Multilevel Community-Based Mental Health Intervention to Address Structural Inequities and Adverse Disparate Consequences of COVID-19 Pandemic on Latinx Immigrants and African Refugees - Supplement

项目摘要 COVID-19大流行严重影响了移民和难民，特别是那些拉丁美洲人， 由于长期的结构性不平等，黑人和低收入者。家长社区的目标 参与式研究（CBPR）的目的是测试一种多层次的方法，以减少 2019冠状病毒病大流行（心理困扰，日常压力和经济不稳定），并增加保护 因素（社会支持、资源获取、英语水平、文化联系和心理健康 服务使用）之间的拉丁裔和黑人移民和难民观察和实施三个嵌套 干预水平：1）有效的6个月同伴宣传和相互学习模式（难民和 移民福利项目）; 2）与社区组织的接触; 3） 为应对这一流行病而实施的结构性政策改革。家长研究是雄心勃勃的-涉及- 深入社区参与，多层次干预，以及从大样本中收集纵向数据， 新人参与者我们的研究团队勤奋而灵活地工作，以确保 研究，根据与需要承担数据收集责任有关的一些不可预见的问题进行调整 和保留拉丁移民参与者的代表性样本，这是最初的合同， 一家调查公司从调查公司收集的时间点1数据过渡到内部数据收集， 随后的时间点也需要制定和实施时间密集型数据核查 质量保证协议。这些不可预见的情况需要我们的研究团队承担 许多额外的责任和费用。首先，我们必须确定、培训、支持和支付一支 双语访问员进行时间点2调查（和所有后续时间点），最多900个额外的 参与者虽然这一变化是具有挑战性的，但它也导致了雇用前研究人员的创新 参与者进行调查，这有助于真正的相互学习的CBPR过程， 能力建设，并以其他有意义的方式让新的社区成员参与研究。 快速调整并确保我们仍能在现有预算范围内成功开展研究（保持 严格和忠实于最初的研究目标和计划的分析），我们不得不改变我们的研究设计， 5个时间点的数据，而不是7个时间点的数据。拟议的非预期费用 补充将提供关键的资金，使我们能够回到我们原来的更雄心勃勃的研究 在36个月内设计7个时间点，总体上确保我们能够实现所有研究目标。这是 重要的不仅是在最初计划的较长时间内收集原始数量的数据点， (36调整后的计划是28个月），但也因为我们可以保持原来的计划， TAU等待列表对照组参与RIWP干预后的数据收集时间点， 将增加我们检查RIWP效应是否也在TAU组中实现的能力。

PROJECT SUMMARY The COVID-19 pandemic has disparately impacted immigrants and refugees, particularly those who are Latinx, Black, and low-income due to longstanding structural inequities. The goal of the parent community-based participatory research (CBPR) study is to test a multilevel approach to reduce adverse consequences of the COVID-19 pandemic (psychological distress, daily stressors, and economic precarity) and increase protective factors (social support, access to resources, English proficiency, cultural connectedness, and mental health service use) among Latinx and Black immigrants and refugees by observing and implementing three nested levels of intervention: 1) an efficacious 6-month peer advocacy and mutual learning model (Refugee & Immigrant Well-being Project, RIWP); 2) engagement with community-based organizations (CBOs); and 3) structural policy changes enacted in response to the pandemic. The parent study is ambitious – involving in- depth community participation, multilevel interventions, and longitudinal data collection from large samples of newcomer participants. Our research team has worked diligently and flexibly to ensure the success of the study, adjusting to several unforeseen issues related to needing to assume responsibility for data collection and retention of the representative sample of Latinx immigrant participants, which was originally contracted to a survey firm. Transition from timepoint 1 data collected by the survey firm to in-house data collection for subsequent timepoints also required development and implementation of a time-intensive data verification protocol for quality assurance. These unforeseen circumstances required our research team to take on numerous additional responsibilities and costs. First, we had to identify, train, support, and pay a team of bilingual interviewers to conduct timepoint 2 surveys (and all subsequent timepoints) with up to 900 additional participants. Although this change was challenging, it also resulted in an innovation of hiring former study participants to conduct surveys, which has contributed to genuine CBPR processes of mutual learning, capacity-building, and involving newcomer community members in the research in additional meaningful ways. To pivot quickly and ensure we could still carryout our study successfully within our existing budget (maintain rigor and fidelity to original study aims and planned analyses), we had to change our research design to collect 5 timepoints of data instead of having 7 timepoints of data. The proposed Unanticipated Costs Administrative Supplement would provide critical funds to enable us to return to our original even more ambitious research design of 7 timepoints over 36 months, and overall to ensure we are able to fulfill all study goals. This is important not only in terms of collecting the original number of data points over the initially planned longer time (36 months vs. 28 months in adjusted plan), but also because we could maintain the original plan of having 2 timepoints of data collection after the TAU waitlist control group participates in the RIWP intervention, which would increase our ability to examine whether the RIWP effects are also realized for those in the TAU group.