.32
复制
发表时间：
2022-01-01
影响因子：
1.3
通讯作者：
Baldwin, Julie
中科院分区：
文献类型：
--
作者：
Rink, Elizabeth;Johnson, Olivia;Baldwin, Julie
在这份手稿中，我们介绍了由于 Nen UnkUmbi/EdaHiYedo（“我们现在在这里”或 NE）的 COVID-19 大流行而导致的研究设计和分析策略的变化。 NE 是一项基于社区的参与性研究多层次随机对照试验，采用阶梯式楔形设计来解决美国印第安青年之间的性健康和生殖健康差异。根据与部落研究团队成员和参与 NE 的外部非土著研究人员以及该研究的社区咨询委员会和数据安全监测委员会的会议，对 NE 的研究设计、数据收集和分析因 COVID-19 大流行进行了调整。基于这些迭代讨论，做出了以下决定：1）重新组织 NE 阶梯楔形设计集群的顺序，2）在研究设计中纳入额外的定量和定性数据收集和分析，专门解决了 COVID-19 对研究参与者的影响。这些适应措施有可能促进更多的科学知识，以了解如何解决部落社区随机对照试验中意外的三向相互作用效应。研究结果还有助于了解公共卫生灾难如何影响美洲印第安人青少年的性健康和生殖健康。
In this manuscript, we present changes in study design and analytical strategy due to the COVID-19 pandemic for Nen UnkUmbi/EdaHiYedo ("We Are Here Now," or NE). NE is a communitybased participatory research multi-level randomized control trial using a stepped wedge design to address sexual and reproductive health disparities among American Indian youth. Adaptations in NE's research design, data collection, and analysis due to the COVID-19 pandemic were made based on meetings with tribally based research team members and outside nonIndigenous researchers involved in NE, as well as the study's Community Advisory Board and the Data Safety Monitoring Board. Based on these iterative discussions, decisions were made to: 1) reorganize the sequence of NE's stepped wedge design clusters, and 2) include additional quantitative and qualitative data collection and analysis in the research design that specifically addressed the impact of COVID-19 on the research participants. These adaptations have the potential to foster greater scientific knowledge in understanding how to address unanticipated 3-way interaction effects in randomized control trials with tribal communities. Findings can also contribute to understanding how public health disasters impact sexual and reproductive health among American Indian youth.