Expanding population-level interventions to help more low-income smokers quit

扩大人口干预措施，帮助更多低收入吸烟者戒烟

• 批准号: 10403887
• 负责人: MATTHEW W. KREUTER
• 金额: $ 24.95万
• 依托单位: WASHINGTON UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-07-23 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10403887
• 关键词: Adult; American; COVID-19; COVID-19 testing; COVID-19 vaccination; Cities; Common Data Element; Communities; Funding; Home; Household; Intervention; Low income; Population; Services; Smoker; Social Work; Technology; Testing; Vaccinated; Vaccination; ethnic minority population; housing instability; innovation; outreach; payment; programs; racial minority; testing access

Over 10 million American households have fallen behind on rent or are ≥3 months behind on mortgage payments during COVID-19. These households are disproportionately low-income and twice as likely to be home to racial or ethnic minorities compared to whites. The City of St. Louis, MO is using its American Rescue Plan (HR1319) allocation to establish a rent-relief helpline and support fund to assist such households. We will build upon this unique opportunity with an innovative cross-sector project to ask rent-relief helpline callers about COVID-19 vaccination and testing, and evaluate strategies to help them with both. In Aim 1 we will determine the COVID-19 vaccination rate of housing-unstable adults in St. Louis. In Aim 2, we will evaluate the impact of targeted messages on unvaccinated callers’ getting vaccinated. In Aim 3, we will evaluate a proven sequential request strategy to elicit in-home COVID-19 testing among those who are not interested in getting vaccinated. The study was jointly conceived with existing RADxUP and CEAL community partners, draws upon the RADxUP Coordinating Center and consortium of grantees to access testing technology, uses common data elements, and is highly responsive to priorities outlined in the FOSI. Because many communities across the U.S. will be establishing similar rent-relief programs and services, findings from the proposed study have the potential for wide application, integrating vaccination and testing into social services.

超过1000万美国家庭拖欠租金或拖欠租金≥3个月 COVID-19 期间的抵押贷款付款。这些家庭属于低收入家庭 与白人相比，少数族裔或族裔居住的可能性是白人的两倍。圣市 密苏里州路易斯市正在利用其美国救援计划 (HR1319) 拨款来建立租金减免政策 帮助这些家庭的热线电话和支持基金。我们将利用这个独特的机会 开展一项创新的跨部门项目，向租金减免热线求助者询问有关 COVID-19 的信息 疫苗接种和检测，并评估帮助他们完成这两件事的策略。在目标 1 中，我们将 确定圣路易斯住房不稳定成年人的 COVID-19 疫苗接种率。在目标 2 中，我们 将评估有针对性的消息对未接种疫苗的来电者接种疫苗的影响。在 目标 3，我们将评估经过验证的顺序请求策略，以引发家庭 COVID-19 测试 对接种疫苗不感兴趣的人。该研究是与 现有的 RADxUP 和 CEAL 社区合作伙伴，利用 RADxUP 协调中心 和受赠者联盟访问测试技术，使用通用数据元素，并且 对 FOSI 中概述的优先事项高度敏感。因为美国各地的许多社区 将建立类似的租金减免计划和服务，拟议研究的结果 具有广泛应用的潜力，将疫苗接种和检测纳入社会服务。