Identifying and addressing critical social, ethical, and behavioral factors associated with COVID-19 testing and vaccination among Spanish speakers

识别并解决与西班牙语使用者中的 COVID-19 检测和疫苗接种相关的关键社会、道德和行为因素

• 批准号: 10446394
• 负责人: Scott D Rhodes
• 金额: $ 57.09万
• 依托单位: WAKE FOREST UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-01-01 至 2023-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10446394
• 关键词: Address; Administrator; Affect; Behavioral; COVID-19; COVID-19 disparity; COVID-19 pandemic; COVID-19 pandemic effects; COVID-19 testing; COVID-19 vaccination; Caring; Clinic; Communities; Community Health Aides; Coupled; Data; Data Collection; Enrollment; Ensure; Ethics; Focus Groups; Health; Health Personnel; Health Promotion; Hospitalization; Immunity; Individual; Infection; Institution; Intervention; Interview; Language; Latinx; Latinx population; Methods; Monitor; Participant; Policies; Prevention; Qualitative Methods; RADx Underserved Populations; Randomized; Recommendation; Research; Science; Services; Social Network; Testing; Training Support; Uncertainty; Underserved Population; United States; Universities; Vaccination; Vaccines; Variant; Virus; Vulnerable Populations; base; booster vaccine; community based participatory research; comparison intervention; design; disparity reduction; empowerment; evidence base; follow-up; group intervention; health disparity; health equity promotion; infection burden; innovation; mHealth; member; mortality; novel; pandemic disease; peer; post intervention; randomized trial; research study; safety net; social; success; theories; trial design

Summary Latinx communities are disproportionately affected by the COVID-19 pandemic, with Spanish-speaking Latinx communities carrying even heavier burdens of infection, hospitalization, and mortality. Major barriers to COVID-19 testing and vaccination exist, and a profound need remains to understand and address the social, ethical, and behavioral implications (SEBI) of COVID-19 testing and vaccination within Latinx communities. Our well-established community-academic partnership proposes a rigorous mixed-methods, community-based participatory research (CBPR) study better understand the SEBI of COVID-19 testing and vaccination and to refine and test a novel and culturally congruent intervention to increase COVID-19 testing and vaccination within Spanish-speaking Latinx communities. In Aim 1, we will conduct individual in-depth interviews with health providers and representatives from Latinx- serving community-based organizations and focus groups with Spanish-speaking Latinx community members to expand our understanding of the individual, interpersonal, institutional, community, and policy factors influencing COVID-19 testing and vaccination within Spanish-speaking Latinx communities. In Aim 2, we will integrate findings from other relevant COVID-19 studies and from Aim 1 to refine a Spanish-language intervention known as NuestraSaludSegura (Our Safe Health) designed to increase COVID-19 testing and vaccination among Spanish-speaking Latinx persons. NuestraSaludSegura harnesses the complementary strengths of peer navigation and mHealth. We will also test the intervention using a longitudinal group- randomized trial design assessing participants at: (1) baseline and (2) immediate post intervention. We anticipate that participants in the intervention group, relative to their counterparts in the delayed -intervention group, will demonstrate increased COVID-19 testing and vaccination. In Aim 3, we will develop and disseminate practice, research, intervention, and policy priorities and recommendations to increase COVID-19 testing and vaccination, reduce COVID-19 disparities, and promote health equity in Spanish-speaking Latinx communities by conducting an empowerment theory-based community forum. This CBPR study will advance prevention science and practice through increased understanding of the SEBI of COVID-19 testing and vaccination and testing an innovative intervention to promote and support COVID-19 testing and vaccination among a particularly underserved and vulnerable population – Spanish-speaking Latinx communities in the United States.

总结 拉丁裔社区受到COVID-19大流行的影响不成比例，讲西班牙语的拉丁裔 感染、住院和死亡负担更重的社区。的主要障碍 COVID-19检测和疫苗接种已经存在，但仍然需要了解和解决社会， 拉丁裔社区内COVID-19检测和疫苗接种的伦理和行为影响（SEBI）。我们 建立良好的社区学术伙伴关系提出了一个严格的混合方法，以社区为基础， 参与性研究（CBPR）研究更好地了解COVID-19检测和疫苗接种的SEBI， 完善和测试一种新的、文化上一致的干预措施，以增加COVID-19检测和疫苗接种 在西班牙语拉丁社区。 在目标1中，我们将对医疗服务提供者和Latinx的代表进行个人深入访谈， 为社区组织和有西班牙语拉丁社区成员的焦点小组提供服务 扩大我们对个人，人际，机构，社区和政策因素的理解 影响讲西班牙语的拉丁裔社区的COVID-19检测和疫苗接种。在目标2中，我们将 整合其他相关COVID-19研究和目标1的结果，以完善西班牙语 干预措施被称为NuestraSaludSegura（我们的安全健康），旨在增加COVID-19检测， 在讲西班牙语的拉丁人中接种疫苗。NuestraSaludSegura利用互补的 同行导航和移动健康的优势。我们还将使用纵向组来测试干预- 随机试验设计评估参与者：（1）基线和（2）干预后即刻。我们 预期干预组的参与者，相对于延迟干预组的参与者， 将展示增加COVID-19检测和疫苗接种。在目标3中，我们将开发和 传播实践、研究、干预和政策优先事项及建议，以增加COVID-19 检测和疫苗接种，减少COVID-19差异，并促进讲西班牙语的拉丁美洲人的健康公平 通过举办一个以增强权能理论为基础的社区论坛，促进社区的发展。 这项CBPR研究将通过增加对SEBI的了解来推进预防科学和实践， COVID-19检测和疫苗接种及检测是促进和支持COVID-19的创新干预措施 在服务水平特别低下和脆弱的人群中进行检测和疫苗接种-讲西班牙语的拉丁裔 在美国的社区。