VALE+TU SALUD: CORNER-BASED RANDOMIZED TRIAL TO TEST A LATINO DAY LABORER PROGRAM ADAPTED TO PREVENT COVID 19

VALE TU SALUD：基于角落的随机试验，测试旨在预防 COVID 19 的拉丁裔日工计划

• 批准号: 10595648
• 负责人: MARIA EUGENIA FERNANDEZ-ESQUER
• 金额: $ 62.88万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-07-10 至 2026-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10595648
• 关键词: Acute; Address; Adherence; Adopted; Adoption; COVID-19; COVID-19 pandemic; COVID-19 pandemic effects; COVID-19 prevention; COVID-19 risk; COVID-19 vaccine; Central America; Cluster randomized trial; Communities; County; Crowding; Dangerousness; Economics; Educational Curriculum; Effectiveness; Equation; Ethnic Population; Exposure to; Goals; Handwashing; Health; Hospitalization; Immigrant; Immigrant worker; Injury; Intervention; Latino; Latino Population; Learning; Life; Mexico; Modeling; Needs Assessment; Occupations; Patient Recruitments; Patients; Phase; Prevention program; Problem Solving; Random Allocation; Reporting; Research; Resources; Risk; Risk Reduction; SARS-CoV-2 positive; Secure; Services; Site; Social Distance; Surveys; Testing; Texas; Time; United States National Institutes of Health; Vulnerable Populations; Work; base; bed capacity; community intervention; community organizations; coronavirus disease; current pandemic; evidence base; health disparity populations; infection rate; intervention mapping; member; men; pandemic disease; pandemic impact; personal protective equipment; portability; post intervention; prevent; programs; randomized trial; response; social media; socioeconomics; stressor

VALE+TU SALUD: Corner-Based Randomized Trial to Test a Latino Day Laborer Program Adapted to Prevent COVID 19 The ongoing COVID 19 pandemic is having a devastating impact on Latino immigrants, whose members include day laborers. In Texas, addressing COVID-19 is increasingly urgent given the dramatic rise in cases during July 2020. At the time of this application, the state has exceeded its base ICU beds capacity and 65% of COVID-19 hospitalizations are Latino patients. And in Harris county, the site of this proposed study, Latinos represent the ethnic group with the highest COVID 19 positivity rate (30%) and live in the top 10 zip codes with the highest infection rates. Latino day laborers (LDL) are immigrant men from Mexico and Central America who work primarily in the construction and service sectors and are routinely exposed to multiple personal and job- related stressors, where the later occur in a working context that is dangerous, temporary, poorly paid, and exploitive. During the current pandemic these stressors have become more acute and have compeled LDL to continue to seek work daily, live in crowded conditions to afford the rent, and work without needed protections for maintaining social distancing or securing personal protective equipment (PPE). COVID 19 is likely to severely impact LDL unless action is taken to address their stressors and support their efforts to prevent it. Based on a readily available and portable injury risk-reduction program Vales+Tu (You Are Worth More) that has been successfully tested among LDL, the Vale+Tu Salud (Your Health is Worth More) study will adapt its evidence-based participant recruitment, engagement, and intervention strategies to promote group problem solving and a plan to implement together COVID 19 mitigation strategies. Guided by a Community Advisory Board (CAB) and led by LDL promotores, this corner-based program will be tested in a randomized trial to answer this question: Can an adapted Latino day laborer program increase adherence to mitigation practices that reduce the risk of COVID 19? To answer this question, we will pursue these aims: AIM1: Determine the cultural, socioeconomic, interpersonal and work-related factors that influence COVID 19 mitigation practices including social distancing, hand-washing and PPE use. AIM 2: Adapt, implement, and test Vale+Tu Salud in a cluster randomized trial to assess the extent to which LDL report increased adherence with COVID 19 mitigation practices 1 month post intervention. AIM 3: Promote Vales+Tu Salud just-in-time results and increase its capacity to rapidly disseminate findings among groups that serve LDL and other Latino immigrants. In the short term, we expect our program to address the urgent need to prevent COVID 19 among LDL by testing its effectiveness in promoting mitigation practices and the COVID 19 vaccine, when it becomes available. Over the longer term, we expect that the lessons learned in this COVID 19 prevention program will transfer to other work and life domains where LDL may adopt similar practices to reduce other health risks.

淡水河谷+TU Salud：基于角落的随机试验，以测试适应以下条件的拉丁裔日间劳工计划 预防新冠状病毒19 正在进行的新冠病毒19大流行对拉丁裔移民产生了毁灭性的影响，他们的成员 包括临时工。在德克萨斯州，鉴于案件的急剧上升，解决新冠肺炎问题变得越来越紧迫 在2020年7月期间。在本申请提出时，该州已超过其基本ICU床位容量，65%的 新冠肺炎的住院患者都是拉丁裔患者。在哈里斯县，这项拟议的研究的地点，拉丁裔 代表COVID 19阳性率最高的种族(30%)，并生活在前10个邮政编码中 感染率最高。拉丁裔日工是来自墨西哥和中美洲的移民男子，他们 主要在建筑和服务部门工作，经常面临多个个人和工作- 相关的压力源，后者发生在危险的、临时性的、低收入的工作环境中，以及 剥削性。在当前的大流行期间，这些应激源变得更加尖锐，迫使低密度脂蛋白 继续每天找工作，住在拥挤的条件下付得起房租，工作没有必要的保护 用于保持社交距离或保护个人防护装备(PPE)。COVID 19很可能会 严重影响低密度脂蛋白，除非采取行动解决其应激源并支持其预防努力。 基于随手可得的便携伤害风险降低计划Vales+Tu(您的价值更高) 已经在低密度脂蛋白中成功测试，Vale+Tu Salud(您的健康更有价值)研究将调整其 基于证据的参与者招募、参与和干预策略，以促进群体问题 解决和计划共同实施COVID19缓解战略。由社区咨询机构指导 董事会(CAB)和由低密度脂蛋白促进者领导，这个基于角落的计划将在随机试验中进行测试，以 回答这个问题：适应后的拉丁裔临时工计划能否增加对缓解措施的遵守 可以降低新冠状病毒感染的风险吗？为了回答这个问题，我们将追求以下目标：AIM1：确定 影响COVID19缓解做法的文化、社会经济、人际和与工作有关的因素 包括社交距离、洗手和个人防护用品的使用。目标2：调整、实施和测试Vale+Tu Salud 评估低密度脂蛋白报告增加对COVID 19依从性的整群随机试验 干预后1个月的缓解措施。目标3：促进淡水河谷+Tu Salud的及时结果和 提高其在为低密度脂蛋白和其他拉丁裔移民服务的群体中迅速传播调查结果的能力。 在短期内，我们预计我们的计划将解决在低密度脂蛋白中预防19型冠状病毒感染的迫切需要 测试其在推广缓解做法和COVID19疫苗方面的有效性，当它成为 可用。从长远来看，我们预计从这一预防方案中吸取的经验教训将 转移到低密度脂蛋白可能采取类似做法以减少其他健康风险的其他工作和生活领域。