Admin-Core-001

标题：与服务不足/弱势群体合作在亚利桑那州消除新冠肺炎差距 社区 摘要 亚利桑那州是美国新冠肺炎阳性率最高的州之一(约19%)。 在亚利桑那州的拉丁裔、美国印第安人和非洲裔美国人社区中，这一比例高得不成比例。 拟议的社区驱动和文化一致性干预旨在通过以下方式增加测试的可及性 确定并减少在亚利桑那州脆弱和服务不足的社区进行测试的障碍。这个 干预措施旨在减少在新冠肺炎诊断、教育、综合服务和 转介到初级保健提供者，最终目标是改善服务不足社区的健康。 建议的方法赋予当地社区权力，在社区成员所在的地方满足他们的需求，即数据 推动，并为持续提供社区驱动的护理创造基础设施。 在以社区为基础的参与性研究(CBPR)指导下，该项目将：(A)确定 并确定测试沙漠的优先次序，(B)协调社会生态系统不同级别的测试，(C)参与和 培训当地社区卫生工作者(CHW)向弱势群体和弱势群体提供基于唾液的新冠肺炎检测 服务不足的社区成员，(D)在72小时内提供检测结果，(E)提供综合服务 以及(F)在随访期内维持干预措施。 平等健康基金会是不断增长的COVID的主要社区合作伙伴和召集人- 19来自亚利桑那州的色彩合作伙伴社区联盟(CCCCP)。亚利桑那州立大学生物设计临床 检测实验室(ABCTL)将提供基于唾液的SARS-CoV-2分子诊断。唾液检测结果显示 主要好处是：a)与鼻咽部(NP)拭子相比，PPE要求最低或根本没有；b) 标本采集的方便和经济；c)易于重复采样；d)最低限度的管理 训练有素的CHWS和e)唾液检测比NP拭子更敏感和更一致。该项目旨在 在发射期间进行29,000次唾液测试，其中10,000-12,000次在确定的测试沙漠，加倍 第一年随访期内的数字，第二年增加5000项测试。纵向评估 将通过比较随机选择的R.A.P.I.D.干预参与者来评估干预的影响 在发射期间(N=500)与匹配的对照组(N=500)随机选择 标准测试地点。 亚利桑那州立大学现有的NIMHD资助的U54专业英才中心(RFA-MD-17-005； 5U54MD002316-14)及其社区咨询委员会，并与主要政府、社区 各组织、部落政府和学术合作伙伴有充分的能力和资格承担 建议的修订。这场紧急竞争性复习赛的目标和加强当前 U54获奖，组建的跨学科团队拥有基础设施、能力和社区 为实施该项目建立了合作伙伴关系。

Title: Eliminating COVID-19 disparities in Arizona in partnership with underserved/vulnerable communities Abstract Arizona has one of the highest COVID-19 positivity test rates (approximately 19%) in the U.S. Positivity rates are disproportionally higher among Arizona's Latinx, American Indian and African American communities. The proposed community driven and culturally congruent intervention aims to increase access to testing by identifying and decreasing barriers to testing in vulnerable and underserved communities across Arizona. The intervention aims at reducing disparities in COVID-19 diagnostics, education, wraparound services and referrals to a primary care provider, with the ultimate goal of improving the health of underserved communities. The proposed approach empowers local communities, meets community members where they are, is data driven, and creates the infrastructure for continued community-driven delivery of care. Following a Community Based Participatory Research (CBPR) orientation, the project will: (a) identify and prioritize testing deserts, (b) coordinate testing at different levels of the social ecosystem, (c) engage and train local Community Health Workers (CHWs) deliver saliva-based COVID-19 testing to vulnerable and underserved community members, (d) deliver test results within 72 hours, (e) provide wrap-around services and provider referrals for those testing positive, and (f) sustain the intervention during a follow-up period. Equality Health Foundation serves as the lead community partner and convener of a growing COVID- 19 Coalition of Communities of Color Partners (CCCCP) from across Arizona. The ASU Biodesign Clinical Testing Laboratory (ABCTL) will provide the saliva-based SARS-CoV-2 molecular diagnostic. The saliva test's main benefits are: a) minimal to no PPE requirements compared to nasopharyngeal (NP) swabs; b) convenience and economy of specimen collection; c) ease of repeat sampling; d) administration by minimally trained CHWs and e) greater sensitivity and consistency of saliva tests than NP swabs. The project aims to administer 29,000 saliva tests, 10,000-12,000 at identified testing deserts during the launching period, doubling the numbers during the follow-up period in Year 1, and adding 5,000 tests in Year 2. A longitudinal evaluation will assess the intervention's impact by comparing randomly selected participants in the R.A.P.I.D. intervention during the launching period (N=500) with a matched comparison group (N=500) randomly selected from standard testing sites. ASU's existing NIMHD-funded U54 Specialized Center of Excellence (RFA-MD-17-005; 5U54MD002316-14) with its Community Advisory Board and in collaboration with key government, community organizations, tribal governments and academic partners is well equipped and eligible to undertake the proposed revision. The aims of this emergency competitive revision match and enhance the aims of the current U54 award and the assembled transdisciplinary team has the infrastructure, capacity, and community partnerships in place to implement the project.