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.

VALE+TU SALUD：基于角落的随机试验，以测试拉丁裔日工计划适应