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

• 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
• 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

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.

项目摘要（资金补助金） 新的SARS-CoV-2继续在美国传播，几乎有500万 确诊病例超过15万例死亡。鉴于观察到的发病率差异， 住院率、死亡率在种族、民族和社会经济地位方面存在很大差异， 需要增加检测的获取和利用，并迅速返回检测结果。我们提出了一个 社区卫生工作者（CHW）主导的方法，以促进COVID-19检测， 服务不足的人群，重点是增加测试的获得，吸收和影响， 拉丁裔，非裔美国人，菲律宾人和移民社区使用不同的测试 执行战略。我们的项目将利用现有的COVID-19接触者追踪， 社区伙伴基础设施，以接触12岁及以上受影响或处于高风险的个人 COVID-19暴露的人可能不太能够测试。我们将使用一个随机化的集群 交叉试验，以测试移动的和基于家庭的测试策略，以增加测试吸收 在接触者、被推荐的高风险朋友和家人以及更广泛的社区中。我们的具体 目标是：1）将COVID-19检测纳入社区卫生工作者接触中 跟踪家访，并比较随后对转介的高风险朋友进行检测的情况 和家庭在移动的测试与基于家庭的测试方法; 2）使用社区主导的快速 循环研究过程，确定有效的战略，以促进COVID-19检测的采用 通过移动的/弹出式测试，针对拉丁裔、非裔美国人、菲律宾人和移民人群 暴露于COVID-19或处于COVID-19暴露高风险中但未进行检测的人; 3）收集CHW 和社区见解，为未来的规模扩大和可持续性建立最佳实践。我们 预计将通过这些努力对4万多人进行测试。该项目将有助于健康 COVID-19发病率和死亡率的差异降低，并通过 我们的核心优势是利用当地知识，团队现有的社区合作伙伴关系， 使用有文化能力的社区卫生保健工作者，快速和廉价的护理点 测试，并使用我们的接触追踪计划的实时地理空间数据， 移动的弹出测试的位置。我们专注于COVID-19高水平的服务不足人群 未经事先检测的暴露将为今后的检测和疫苗接种工作提供信息。