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Increasing COVID-19 vaccine uptake through a patient navigation intervention among underserved populations

通过对服务不足的人群进行患者导航干预来增加 COVID-19 疫苗的接种率

基本信息

批准号：
10403900
负责人：
Richard Matthew Cripps
金额：
$ 29.91万
依托单位：
SAN DIEGO STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-01 至 2023-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10403900
关键词：
2019-nCoV Address Adult Affect African American Age Award Behavior Therapy COVID-19 COVID-19 morbidity COVID-19 mortality COVID-19 test COVID-19 testing COVID-19 vaccination COVID-19 vaccine Cessation of life Communities Community Health Aides Community Healthcare Contact Tracing Cross-Over Trials Data Ethnic Origin Exposure to FDA Emergency Use Authorization Family Federally Qualified Health Center Filipino Friends Funding Future Health Health Personnel Health behavior Health education Home visitation Hospitalization Immigrant Individual Infrastructure Intervention Knowledge Latinx Location Mediator of activation protein Minority Groups Modeling Morbidity - disease rate Occupations Outcome Participant Patients Population Poverty Process Public Health RADx Underserved Populations Race Randomized Randomized Controlled Trials Reporting Research Resistance Risk Schools Series Site Social Justice Socioeconomic Status Target Populations Test Result Testing Time Underserved Population United States Vaccinated Vaccination Vaccines Work aged arm base community based research community intervention community partnership comparison intervention coronavirus disease cultural competence disparities in morbidity disparity reduction distrust effectiveness evaluation efficacy evaluation efficacy testing ethnic minority population experience fighting flexibility health disparity high risk home test implementation strategy innovation insight mortality motivational enhancement therapy novel novel strategies pandemic disease personalized approach point of care point of care testing programs racial and ethnic racial minority scale up severe COVID-19 sex testing access testing uptake uptake vaccination strategy vaccine acceptance vaccine hesitancy

项目摘要

PROJECT SUMMARY (of funded award) The novel SARS-CoV-2 continues to spread in the United States, with almost 5 million confirmed cases of and over 150,000 deaths. Given observed disparities in morbidity, hospitalization, and mortality across race, ethnicity, and socioeconomic status, there is a great need to increase testing access and uptake with rapid return of test results. We propose a community health worker (CHW)-led approach to facilitate COVID-19 testing for underserved populations, with a focus on increasing testing access, uptake, and impact among Latinx, African American, Filipino, and immigrant communities using different testing implementation strategies. Our project will utilize existing COVID-19 contact tracing and community partner infrastructure to reach individuals aged 12 and above exposed or at high-risk of COVID-19 exposure who may be less able to test. We will use a cluster randomized crossover trial to test mobile and home-based testing strategies for increasing testing uptake among contacts, referred high-risk friends and family, and the broader community. Our specific aims are to: 1) Implement COVID-19 testing integrated into community health worker contact tracing home visits and compare the subsequent uptake of testing for referred high-risk friends and family in a mobile testing vs. home-based testing approach; 2) Using a community-led rapid cycle research process, identify effective strategies to promote uptake of COVID-19 testing through mobile/pop-up testing for Latinx, African American, Filipino, and immigrant populations exposed or at high risk of exposure to COVID-19 who are not accessing testing; 3) Gather CHW and community insights to establish best practices for future scale-up and sustainability. We expect to test over 40,000 individuals through these efforts. The project will contribute to health disparity reductions in COVID-19 morbidity and mortality and produce high impact through the our core strengths in drawing on local knowledge, the team’s existing community partnerships, use of culturally-competent community healthcare workers, point-of-care rapid and inexpensive testing, and the use of real-time geospatial data from our contact tracing program to prioritize locations for mobile pop-up testing. Our focus on underserved populations with high COVID-19 exposures without prior testing access will inform both future testing and vaccination efforts.

项目概况（获资助项目）