REACH-OUT (Research, Engagement and Action on COVID-19 Health Outcomes via Testing)

REACH-OUT（通过测试对 COVID-19 健康结果进行研究、参与和行动）

• 批准号: 10545080
• 负责人: Matthew Wayne DeCamp
• 金额: $ 52.83万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 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/10545080
• 关键词: Address; Affect; African American; African American population; Alaska Native; American; American Indians; Authorization documentation; Behavioral; Belief; Bioethics; Black American; Black race; COVID testing; COVID-19; COVID-19 disparity; COVID-19 impact; COVID-19 outbreak; COVID-19 pandemic; COVID-19 test; COVID-19 testing; COVID-19 treatment; Cessation of life; Colorado; Communication; Communities; Contact Tracing; Data Collection; Development; Discrimination; Economics; Employment; Employment Status; Epidemiology; Equity; Ethics; Evaluation; Evidence based intervention; Excess Mortality; Financial Hardship; Fright; Future; Goals; Grant; Health; Health system; Hispanic Populations; Home; Hospitalization; Income; Individual; Inequality; Intervention; Interview; Latino Population; Latinx; Learning; Life; Methods; Monitor; Monoclonal Antibodies; Native-Born; Network Infrastructure; Outcome; Outcome Assessment; Outcomes Research; Persons; Phase; Population; Prevention; Privacy; Process; Public Health; Qualitative Methods; Quarantine; RADx Underserved Populations; Refugees; Research; Research Methodology; Research Personnel; Resources; Rural; SARS coronavirus; SARS-CoV-2 infection; SARS-CoV-2 positive; Services; Stigmatization; Surveys; Testing; Time; Trust; Underserved Population; Vaccinated; Vaccination; Virus; Vulnerable Populations; Wages; Work; authority; caregiving; community based participatory research; community engagement; community organizations; community partnership; comparative; design; experience; future pandemic; health disparity; home test; housing instability; improved; infection rate; informant; innovation; insight; intervention mapping; marginalized population; medical vulnerability; multidisciplinary; pandemic disease; pandemic response; preference; prevent; response; social; social stigma; social vulnerability; therapy design; trend; uptake; vaccine effectiveness; vaccine hesitancy; willingness

PROJECT ABSTRACT As the coronavirus disease 2019 (COVID-19) pandemic evolves, equitable access to SARS-CoV testing and contact tracing will be critical to ongoing pandemic surveillance. Even as COVID-19 infection rates, hospitalizations, and deaths are declining overall, testing will be necessary to identify people who may benefit from COVID-19 therapies, to encourage isolation and quarantine of close contacts to prevent spread, to monitor for real-world vaccine effectiveness, and to learn about how the virus may be spreading within communities. For those communities disproportionately affected by COVID-19, testing may be simultaneously more important and yet more challenging because of the social, ethical, and behavioral implications (SEBI) of a positive test. Fears of positive tests leading to lost wages, employment disruption, privacy breaches, or housing instability can deter testing and contact tracing. In some communities, structural barriers, mistrust, or other factors may have contributed to vaccine hesitancy or lower rates of vaccination – circumstances that create greater potential for bias, discrimination, and stigmatization of communities where future COVID-19 outbreaks or may occur. The goal of REACH-OUT (Research, Engagement and Action on COVID-19 Health Outcomes via Testing) is to improve the reach, uptake and sustainability of COVID-19 testing among 5 underserved and socially- or medically-vulnerable populations via a community-based, participatory action research approach. Our project builds upon the strong community engagement network infrastructure built by the Colorado Community Engagement Alliance Against COVID-19 Disparities (CO-CEAL) and an existing Phase I SEBI grant (CONCERTS; Community Organizations for Natives: COVID-19 Epidemiology, Research, Testing, and Services). It broadens and deepens these efforts to address the next phase of the pandemic. This unique partnership between communities and multidisciplinary academic researchers with expertise in bioethics, mixed methods research, intervention design, and public health evaluation will: (1) engage communities to rapidly understand key cultural beliefs, communication preferences, and community-level resources that can be leveraged to overcome social, ethical, and behavioral barrier to COVID-19 testing using mixed methods; (2) co-create and implement a menu of culturally-concordant strategies at the individual, interpersonal, health system, and/or community levels to increase testing rates, contact tracing, and access to COVID-19 support services using an Intervention Mapping approach; and (3) evaluate the processes and testing outcomes from REACH-OUT to inform the COVID-19 response and responses to future pandemics (including evaluation of the engagement process itself). We will focus on 5 populations (American Indian/Alaska Native; Urban LatinX; Rural LatinX; Urban Black or African American; and Black/Refugee), enabling us to draw comparative insights about the barriers in common and unique to each and – in coordination with other SEBI projects – to generalize our findings to other communities throughout the US.

项目摘要 作为2019年冠状病毒病（Covid-19）大流行的发展，公平地获得SARS-COV测试和 接触跟踪对于正在进行的大流行监视至关重要。即使是共同的19个感染率， 住院和死亡总体下降，必须进行测试以确定可能受益的人 从COVID-19疗法中，鼓励隔离和隔离接触以防止扩散，到 监测现实世界的疫苗有效性，并了解病毒在内如​​何扩散 社区。对于那些受到Covid-19的影响不成比例的社区，测试可能只是 由于社会，伦理和行为的影响（SEBI），更重要，更重要的挑战 阳性测试。担心积极测试会导致工资损失，就业中断，隐私漏洞或 住房不稳定性可以确定测试和接触跟踪。在某些社区，结构性障碍，不信任或 其他因素可能导致疫苗犹豫或较低的疫苗发生疫苗 - 情况 - 在未来Covid-19的社区中产生更大的偏见，歧视和污名化的潜力 爆发或可能发生。伸出援助的目标（研究，参与和行动Covid-19 Health 通过测试的结果）是改善共vid-19测试的覆盖范围，吸收和可持续性 通过基于社区的参与行动，服务不足和社会或医学上的可容纳人口 研究方法。我们的项目建立在由强大的社区参与网络基础架构建立的基础上 科罗拉多州社区的参与联盟，反对COVID-19差距（共同）和现有 第一阶段Sebi Grant（音乐会；当地人的社区组织：Covid-19流行病学，研究， 测试和服务）。它扩大并加深了这些努力，以解决大流行的下一阶段。 社区与具有专业知识的多学科学术研究人员之间的这种独特的伙伴关系 生物伦理学，混合方法研究，干预设计和公共卫生评估将：（1）参与 社区迅速了解关键的文化信念，沟通偏好和社区级别 可以利用可以利用的资源来克服社会，道德和行为障碍，用于使用 混合方法； （2）共同创建和实施个人的文化策略菜单， 人际关系，卫生系统和/或社区级别，以提高测试率，联系跟踪并访问 COVID-19使用干预映射方法支持服务； （3）评估过程和 测试距离的结果，以告知COVID-19的响应和对未来大流行的响应 （包括评估参与过程本身）。我们将重点关注5个人口（美国人 印度/阿拉斯加本地人； Urban Latinx;农村拉丁裔；城市黑人或非裔美国人；和黑人/难民）， 使我们能够对每种共同障碍和独特的障碍以及 - 在 - 与其他SEBI项目的协调 - 将我们的发现推广到美国其他社区。