Scaling and Sustaining COVID-19 Vaccination through Meaningful Community Engagement and Care Coordination for Underserved Communities

通过对服务不足的社区进行有意义的社区参与和护理协调来扩大和维持 COVID-19 疫苗接种

• 批准号: 10710200
• 负责人: Adrienn Borsika Rabin
• 金额: $ 57.1万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN DIEGO
• 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 2027-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10710200
• 关键词: Action Research; Address; Adoption; Adult; Appointment; Appointments and Schedules; Behavior; Black, Indigenous, People of Color; Border Community; COVID-19; COVID-19 disparity; COVID-19 testing; COVID-19 vaccination; COVID-19 vaccine; Clinic; Combined Vaccines; Communicable Diseases; Communities; Community Healthcare; Complex; Country; Data; Disparity; Effectiveness; Elements; Ethnic Origin; Evaluation; FDA approved; Federally Qualified Health Center; Goals; Health; Health behavior; Healthy People 2020; Hybrids; Immigrant; Immunization; Individual; Inequity; Influenza vaccination; Institution; Knowledge; Latino; Learning; Linguistics; Low income; Maintenance; Mammography; Methods; Mexico; Morbidity - disease rate; Persons; Practical Robust Implementation and Sustainability Model; Preventive; Preventive care; Preventive healthcare; Process; Public Health; RADx Underserved Populations; Recommendation; Refugees; Reporting; Research Personnel; Resources; SARS-CoV-2 infection; Schedule; Scientist; Screening for cancer; Sequential Multiple Assignment Randomized Trial; Services; Social Change; Surveys; Technology; Testing; Text; Text Messaging; Thinking; Trust; Vaccination; Vaccines; Voice; Work; care coordination; care outcomes; colorectal cancer screening; community center; community engagement; diabetes management; driving force; effectiveness outcome; enhanced care; experience; health care availability; health communication; health disparity; health equity; health literacy; implementation evaluation; implementation outcomes; implementation research; implementation science; implementation/effectiveness; improved; innovation; long-standing disparities; low and middle-income countries; mHealth; mobile computing; mortality; outreach; pandemic response; post implementation; prevent; programs; public health priorities; screening; social health determinants; success; trial design; underserved community; uptake; vaccine acceptance; vaccine distribution; vaccine hesitancy

PROJECT SUMMARY/ABSTRACT COVID-19 vaccines have been inequitably distributed and vaccine uptake has lagged, particularly for immigrant, refugee, Latino, and Black, Indigenous, People of Color (BIPOC) communities. Underlying reasons for the slow and variable uptake of COVID-19 vaccines include individual (e.g., health literacy, trust), cultural (e.g., linguistic needs), and structural barriers, such as technological and systemic factors (e.g., complex and onerous processes to schedule and attend vaccine appointments). There is no one-size-fits-all approach to vaccine implementation. This is borne out in the data indicating enormous disparities in COVID-19 testing, morbidity, mortality, and inoculation rates. Culturally relevant and linguistically appropriate, dynamic, and scalable strategies are essential to the immediate and long-term success of COVID-19 vaccine uptake and pandemic mitigation. Changing COVID-19 vaccine uptake behaviors offers an opportunity to concurrently improve engagement in other preventive health behaviors that are important public health priorities (e.g., diabetes management, cancer screenings, recommended adult vaccinations). We propose to co-refine, test, and scale a multicomponent health program to address the multi-level barriers to vaccine uptake and engagement in preventative healthcare in immigrant, refugee, Latino, and BIPOC communities in San Diego. Harnessing reverse innovation thinking, we will apply the Practical Robust Implementation and Sustainability Model (PRISM) to co-create with our community partners, the Global ARC, and San Ysidro Health, the elements of a health program that combines mHealth outreach (community-driven text and voice messages) and enhanced care coordination. Responsive to NOSI NOT-MD-22-006, this R01 will build on our current CEAL and RADx-UP implementation research to scale and sustain a multicomponent health program to increase acceptance, access, and uptake of COVID-19 vaccination and preventive care engagement among underserved communities. We assembled an experienced team of community-engaged implementation scientists, health equity, public health, and infectious disease researchers to accomplish the following aims: 1) Optimize a multicomponent health program to promote COVID-19 vaccine uptake and engagement in preventive healthcare using our established co-creation approach to address multi-level (individual, community, systemic) barriers to vaccine uptake and preventive care engagement; 2) Evaluate the implementation, effectiveness, and sustainment of the multicomponent COVID-19 vaccine and preventive care engagement program using a hybrid type 3 implementation-effectiveness sequential multiple assignment randomized trial design across immigrant, refugee, Latino, and BIPOC communities in Central and East San Diego.

项目总结/文摘

项目成果

Scaling and sustaining COVID-19 vaccination through meaningful community engagement and care coordination for underserved communities: hybrid type 3 effectiveness-implementation sequential multiple assignment randomized trial.

• DOI: 10.1186/s13012-023-01283-2
• 发表时间: 2023-07-14
• 期刊: IMPLEMENTATION SCIENCE
• 影响因子: 7.2
• 作者: Rabin, Borsika A. A.;Cain, Kelli L. L.;Watson Jr, Paul;Oswald, William;Laurent, Louise C. C.;Meadows, Audra R. R.;Seifert, Marva;Munoz, Fatima A. A.;Salgin, Linda;Aldous, Jeannette;Diaz, Edgar A. A.;Villodas, Miguel;Vijaykumar, Santosh;O'Leary, Sean T. T.;Stadnick, Nicole A. A.
• 通讯作者: Stadnick, Nicole A. A.