Increasing COVID-19 Vaccine Uptake among Latinos through a Targeted Clinical and Community-behavioral Intervention

项目摘要/摘要 美国目前是世界上新冠肺炎感染率和相关死亡率最高的国家。在……里面 加利福尼亚州的拉丁裔在新冠肺炎病例(58.9%)和死亡(47.3%)中所占比例最高，而且 在被认为是“基本”的职业中有不成比例的代表性。拉美裔人也遭受着更高的 贫穷和慢性病使他们面临感染新冠肺炎和相关并发症的更大风险。 与SD家庭健康中心(FHCSD)合作并与社区卫生工作者(又名， 促进)，我们将实施多层次干预，以提高新冠肺炎疫苗完成率和 看到拉丁裔接受疫苗接种的速度更快。共有10家诊所将被随机分配到标准临床 由标准的基于临床的战略组成的实践，以促进患者或 由健康教育者提供的个性化/量身定制的多层次干预 在诊所内工作，加上由社区推广员提供的多组成部分的社区干预。 该项目将测试增加COVID的多层次干预的即刻和短期有效性- 19疫苗接种率。此外，我们将测试拟议的干预措施对长期行为、 精神和身体健康的结果。最后，该项目将评估执行成果，包括 患者和诊所工作人员以及社区环境对方案的接受度和可行性。这项研究旨在 在艾滋病发病率极高的人群中提高完成新冠肺炎疫苗的接受率 新冠肺炎引起的发病率和死亡率。我们将利用我们研究团队在以下方面的丰富经验 与健康教育者和促进者合作制定多层次的干预措施，以促进行为改变 在拉丁裔中，并利用强大的社区-学术合作，最大限度地提高社区影响力和 可持续发展。这项研究将导致可持续和可扩展的社区学术的发展 旨在快速、高效和有效地应对现有和未来公共卫生的模式 威胁。

Project Summary/Abstract The United States currently has the highest COVID-19 infection and related mortality rates in the world. In California, Latinos account for the highest percent of COVID-19 cases (58.9%) and deaths (47.3%) and are disproportionately represented in occupations deemed as ‘essential’. Latinos also suffer from higher rates of poverty and chronic disease which places them at greater risk of COVID-19 infection and related complications. In collaboration with Family Health Centers of SD (FHCSD) and working with Community Health Workers (aka, promotores/as), we will implement a multilevel intervention to increase COVID-19 vaccine completion rates and see faster vaccination uptake among Latinos. A total of 10 clinics will be randomized to either a Standard Clinical Practice consisting of standard clinic-based strategies to promote COVID-19 vaccine uptake among patients or a Multilevel Intervention consisting of an individualized/tailored intervention delivered by Health Educators working within the clinics plus a multi-component community intervention delivered by community promotores. This project will test the immediate and short-term effectiveness of the multilevel intervention to increase COVID- 19 vaccine uptake. In addition, we will test the effectiveness of the proposed intervention on long-term behavioral, mental, and physical health outcomes. Lastly, this project will assess implementation outcomes including program acceptability and feasibility by patients and clinic staff and community environment. This study aims to increase the uptake of completing the COVID-19 vaccine in a population that has exceptionally high rates of morbidity and mortality due to COVID-19. We will harness our research team’s extensive experience in developing multi-level interventions working with Health Educators and promotores to promote behavior change among Latinos, and leverage a strong community-academic collaboration that maximizes community impact and sustainability. This research will lead to the development of sustainable and scalable community-academic models designed to respond quickly, efficiently, and effectively to both this existing and future public health threats.