Exploring barriers and facilitators of implementing an at-home SARS-CoV-2 antigen self-testing intervention: The Rapid Acceleration of Diagnostics-Underserved Populations (RADx-UP) initiatives.

Exploring barriers and facilitators of implementing an at-home SARS-CoV-2 antigen self-testing intervention: The Rapid Acceleration of Diagnostics-Underserved Populations (RADx-UP) initiatives.
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DOI:
10.1371/journal.pone.0294458
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发表时间:
2023
期刊:
影响因子:
3.7
通讯作者:
--
中科院分区:
综合性期刊3区
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--
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评估基于社区的项目为参与项目实施的研究人员、资助实体和社区利益相关者提供了价值,并可以提高项目的影响力和可持续性。为了解与计划实施相关的因素,我们旨在获取参与组织和执行社区参与计划的社区合作伙伴的观点,以在服务不足的社区分发COVID-19在家测试。我们进行了半结构化的访谈和焦点小组与社区为基础的利益相关者通过成果实施研究框架。调查结果描述了社区参与的沟通和传播策略如何推动基层利益相关者之间的程序采用。建立和维持可信赖的关系对于让具有一致价值观和能力的合作伙伴参与至关重要。受访者认为这些方案总体上是可行和适当的,社区合作伙伴认为有能力成功地实施方案。然而,他们也表示,他们的工作人员负担加重,希望得到更多的支持。受访者认为,方案的社区参与做法是可接受性和影响力的关键促进因素。执行情况评价旨在为当前和未来的社区外联和参与工作提供最佳做法。随着我们继续为社区参与的灾害应对实践提供信息和推进,对公共卫生筹资机制和时间表的平行重新构想可以为信任、协作和社区复原力奠定基础,使其在特定危机之后仍然存在。
Evaluating community-based programs provides value to researchers, funding entities, and community stakeholders involved in program implementation, and can increase program impact and sustainability. To understand factors related to program implementation, we aimed to capture the perspective of community partners engaged in organizing and executing community-engaged programs to distribute COVID-19 at-home tests in underserved communities. We conducted semi-structured interviews and focus groups with community-based stakeholders informed by the Outcomes for Implementation Research framework. Findings describe how community-engaged communication and dissemination strategies drove program adoption among grassroots stakeholders. Establishing and sustaining trusted relationships was vital to engaging partners with aligned values and capacity. Respondents characterized the programs as generally feasible and appropriate, and community partners felt capable of delivering the program successfully. However, they also described an increased burden on their workforce and desired more significant support. Respondents recognized the programs’ community engagement practices as a critical facilitator of acceptability and impact. Implementation evaluation aims to inform current and future community outreach and engagement efforts with best practices. As we continue to inform and advance community-engaged disaster response practice, a parallel reimagining of public health funding mechanisms and timelines could provide a foundation for trust, collaboration, and community resiliency that endures beyond a given crisis.
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