Developing a peer-led intervention to promote COVID-19 testing in low-income housing settings.
Developing a peer-led intervention to promote COVID-19 testing in low-income housing settings.
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DOI：
10.3389/fpubh.2023.1096246
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发表时间：
2023
影响因子：
5.2
通讯作者：
Gehlert, Sarah
中科院分区：
文献类型：
--
作者：
Plunk, Andrew D.;Hannon, Kapri;Carver, Alexandra;Cooper, Diane;Grant, Debra;Greene, Sudie;Morgan, Emma;Gehlert, Sarah
东弗吉尼亚医学院的住房合作项目开发了一种适应公共住房社区公共卫生指导的方法，这些社区在心脏代谢健康、癌症和其他主要健康状况方面面临着巨大的健康挑战。在本文中，我们描述了住房合作组织的学术和社区合作伙伴如何共同开展这项工作，重点是在新出现的大流行背景下进行COVID-19检测。学术团队使用虚拟社区参与方法与住房协作社区咨询委员会（HCCAB）和一组单独的研究参与者（N = 102）进行互动，以研究COVID-19指导中的不信任。我们就相关话题与参与者进行了44次焦点小组访谈。与HCCAB讨论了这些访谈的结果。我们使用协作干预规划框架，通过纳入所有相关视角，为在低收入住房环境中提供的COVID-19检测公共卫生指南的调整提供信息。参与者报告了COVID-19检测的几个重要障碍，这些障碍与对测试者的不信任有关。对住房当局的不信任以及他们可能滥用阳性检测结果的行为似乎进一步破坏了有关COVID-19检测的决策。与测试相关的疼痛也是一个问题。为了解决这些问题，住房合作组织提出了一项同行主导的测试干预措施。然后进行第二轮焦点小组访谈，参与者报告了他们对拟议干预措施的认可。虽然COVID-19大流行不是我们最初的重点，但我们能够确定在低收入住房环境中进行COVID-19检测的一些障碍，这些障碍可以通过调整的公共卫生指导来解决。我们在社区投入和科学严谨性之间取得了平衡，并获得了高质量、诚实的反馈，为基于证据的建议提供信息，以指导有关卫生的决策。
The Housing Collaborative project at Eastern Virginia Medical School has developed a method of adapting public health guidance from public housing communities, which face tremendous health challenges in cardiometabolic health, cancer, and other major health conditions. In this paper, we describe how academic and community partners in the Housing Collaborative came together to do this work with a focus on COVID-19 testing in the context of the emerging pandemic. The academic team used virtual community engagement methods to interact with the Housing Collaborative Community Advisory Board (HCCAB) and a separate cohort of research participants (N = 102) recruited into a study of distrust in COVID-19 guidance. We conducted a series of 44 focus group interviews with participants on related topics. Results from these interviews were discussed with the HCCAB. We used the collaborative intervention planning framework to inform adaptation of public health guidance on COVID-19 testing delivered in low-income housing settings by including all relevant perspectives. Participants reported several important barriers to COVID-19 testing related to distrust in the tests and those administering them. Distrust in housing authorities and how they might misuse positive test results seemed to further undermine decision making about COVID-19 testing. Pain associated with testing was also a concern. To address these concerns, a peer-led testing intervention was proposed by the Housing Collaborative. A second round of focus group interviews was then conducted, in which participants reported their approval of the proposed intervention. Although the COVID-19 pandemic was not our initial focus, we were able to identify a number of barriers to COVID-19 testing in low-income housing settings that can be addressed with adapted public health guidance. We struck a balance between community input and scientific rigor and obtained high quality, honest feedback to inform evidence-based recommendations to guide decisions about health.
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DOI：
10.3390/ijerph19159124
发表时间：
2022-07-26
影响因子：
--
作者：
Cheng, Kan-Yuan;Yen, Chia-Feng
通讯作者：
Yen, Chia-Feng
影响因子：
4.5
作者：
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通讯作者：
Lorig, Kate
DOI：
10.3390/ijerph19095135
发表时间：
2022-04-23
影响因子：
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作者：
Abrams, Matthew P.;Salzman, Joshua;Espina Rey, Andrea;Daly, Katherine
通讯作者：
Daly, Katherine
DOI：
10.1186/s13012-014-0178-9
发表时间：
2014-11-30
期刊：
Implementation science : IS
影响因子：
--
作者：
Cabassa LJ;Gomes AP;Meyreles Q;Capitelli L;Younge R;Dragatsi D;Alvarez J;Manrique Y;Lewis-Fernández R
通讯作者：
Lewis-Fernández R
DOI：
10.3390/ijerph182111557
发表时间：
2021-11-03
影响因子：
--
作者：
Barras L;Neuhaus M;Cyarto EV;Reid N
通讯作者：
Reid N