Community network driven COVID-19 testing of vulnerable populations in the Central US

社区网络驱动的美国中部弱势群体 COVID-19 测试

• 批准号: 10274013
• 负责人: HAROLD Alexander POLLACK
• 金额: $ 123.03万
• 依托单位: UNIVERSITY OF CHICAGO
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-07-15 至 2024-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10274013
• 关键词: Address; Adopted; Age; Awareness; COVID-19; COVID-19 impact; COVID-19 mortality; COVID-19 prevention; COVID-19 susceptibility; COVID-19 testing; Communities; Community Networks; Contact Tracing; Criminal Justice; Data; Disease Outbreaks; Drug Courts; Employment; Enrollment; Ensure; Ethnic Origin; Family; Federally Qualified Health Center; Fibrinogen; Friends; Gender; Generations; Healthcare; Household; Human immunodeficiency virus test; Individual; Infrastructure; Intervention; Jail; Justice; Latinx; Lead; Leadership; Linguistics; Low income; Misinformation; National Institute of Drug Abuse; Opioid; Persons; Population; Population Heterogeneity; Prevention program; Prisons; Procedures; Process; Public Health; RADx Underserved Populations; Race; Randomized; Reach Effectiveness Adoption Implementation and Maintenance; Recording of previous events; Research; Resources; Risk; Rural; SARS-CoV-2 infection; Self Determination; Self Efficacy; Site; Social Environment; Social Network; Social Work; Testing; Trust; United States; Vulnerable Populations; Wages; community center; community engagement; community partnership; contextual factors; cost; density; disenfranchised population; distrust; efficacy testing; evidence base; experience; federal poverty level; implementation outcomes; implementation strategy; innovation; marginalized population; member; parole; preference; preventive intervention; probation; programs; recruit; rurality; secondary analysis; social contact; social stigma; substance user; testing services; testing uptake; theories; transmission process

This C3 project, Community network-driven COVID-19 testing of vulnerable populations in the Central US, will implement and evaluate a COVID-19 testing approach that combines an evidence-based Social Network Testing Strategy (SNS) with community developed COVID-19 public health messages (SNS+). C3 will engage two disenfranchised populations across rural and urban sites in states across the Central US (TX, LA, AR, IN, IL). C3 leverages NIDA's Justice Community Opioid Innovation Network (JCOIN), the PIs' extensive community located COVID-19 testing programs, and a network of established community partnerships. The collaborative community-academic partnerships, research and engagement infrastructure, and team's leadership across JCOIN will ensure that C3 can rapidly recruit, enroll and test most disenfranchised community members, (n=2400) and through this process, accelerate any forthcoming COVID-19 public health prevention interventions. C3 focuses on two communities most impacted by COVID-19: 1) Criminal justice involved (CJI) - non-incarcerated people with previous history of arrest/jail/prison, probation/parole and drug- court attendance; and 2) Low-income Latinx - community members at 250% or below Federal Poverty Level. Both of these diverse populations, and the overlap between them, have some of the highest rates of COVID-19 infection and death in the United States. Messaging that affirms individual agency and corrects misinformation, combined with accessible and acceptable testing, is required to accelerate COVID-19 prevention for these populations. We use contextually adapted and theory-driven messages – misinformation correction and self- affirmation – to increase awareness, self-efficacy and community engagement in our adapted testing strategy – the Social Network testing Strategy (SNS). SNS is an evidence-based testing intervention that has been widely used in multiple settings with marginalized individuals (ie substance-users) who facilitate the recruitment of their social contacts into testing services. SNS combined with theory-driven, contextually appropriate COVID- 19 messaging (SNS+) will address challenges to current COVID-19 testing strategies which are limited by misinformation, stigma, distrust, and limited affirmation of ability to prevent COVID-19. C3 in partnership with community will: Develop COVID-19 messages that emphasize self-affirmation and misinformation correction for implementation in SNS; Test the efficacy (number of network members COVID-19 tested) of a combined SNS-messaging (SNS+) intervention versus standard SNS using adaptive randomization; and Evaluate C3 implementation strategies and key implementation outcomes (ie cost) using the RE-AIM framework. The disenfranchised populations to be engaged in C3 reflect those most impacted by COVID-19 and least able to adopt COVID-19 prevention practices. C3 is “shovel-ready” for implementation in the short timeframe of the RADx-UP mechanism, with significant institutional commitments and community support, to ensure the procedures and interventions are tailored, feasible, acceptable and effective for at-risk communities.

这个C3项目，社区网络驱动的COVID-19测试的脆弱人群在中部 美国，将实施和评估COVID-19检测方法，结合基于证据的社会 网络测试策略（SNS）与社区开发的COVID-19公共卫生信息（SNS+）。C3将 在美国中部各州的农村和城市地区吸引两个被剥夺公民权的人群（德克萨斯州，洛杉矶， AR，IN，IL）。C3利用NIDA的司法社区阿片类药物创新网络（JCOIN）， 社区定位COVID-19检测计划，以及已建立的社区合作伙伴关系网络。的 协作社区-学术伙伴关系，研究和参与基础设施，以及团队的 JCOIN的领导层将确保C3能够迅速招募、注册和测试大多数被剥夺公民权的人 社区成员（n=2400），并通过这一过程，加快任何即将到来的COVID-19公共卫生 预防干预。C3重点关注受COVID-19影响最严重的两个社区：1）刑事司法 参与（CJI）-非监禁的人与以前的逮捕/监禁/监狱，缓刑/假释和毒品的历史- 2）低收入拉丁裔-处于联邦贫困线250%或以下的社区成员。 这两个不同的人群，以及他们之间的重叠，有一些最高的COVID-19的发病率 感染和死亡在美国。确认个人机构并纠正错误信息的消息， 结合可获得和可接受的测试，需要加速这些人的COVID-19预防 人口。我们使用情境适应和理论驱动的信息-错误信息纠正和自我- 肯定-提高认识，自我效能和社区参与我们的适应性测试策略- 社交网络测试策略（SNS）。SNS是一种基于证据的测试干预措施， 在多种情况下与边缘化个人（即物质使用者）一起使用，这些人为招募 他们的社会关系变成了检测服务SNS与理论驱动的、情境适当的COVID相结合- 19消息（SNS+）将解决当前COVID-19测试策略面临的挑战，这些挑战受到以下因素的限制： 错误信息、污名化、不信任以及对预防COVID-19能力的有限肯定。C3合作伙伴 社区将：制定强调自我肯定和纠正错误信息的COVID-19信息 用于在SNS中实施;测试组合的有效性（测试的网络成员COVID-19的数量） SNS消息（SNS+）干预与使用自适应随机化的标准SNS;以及评价C3 实施战略和关键实施成果（即成本）使用RE-AIM框架。的 参与C3的被剥夺公民权的人群反映了受COVID-19影响最大、最没有能力 采取新冠肺炎预防措施。C3是“铲准备”的实施在短期内， RADx-UP机制，具有重要的机构承诺和社区支持，以确保 程序和干预措施是针对风险社区的，是可行的、可接受的和有效的。