Impact of Community Health Worker Home Deployment on COVID-19 Vaccine Confidence and Uptake

项目摘要/摘要 针对NOT-OD-21-101，佐治亚州糖尿病翻译研究中心(P30DK111024-05S1)， 埃默里大学(EU)、莫尔豪斯医学院(MSM)和佐治亚理工学院 技术部门提交了这份RADx-UP补充提案，标题为《社区卫生工作者之家的影响》 对新冠肺炎疫苗的部署信心和认可度。我们建议与我们的RADx-UP合作 糖尿病农村社区合作伙伴和利用当地开发和测试的乔治亚赛尔(1OT2HL156812- 01/16-312-0217571-66105L，Pi-Akintobi)新冠肺炎通信材料，以增强新冠肺炎在 除了对受新冠肺炎影响最严重的服务不足人群的疫苗信心和接种率 疾病(即患有糖尿病、糖尿病前期疾病的非裔美国人和拉丁裔及其家庭接触者 [“泡泡”])。拟议的为期一年的项目将实施并评估一名简要的社区卫生工作者(CHW) 通过奥尔巴尼地区初级卫生保健进行干预，这是一家具有联邦资格的农村卫生中心(FQHC)。 这项研究的主要目标是通过社区卫生服务最大化有效的外展、教育和沟通。 为了促进改善新冠肺炎疫苗在服务不足和脆弱人群中的信心和接种率 社区。卫生福利院将部署到发病率和死亡率增加的成年人家中(即， 患有未控制的糖尿病或糖尿病前期的非裔美国人或拉丁裔，年龄&lt；50岁，非新冠肺炎 接种疫苗)，以便教育他们有关糖尿病、新冠肺炎和相关疫苗的知识。健康评估， 包括血糖测量，将在索引患者上进行，并提供给所有其他成年人 家庭中的家庭成员(即“泡沫”)。患有2型糖尿病的成年人可能生活在有 患糖尿病风险增加(即糖尿病前期和肥胖症)的其他成年人。1预计 它们还将分担类似的新冠肺炎风险敞口。具体目标是：1)评估社区驱动的 教育计划，以增加和加强新冠肺炎疫苗的信心和接种率 未得到控制的糖尿病及其家人(即他们的“泡沫”)和2)评估社区驱动的教育 年改善糖尿病自我管理行为和相关结果(例如血糖)的计划 佐治亚州西南部农村的糖尿病患者。

PROJECT SUMMARY / ABSTRACT In response to NOT-OD-21-101, the Georgia Center for Diabetes Translation Research (P30DK111024-05S1), a partnership of Emory University (EU), Morehouse School of Medicine (MSM), and Georgia Institute of Technology submits this RADx-UP Supplement proposal titled, “Impact of Community Health Worker Home Deployment on COVID-19 Vaccine Confidence and Uptake.” We propose collaborating with our RADx-UP Diabetes rural community partner and utilizing locally developed and tested Georgia CEAL (1OT2HL156812- 01/16-312-0217571-66105L, PI-Akintobi) COVID-19 communication materials to enhance COVID-19 testing in addition to vaccine confidence and uptake in underserved populations most severely affected by COVID-19 disease (i.e., African Americans and Latinos with diabetes, prediabetes, and their household contacts [“bubble”]). The proposed 1-year project will implement and evaluate a brief Community Health Worker (CHW) intervention through the Albany Area Primary Health Care, a rural Federally Qualified Health Center (FQHC). The primary goal of this study is to maximize effective outreach, education, and communication through CHWs in order to facilitate improved COVID-19 vaccine confidence and uptake in underserved and vulnerable communities. CHWs will be deployed to the homes of adults with increased risk of morbidity and mortality (i.e., African Americans or Latinos with uncontrolled diabetes or prediabetes, age <50 years, and non-COVID-19 vaccinated) in order to educate them about diabetes, COVID-19 and related vaccines. Health assessments, including blood glucose measurement, will be conducted on the indexed patient and offered to all other adult family members in the household (i.e., “bubble”). Adults with Type 2 diabetes likely live in households with other adults who have or are at increased risk for diabetes (i.e., prediabetes and obesity).1 It is expected that they will also share similar COVID-19 exposure risk. The specific aims are to: 1) Evaluate a community-driven education program to increase and enhance COVID-19 vaccine confidence and uptake in individuals with uncontrolled diabetes and their families (i.e., their “bubble”) and 2) Evaluate a community-driven education program to improve diabetes self-management behaviors and related outcomes (e.g., blood glucose) in individuals with uncontrolled diabetes in rural, Southwest Georgia.