Addressing Vaccine AcceptaNce in Carceral Settings through Community Engagement (ADVANCE)

通过社区参与 (ADVANCE) 解决监狱环境中的疫苗接受问题

• 批准号: 10710193
• 负责人: DEANNA HOSKINS
• 金额: $ 60.87万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-26 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10710193
• 关键词: Address; Affect; Black Populations; Black race; COVID-19; COVID-19 impact; COVID-19 pandemic; COVID-19 vaccine; Cluster randomized trial; Communities; Effectiveness of Interventions; Family; General Population; Goals; Imprisonment; Individual; Intervention; Jail; Justice; Knowledge; Latinx; Latinx population; Link; Minority Groups; Mission; National Institute on Minority Health and Health Disparities; Patients; Pennsylvania; Persons; Phase; Policy Maker; Population; Prisons; Provider; Public Health; Recording of previous events; Research; Social Policies; Testing; Update; Vaccination; Variant; Work; community based participatory research; community engagement; correctional system; distrust; effective intervention; effectiveness study; effectiveness testing; evidence base; health care model; health disparity; improve minority health; improved; infection rate; influenza virus vaccine; minority communities; prison population; social norm; vaccine acceptance

PROJECT SUMMARY The COVID-19 pandemic has had a disproportionate impact on those who are incarcerated and work in our nation's prisons and jails. The prison population has had an infection rate that is five times the rate in the general population and correctional staff have been infected at three times the rate of the general population. High rates of COVID-19 in correctional systems are linked to high rates in surrounding communities, especially in jails with high population turnover and in communities where correctional officers work. Vaccination in correctional systems is an important community-wide COVID-19 mitigation strategy. But rates of vaccine acceptance vary considerably, in part due to issues of distrust and unique social norms and policies within correctional systems. Prior work on vaccine acceptance strategies, even amongst Black and Latinx people who are disproportionately incarcerated, has rarely focused on strategies that work in corrections. Until this knowledge gap is addressed, it will be difficult to reduce the disproportionate impact of COVID-19 on minoritized populations in correctional facilities and the communities to which they return. This is especially important with ongoing new variants emerging. The overall objective of this proposal, ADdressing Vaccine AcceptaNce in Carceral Settings through Community Engagement (ADVANCE), is to identify feasible and effective interventions to improve vaccine uptake in prisons. We will adapt the successful P3 vaccine acceptance model for healthcare practices, developed by our team, to identify new and iterate on old strategies appropriate for prisons, creating a new Patient, Provider, Practice, Prison-level (P4) framework. The central hypothesis of the proposal is that strategies developed by and studied in partnership with people directly impacted by the correctional system will increase vaccine acceptance. To test this hypothesis, we will tackle three aims: (1) identify promising correctional system-based strategies to improve vaccine acceptance; (2) adapt these strategies into an updated P4 framework using community based participatory research approach; and (3) study the effectiveness of these interventions through rapid cycle, cluster-randomized trials in the Pennsylvania correctional system. Throughout study phases, currently and previously incarcerated people and correctional staff will provide input so P4 interventions are most likely to succeed. ADVANCE represents a substantial departure from previous work on vaccine acceptance by focusing on providing an evidence base for addressing vaccine acceptance in correctional systems that can be scaled and adapted for other justice- involved populations.

项目摘要 COVID-19大流行对被监禁并在我们的工作中工作的人产生了不成比例的影响 国家的监狱和监狱。监狱人口的感染率是该监狱的五倍 普通人群和惩教人员的感染是普通人群的三倍。 矫正系统中的COVID-19的高率与周围社区的高率有关，尤其是 在人口更高的监狱以及惩教人员工作的社区中。疫苗接种 惩教系统是一个重要的社区范围的Covid-19缓解策略。但是疫苗的发生率 接受差异很大，部分是由于内部不信任和独特的社会规范和政策的问题 惩教系统。即使在黑人和拉丁裔人中，也 被监禁不成比例，很少专注于在矫正中起作用的策略。直到这个 解决了知识差距，很难减少COVID-19的不成比例的影响 惩教设施中的少数人口及其返回的社区。尤其是 重要的是，持续的新变体出现。该提案的总体目标，解决疫苗 通过社区参与（提前）在Carceral环境中接受（预先）是确定可行的，并且 有效的干预措施以改善监狱的疫苗摄取。我们将调整成功的P3疫苗 由我们的团队开发的医疗保健实践的接受模型，以识别新的并迭代旧策略 适合监狱，创建一个新的患者，提供者，实践，监狱级别（P4）框架。中央 该提案的假设是直接与人们合作制定并研究的策略 受惩教系统的影响将增加疫苗的接受度。为了检验这一假设，我们将解决 三个目的：（1）确定有希望的基于矫正系统的策略以改善疫苗的接受度； （2） 使用基于社区的参与研究方法将这些策略调整为更新的P4框架； （3）研究这些干预措施通过快速周期，群集随机试验的有效性 宾夕法尼亚州惩教系统。在整个研究阶段，目前和以前被监禁的人和 惩教人员将提供输入，因此P4干预措施最有可能成功。前进代表 通过专注于提供证据基础，与以前有关疫苗接收的工作实质性不同 用于解决惩教系统中的疫苗接收，这些疫苗可以缩放和适应其他正义 - 涉及人群。