Localized mHealth approach to boosting COVID-19 testing and vaccine literacy, access, and uptake among women with criminal legal system involvement

采用本地化移动医疗方法，提高涉及刑事法律系统的女性的 COVID-19 检测和疫苗知识、获取和采用率

• 批准号: 10544769
• 负责人: Mugur Geana
• 金额: $ 119.52万
• 依托单位: UNIVERSITY OF KANSAS MEDICAL CENTER
• 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 2024-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10544769
• 关键词: Address; Attitude; Belief; COVID-19; COVID-19 disparity; COVID-19 health disparity; COVID-19 impact; COVID-19 risk; COVID-19 test; COVID-19 testing; COVID-19 vaccine; Cellular Phone; Cervical; Cities; Communities; Disease; Disparity; Evaluation; Future; General Population; Geographic Locations; Geography; Goals; Health; Health Technology; Imprisonment; Individual Differences; Infrastructure; Internet; Intervention; Jail; Kansas; Legal system; Motivation; Nature; Online Systems; Persons; Phase; Politics; Population; Positioning Attribute; Public Health; RADx Underserved Populations; Recommendation; Research; Research Personnel; Risk; SARS-CoV-2 infection; Sampling; Testing; Text; Time; Underserved Population; United States National Institutes of Health; Vaccinated; Vaccination; Vaccines; Woman; Women' s Group; Women' s Health; Work; cohort; community setting; design; differences in access; dissemination strategy; ethnic minority population; experience; health disparity; health disparity populations; health literacy; high reward; innovation; literacy; mHealth; marginalized population; men; mobile computing; mortality risk; open source; pandemic disease; pilot test; post-COVID-19; racial minority population; racism; recruit; regional difference; risk perception; secondary outcome; technology platform; testing access; unvaccinated; uptake; vaccine access; web app

ABSTRACT People with criminal legal system involvement (CLSI) have experienced five times as many COVID-19 infections and have three times the risk of death compared to general population in the U.S. Heavily impacted by COVID-19 and squarely within NIH health disparities populations, people with CLSI are often poor and disproportionately from racial and ethnic minority groups. Despite the increased risk of COVID-19, we expect that only one-half of people with CLSI will get vaccinated. Ongoing COVID-19 testing in communities and among groups that are not vaccinated will be key to containing the pandemic. The messaging that COVID-19 testing will still be important may not be getting through to people who are at risk – a critical driver of disparities. Our team has a unique opportunity to boost testing literacy, access, and uptake using mobile health (mHealth) technologies (text and Web) to reach women with CLSI in community settings who are part of the existing Tri-City Cohort drawn from geographically and socio-politically diverse cities: Birmingham, AL, Kansas City, MO/KS, and Oakland, CA. This application is highly responsive to the RADx-UP Phase II call for research that tests interventions to reduce COVID-19 disparities among underserved populations. Our team is positioned to embed the proposed study into an existing Web-based women’s health literacy intervention platform (www.shewomen.org, 2R01CA181047) for women leaving jail. We are also able to immediately push the mHealth COVID-19 testing literacy intervention to 508 women we have already recruited to a three-city cervical health study of women with CLSI (R01CA226838), and to promptly make this scalable intervention widely available to people with CLSI. We will engage the women as stakeholders to study regional and individual differences in COVID-19 testing and vaccine literacy, access, and uptake. We will use findings to rapidly develop an mHealth intervention focused on COVID-19 literacy, and then push the intervention to CLSI women in the three cities to boost COVID-19 literacy, testing, access, and uptake, and vaccination. Findings will be used to develop dissemination strategies with stakeholders to push the mHealth intervention to the two million women and 11 million men who interface with the criminal legal system annually in the U.S.

摘要 涉及刑事法律的系统（CLSI）的人经历了五倍于COVID-19的经历 感染，死亡风险是美国普通人群的三倍。 由于COVID-19和美国国立卫生研究院健康差异人群，CLSI患者通常很穷， 不成比例地来自种族和少数民族群体。尽管COVID-19的风险增加，我们预计 只有一半的CLSI患者会接种疫苗。在社区和社区中进行的COVID-19检测 未接种疫苗的群体将是遏制这一流行病的关键。COVID-19检测 仍然很重要的一点可能是无法让处于风险中的人了解--这是造成差异的关键因素。 我们的团队有一个独特的机会，可以利用移动的健康来提高测试素养、访问和吸收 （mHealth）技术（文本和网络），以接触社区环境中患有CLSI的女性，她们是 现有的三城市队列来自地理和社会政治上不同的城市：伯明翰，AL，堪萨斯 城市，MO/KS，和奥克兰，CA。该应用程序高度响应RADx-UP第二阶段的研究要求 该项目测试了减少服务不足人群中COVID-19差异的干预措施。我们的团队定位于 将建议的研究纳入现有的网上妇女健康知识干预平台 （www.example.com，2R01CA181047）为出狱妇女提供的信息。我们还可以立即推动 mHealth COVID-19测试识字干预508妇女，我们已经招募到三个城市的宫颈 CLSI女性健康研究（R01CA226838），并迅速广泛开展这项可扩展的干预措施 可供CLSI患者使用。 我们将让妇女作为利益相关者参与研究COVID-19检测的区域和个体差异 以及疫苗知识、获取和吸收。我们将利用研究结果，迅速制定一项移动健康干预措施， 对COVID-19的扫盲，然后将干预措施推广到三个城市的CLSI妇女，以促进COVID-19 扫盲、检测、获取和吸收以及疫苗接种。调查结果将用于制定传播战略 与利益相关者合作，将移动健康干预措施推广到200万女性和1100万男性， 美国的刑事法律的系统