Sin Duda: a community-driven approach to expand reach, access and uptake of COVID-19 home-based tests for at risk Latinos

Sin Duda：一种社区驱动的方法，旨在扩大针对高危拉丁美洲人的 COVID-19 家庭测试的覆盖范围、获取和采用率

• 批准号: 10544767
• 负责人: Kathleen R Page
• 金额: $ 120.64万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 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/10544767
• 关键词: Address; Adherence; Adoption; Appointment; Baltimore; COVID-19; COVID-19 disparity; COVID-19 impact; COVID-19 pandemic; COVID-19 risk; COVID-19 test; COVID-19 testing; COVID-19 vaccine; Caring; Cities; Clinic; Code; Communication; Communities; Community Health Aides; Community Outreach; Consolidated Framework for Implementation Research; Data; Diagnostic Reagent Kits; Economics; Equipment and supply inventories; Evidence based intervention; FDA Emergency Use Authorization; Faith leader; Food; Goals; Health; Health Insurance; Health care facility; Health system; Healthcare; Home; Hospitalization; Hotlines; Immigrant; Immigration; Improve Access; Individual; Institution; Instruction; Interview; Knowledge; Language; Latino; Latino Population; Libraries; Limited English Proficiency; Linguistics; Link; Low income; Maryland; Measures; Media Campaign; Nature; Network-based; Not Hispanic or Latino; Participant; Patient Recruitments; Persons; Phase; Preventive; Privatization; Protocols documentation; RADx Underserved Populations; Reach, Effectiveness, Adoption, Implementation, and Maintenance; Research; Risk; SARS-CoV-2 positive; Self Administration; Services; Site; Social Marketing; Social Work; Structure; Technology; Testing; Text Messaging; Time; Training; Translations; Trust; Uncertainty; Vaccination; Virus; bilingualism; community clinic; community organizations; future outbreak; home test; implementation determinants; implementation outcomes; implementation process; implementation strategy; indexing; innovation; member; phase 1 testing; prevent; primary outcome; programs; secondary outcome; self testing; social; social media; social stigma; social vulnerability; testing uptake; transmission process; unvaccinated; uptake; usability; web site

The COVID-19 pandemic disproportionately impacts Latinos in the US. COVID-19 testing remains critical for tracking and slowing the spread of the virus and preventing future outbreaks, particularly in communities disproportionately affected by COVID-19 and where vaccination coverage is suboptimal. The goal of this project is to expand our RADx-UP Phase 1 COVID-19 testing project "Vive Sin Duda" to implement and evaluate innovative implementation strategies to increase reach, access, and uptake of COVID-19 homebased self-testing (HST) among low-income Latinos in Maryland. We will implement and evaluate two COVID19 HST distribution approaches: 1) Network-based; and 2) Social marketing. We will also incorporate data driven iterative changes to optimize a community health worker (CHW)-led short message service (SMS) platform to support HST and linkage to COVID-19 care, vaccination, and other services (e.g., cash and food assistance). Primary and secondary outcomes include: 1) Reach and uptake of HST; and 2) Linkage to care for those who test positive or vaccination for unvaccinated people who test negative. Leveraging our existing community coalition, testing and vaccination clinics, and a team of bilingual and bicultural CHWs, we are well poised to implement a COVID-19 HST program and measure its impact. Our research will provide important new information that will improve access and uptake of innovative COVID-19 testing technology. It also will fill critical knowledge gaps to guide the translation of evidence-based interventions into widespread adoption by RADx-UP consortium members.

COVID-19 大流行对美国的拉丁裔影响尤为严重。 COVID-19 检测仍然至关重要 跟踪和减缓病毒的传播并防止未来的爆发，特别是在社区 受 COVID-19 影响尤为严重且疫苗接种覆盖率不理想。此举的目标 项目旨在扩展我们的 RADx-UP 第一阶段 COVID-19 测试项目“Vive Sin Duda”，以实施和 评估创新的实施策略，以增加马里兰州低收入拉丁裔人群中 COVID-19 家庭自我测试 (HST) 的覆盖面、可及性和采用率。我们将实施和评估两种COVID19 HST分配方法：1）基于网络； 2）社会营销。我们还将纳入数据驱动的迭代变更，以优化社区卫生工作者 (CHW) 主导的短信服务 (SMS) 支持 HST 以及与 COVID-19 护理、疫苗接种和其他服务（例如现金和食品）联系的平台 协助）。主要和次要成果包括： 1) HST 的普及和采用； 2) 与护理的联系 对于测试呈阳性的人或未接种疫苗的测试呈阴性的人进行疫苗接种。利用我们现有的 社区联盟、检测和疫苗接种诊所以及双语和双文化社区卫生工作者团队，我们已做好实施 COVID-19 HST 计划并衡量其影响的准备。我们的研究将提供重要的 新信息将改善创新的 COVID-19 检测技术的获取和采用。也将充满 指导将循证干预措施转化为广泛采用的关键知识差距 RADx-UP 联盟成员。