Enhancing patient and organizational readiness for cardiovascular risk reduction among ethnic minority patients living with HIV

加强患者和组织为降低少数族裔艾滋病毒感染者的心血管风险做好准备

• 批准号: 10367750
• 负责人: ARLEEN F. BROWN
• 金额: $ 15.6万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-08-15 至 2023-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10367750
• 关键词: Address; Administrative Supplement; Affect; Bioethical Issues; Bioethics; COVID-19; COVID-19 morbidity; COVID-19 mortality; COVID-19 vaccine; California; Cardiovascular system; Caring; Clinic; Color; Communities; Decision Making; Education; Enrollment; Event; Face; Goals; HIV; Health; Healthcare Systems; Heart; Home; Hot Spot; Hour; Immunocompromised Host; Incentives; Individual; Knowledge; Latinx; Link; Mind; Outcome Study; Parents; Participant; Patients; Perception; Population; Public Health; Research; Resources; Risk; Risk Reduction; Source; Tablets; Trauma; Trust; Vaccines; cardiovascular risk factor; commune; community engagement; design; ethnic minority population; experience; healing; high risk; innovation; interest; maltreatment; novel; organizational readiness; programs; public health relevance; recruit; response; telehealth; vaccine acceptance; vaccine hesitancy; virtual

Project Summary/Abstract In response to NOT-OD-21-020, Notice of Special Interest: Administrative Supplement for Research and Capacity Building Efforts Related to Bioethical Issues, this innovative proposal aims to conduct bioethical research to promote equitable COVID-19 vaccine decision-making among Black and Latinx people living with HIV (PLWHIV) and cardiovascular (CVD) risk. To mitigate the disproportionate impact of COVIID-19 on communities of color, COVID-19 vaccines must quickly reach those in greatest need. However, vaccine hesitancy and lack of access to reliable COVID-19 information compromise informed decision-making, reducing equitable and fair access to COVID-19 vaccines and inhibiting vaccine uptake in vulnerable subpopulations. This proposal seeks to expand the reach of public health messages (e.g., The COVID-19 Vaccine Education Initiative Public Health Toolkit and The Community Engagement Alliance (CEAL) against COVID-19),with an interactive session that acknowledges COVID-19 vaccine concerns, supports discussion of sources of hesitancy, and facilitates equitable access to reliable information within the context of multiple values (e.g., personal, bodily, communal) that impact COVID-19 vaccine decision-making. The Specific Aims are to: 1) evaluate the effect of a virtual session on knowledge of, access to, and trust in reliable COVID-19 public health messages among 60 HHMB participants (20 Spanish) living with HIV and at risk for CVD, 2) identify COVID-19 vaccine concerns specifically related to HIV and CVD risks, 3) determine the impact of the virtual session on HHMB participants’ perception that they have adequate information to make a COVID-19 vaccine decision, making a COVID-19 decision, and whether or not the decision is to receive a COVID- 19 vaccine, and 4) evaluate the relationship between use of personal, bodily, and communal values taught in the virtual session, making a COVID-19 decision, and deciding whether or not to receive a COVID-19 vaccine. These aims will be addressed through a novel, culturally consistent session, “Promoting COVID-19 Vaccine Decision-Making (HHMB-PVDM) for enrolled virtual HHMB participants. Without the opportunity to engage in dialogue about personal and historical experiences that impact hesitancy and provide support for increasing knowledge of and access to accurate, clear, and understandable COVID-19 public health and vaccine information, Black and Latinx PLWHIV and CVD risks will continue to lack equity in making COVID-19 vaccine decisions. Supporting COVID-19 vaccine decision-making approaches will facilitate population-level vaccine uptake, contributing to the mitigation of disparities in COVID-19 morbidity and mortality in communities of color. Findings will be refined to inform vaccine decision-making approaches to reach other vulnerable subpopulations.

项目总结/摘要 响应NOT-OD-21-020，特别关注通知：研究行政补充 与生物伦理问题有关的能力建设工作，这一创新提案旨在开展 生物伦理研究，以促进黑人和拉丁裔之间的公平COVID-19疫苗决策 艾滋病毒感染者（PLWHIV）和心血管疾病（CVD）风险。为了减轻不成比例的影响 COVID-19对有色人种社区的影响，COVID-19疫苗必须迅速到达最需要的人群。 然而，疫苗犹豫和无法获得可靠的COVID-19信息会影响知情 决策，减少COVID-19疫苗的公平和公正获取，并抑制疫苗 在弱势群体中的应用。这项提案旨在扩大公共卫生的覆盖面， 消息（例如，COVID-19疫苗教育倡议公共卫生工具包和社区 参与联盟（CEAL）对抗COVID-19），互动会议承认 COVID-19疫苗问题，支持讨论犹豫的来源，并促进公平 在多个值的上下文中访问可靠信息（例如，个人的、身体的、公共的） 影响COVID-19疫苗决策。具体目标是：1）评估 关于了解、获取和信任可靠的COVID-19公共卫生信息的虚拟会议 在60名HHMB参与者（20名西班牙人）中，2）识别COVID-19 与艾滋病毒和心血管疾病风险专门相关的疫苗问题，3）确定虚拟的影响 关于HHMB参与者认为他们有足够的信息来进行COVID-19的会议 疫苗决定，作出COVID-19决定，以及该决定是否是接受COVID-19治疗， 19疫苗，以及4）评估个人，身体和社区价值观之间的关系 在虚拟课程中教授，做出COVID-19决定，并决定是否接受 COVID-19疫苗这些目标将通过一个新颖的、文化上一致的会议来实现， “为注册的虚拟HHMB参与者宣传COVID-19疫苗决策（HHMB-PVDM）。 如果没有机会就个人和历史经历进行对话， 犹豫，并提供支持，以增加知识和获得准确，清晰， 可理解的COVID-19公共卫生和疫苗信息，黑人和拉丁裔PLWHIV和CVD 在做出COVID-19疫苗决策时，风险将继续缺乏公平性。支持新冠疫苗 决策方法将促进人口水平的疫苗接种，有助于缓解 有色人种社区COVID-19发病率和死亡率的差异。调查结果将得到完善， 为其他脆弱亚群提供疫苗的知情决策方法。