COVID-19 testing and vaccination social network diffusion for diverse criminal legal involved communities

翻译后摘要：这个RADx-UP第二阶段的建议，"社会网络传播的COVID-19预防为不同的 刑事法律的参与社区"，将实施适当的COVID-19检测， 疫苗接种社会网络扩散干预-C3-建立在RADx-UP第一阶段的经验教训和 成功的社会网络预防干预措施之前开发的研究小组。C3刑事 法律的涉案人口包括最近被捕的未被监禁者， 监禁，缓刑，假释或分流方案，如毒品法庭。虽然COVID-19的增加 在这一群体中观察到了测试，仍然有一些成员的测试历史有限， 对疫苗犹豫不决的人。COVID-19预防信息不能再简化为 "人人检测和/或人人接种"作为社区成员之间的检测和接种决定 对个人历史敏感（即，先前感染），局部感染率（即，低利率）和 检测/疫苗接种的可用性。随着COVID-19预防工作变得更加复杂（即，测试是否 人们倾向于关注信使，尤其是那些接近他们的人。个人 现有个人网络结构内的连接和通信，例如家庭、朋友和 其他可信的熟人代表了增加情境适当测试的基石， 克服COVID-19疫苗的犹豫。C3以RADx-UP I为基础，采用网络扩散方法 通过有目的地动员自己的有机社会网络的动机性访谈来促进 以增加适合环境的检测和疫苗接种。通过这一过程，我们将最大限度地提高 这种类型的干预措施的好处和影响也具有增加以下可能性的预期效果： 信使自己也会经历同样的行为改变，这是他们被训练来促进的。 我们将利用在RADx-UP第一阶段开发的基础设施，其中包括整个 第一阶段美国中部：巴吞鲁日洛杉矶，小石城AR，印第安纳波利斯IN和芝加哥IL。我们将利用 已经建立的参与努力，并继续将社区充分纳入战略 干预的应用。我们将使用RE-AIM（到达，有效性，采用，实施， （a）指导实施的框架。C3的目标是：目标1a。疗效检验（3个月情况 网络扩散干预（C3）与现有COVID-19检测相比， 和疫苗与护理干预之间的联系：1）主要研究参与者（主要结局）;和2） 使用RCT设计将次要研究参与者与主要参与者（次要结局）联系起来。目的 1b.探索在个人和网络层面上不同干预效果的机制， 增加适合情况的检测和/或疫苗接种。目标2.检查RE-AIM中的关键组件 真实的时间绑定到网络扩散干预的实施（C3）。

Abstract: This RADx-UP Phase II proposal, “Social network diffusion of COVID-19 prevention for diverse Criminal Legal Involved Communities”, will implement a situation appropriate COVID-19 testing and vaccination social network diffusion intervention – C3 – building upon RADx-UP Phase I lessons and successful social network prevention interventions developed previously by the research team. C3 Criminal Legal Involved (CLI) populations encompass those non-incarcerated who have experienced recent arrest, incarceration, probation, parole or diversion programs such as drug courts. While increases in COVID-19 testing have been observed among this group, there remain members with limited testing history as well as individuals who are vaccine hesitant. COVID-19 prevention messaging can no longer be simplified to “everyone test and/or everyone vaccinate” as testing and vaccination decisions among community members are sensitive to personal histories (i.e., prior infection), local infection rates (i.e., low rates) and testing/vaccination availability. As COVID-19 prevention efforts have become more complicated (i.e., test if exposed), people tend to focus on the messenger, and particularly those that are close to them. Personal connections and communications within existing personal network structures, such as families, friends and other trusted acquaintances represent the cornerstone to increase situation appropriate testing and overcoming COVID-19 vaccine hesitancy. C3 builds upon RADx-UP I, by using a network diffusion approach facilitated through motivational interviewing purposefully geared to mobilize one’s own organic social network to increase context appropriate testing and vaccine uptake. Through this process we will maximize the primary benefit and impact of this type of intervention which also has the intended effect of increasing likelihood that the messenger themselves will undergo the same behavior change that they have been trained to promote. We will leverage infrastructure developed in RADx-UP Phase I, which includes 4 high-impact sites across the Central US from Phase I: Baton Rouge LA, Little Rock AR, Indianapolis IN, and Chicago IL. We will utilize established engagement efforts already in place and continue to fully integrate communities in the strategic application of the intervention. We will use the RE-AIM (Reach, Effectiveness, Adoption, Implementation, and Maintenance) framework to guide implementation. C3 aims to: Aim 1a. Test the efficacy (3-month situation appropriate testing or vaccination) of a network diffusion intervention (C3) versus an existing COVID-19 testing and vaccine linkage to care intervention among: 1) primary study participants (primary outcome); and 2) secondary study participants connected to primary participants (secondary outcome) using a RCT design. Aim 1b. Explore the mechanisms for differential intervention effects at the individual and network-level that may increase situation appropriate testing and/or vaccination uptake. Aim 2. Examine key RE-AIM components in real time tied to the implementation of the network diffusion intervention (C3).