Increasing COVID-19 Vaccine Uptake among Latinos through a Targeted Clinical and Community-behavioral Intervention

通过有针对性的临床和社区行为干预提高拉丁美洲人对 COVID-19 疫苗的使用

• 批准号: 10687921
• 负责人: Noe Cuauhtemoc Crespo
• 金额: $ 61.09万
• 依托单位: SAN DIEGO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-21 至 2025-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10687921
• 关键词: Address; Affect; Behavior Therapy; Behavioral; COVID-19; COVID-19 monitoring; COVID-19 mortality; COVID-19 patient; COVID-19 risk; COVID-19 vaccination; COVID-19 vaccine; California; Catchment Area; Cessation of life; Chronic Disease; Clinic; Clinical; Cluster randomized trial; Collaborations; Communication; Communities; Community Health Aides; County; Disparity; Education; Effectiveness; Effectiveness of Interventions; Environment; FDA Emergency Use Authorization; Family health status; Federally Qualified Health Center; Future; Government; Health; Health Educators; Health behavior; Home; Household; Infrastructure; Intervention; Latin America; Latino; Latino Population; Low income; Mental Health; Minority-Serving Institution; Misinformation; Modeling; Morbidity - disease rate; Neighborhoods; Occupations; Outcome; Patients; Population; Positioning Attribute; Poverty; Primary Care Physician; Program Acceptability; Public Health; Quality of life; Randomized; Research; Resistance; Risk; SARS-CoV-2 infection; Single-Blind Study; Subgroup; Sustainable Development; System; Target Populations; Testing; Time; Trust; Underserved Population; United States; United States Dept. of Health and Human Services; Universities; Vaccination; Vaccines; Work; acceptability and feasibility; arm; behavior change; behavioral health; clinical practice; cohort; community intervention; community transmission; distrust; economic impact; effective intervention; effectiveness evaluation; effectiveness testing; ethnic minority population; experience; flexibility; group intervention; health care service; high risk population; implementation evaluation; implementation fidelity; implementation outcomes; implementation process; improved; innovation; model design; mortality; novel; pandemic disease; patient outreach; physical conditioning; psychosocial; racial minority population; secondary outcome; uptake; vaccine acceptance

Project Summary/Abstract The United States currently has the highest COVID-19 infection and related mortality rates in the world. In California, Latinos account for the highest percent of COVID-19 cases (58.9%) and deaths (47.3%) and are disproportionately represented in occupations deemed as ‘essential’. Latinos also suffer from higher rates of poverty and chronic disease which places them at greater risk of COVID-19 infection and related complications. In collaboration with Family Health Centers of SD (FHCSD) and working with Community Health Workers (aka, promotores/as), we will implement a multilevel intervention to increase COVID-19 vaccine completion rates and see faster vaccination uptake among Latinos. A total of 10 clinics will be randomized to either a Standard Clinical Practice consisting of standard clinic-based strategies to promote COVID-19 vaccine uptake among patients or a Multilevel Intervention consisting of an individualized/tailored intervention delivered by Health Educators working within the clinics plus a multi-component community intervention delivered by community promotores. This project will test the immediate and short-term effectiveness of the multilevel intervention to increase COVID- 19 vaccine uptake. In addition, we will test the effectiveness of the proposed intervention on long-term behavioral, mental, and physical health outcomes. Lastly, this project will assess implementation outcomes including program acceptability and feasibility by patients and clinic staff and community environment. This study aims to increase the uptake of completing the COVID-19 vaccine in a population that has exceptionally high rates of morbidity and mortality due to COVID-19. We will harness our research team’s extensive experience in developing multi-level interventions working with Health Educators and promotores to promote behavior change among Latinos, and leverage a strong community-academic collaboration that maximizes community impact and sustainability. This research will lead to the development of sustainable and scalable community-academic models designed to respond quickly, efficiently, and effectively to both this existing and future public health threats.

项目总结/摘要 美国目前拥有世界上最高的COVID-19感染率和相关死亡率。在 在加州，拉丁裔占COVID-19病例（58.9%）和死亡（47.3%）的比例最高， 在被认为是“必要”的职业中所占比例不成比例。拉美裔人也遭受着更高的 贫困和慢性疾病使他们面临更大的感染COVID-19和相关并发症的风险。 与可持续发展家庭保健中心（FHCSD）合作，并与社区保健工作者（又名， 我们将实施多层次干预措施，以提高COVID-19疫苗接种完成率， 在拉丁美洲人中看到更快的疫苗接种率。共有10家诊所将被随机分配至标准临床 由标准的基于临床的策略组成的实践，以促进患者中COVID-19疫苗的接种，或 多层次干预，包括由健康教育者提供的个性化/定制干预 在诊所内开展工作，加上由社区宣传员提供的多组成部分社区干预。 该项目将测试多层次干预措施的即时和短期有效性，以增加COVID-19的发病率。 19疫苗接种。此外，我们将测试拟议干预措施对长期行为， 心理和身体健康结果。最后，该项目将评估实施成果，包括 方案的可接受性和可行性的病人和诊所工作人员和社区环境。本研究旨在 提高完成COVID-19疫苗接种率的人群， COVID-19导致的发病率和死亡率。我们将利用我们的研究团队的丰富经验， 与健康教育工作者和促进者一起制定多层次的干预措施，以促进行为改变 在拉丁美洲人中，并利用强大的社区学术合作，最大限度地发挥社区影响力， 持续发展这项研究将导致可持续和可扩展的社区学术的发展 旨在对现有和未来的公共卫生做出快速、高效和有效反应的模式 威胁