VALE+TU SALUD: CORNER-BASED RANDOMIZED TRIAL TO TEST A LATINO DAY LABORER PROGRAM ADAPTED TO PREVENT COVID 19

VALE TU SALUD：基于角落的随机试验，测试旨在预防 COVID 19 的拉丁裔日工计划

• 批准号: 10449130
• 负责人: MARIA EUGENIA FERNANDEZ-ESQUER
• 金额: $ 62.93万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-07-10 至 2026-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10449130
• 关键词: Acute; Address; Adherence; Adopted; Adoption; COVID-19; COVID-19 pandemic; COVID-19 pandemic effects; COVID-19 prevention; COVID-19 risk; COVID-19 vaccine; Central America; Cluster randomized trial; Code; Communities; County; Crowding; Dangerousness; Economics; Educational Curriculum; Effectiveness; Equation; Ethnic group; Exposure to; Goals; Handwashing; Health; Hospitalization; Immigrant; Immigrant worker; Injury; Intervention; Latino; Latino Population; Life; Mexico; Modeling; Needs Assessment; Occupations; Patient Recruitments; Patients; Phase; Prevention program; Problem Solving; Reporting; Research; Resources; Risk; Risk Reduction; SARS-CoV-2 positive; Secure; Services; Site; Social Distance; Surveys; Testing; Texas; Time; United States National Institutes of Health; Vulnerable Populations; Work; base; bed capacity; community intervention; coronavirus disease; evidence base; health disparity; infection rate; intervention mapping; member; men; pandemic disease; personal protective equipment; portability; post intervention; prevent; programs; randomized trial; response; social media; socioeconomics; stressor

VALE+TU SALUD: Corner-Based Randomized Trial to Test a Latino Day Laborer Program Adapted to Prevent COVID 19 The ongoing COVID 19 pandemic is having a devastating impact on Latino immigrants, whose members include day laborers. In Texas, addressing COVID-19 is increasingly urgent given the dramatic rise in cases during July 2020. At the time of this application, the state has exceeded its base ICU beds capacity and 65% of COVID-19 hospitalizations are Latino patients. And in Harris county, the site of this proposed study, Latinos represent the ethnic group with the highest COVID 19 positivity rate (30%) and live in the top 10 zip codes with the highest infection rates. Latino day laborers (LDL) are immigrant men from Mexico and Central America who work primarily in the construction and service sectors and are routinely exposed to multiple personal and job- related stressors, where the later occur in a working context that is dangerous, temporary, poorly paid, and exploitive. During the current pandemic these stressors have become more acute and have compeled LDL to continue to seek work daily, live in crowded conditions to afford the rent, and work without needed protections for maintaining social distancing or securing personal protective equipment (PPE). COVID 19 is likely to severely impact LDL unless action is taken to address their stressors and support their efforts to prevent it. Based on a readily available and portable injury risk-reduction program Vales+Tu (You Are Worth More) that has been successfully tested among LDL, the Vale+Tu Salud (Your Health is Worth More) study will adapt its evidence-based participant recruitment, engagement, and intervention strategies to promote group problem solving and a plan to implement together COVID 19 mitigation strategies. Guided by a Community Advisory Board (CAB) and led by LDL promotores, this corner-based program will be tested in a randomized trial to answer this question: Can an adapted Latino day laborer program increase adherence to mitigation practices that reduce the risk of COVID 19? To answer this question, we will pursue these aims: AIM1: Determine the cultural, socioeconomic, interpersonal and work-related factors that influence COVID 19 mitigation practices including social distancing, hand-washing and PPE use. AIM 2: Adapt, implement, and test Vale+Tu Salud in a cluster randomized trial to assess the extent to which LDL report increased adherence with COVID 19 mitigation practices 1 month post intervention. AIM 3: Promote Vales+Tu Salud just-in-time results and increase its capacity to rapidly disseminate findings among groups that serve LDL and other Latino immigrants. In the short term, we expect our program to address the urgent need to prevent COVID 19 among LDL by testing its effectiveness in promoting mitigation practices and the COVID 19 vaccine, when it becomes available. Over the longer term, we expect that the lessons learned in this COVID 19 prevention program will transfer to other work and life domains where LDL may adopt similar practices to reduce other health risks.

VALE+TU SALUD：基于角落的随机试验，以测试拉丁美洲日间实验室计划， 预防COVID 19 持续的COVID 19大流行正在对拉丁美洲移民产生毁灭性影响，其成员 包括日工。在得克萨斯州，鉴于病例急剧增加，应对COVID-19越来越紧迫 在2020年7月。在提出这一申请时，该州已超过其基本ICU床位容量，65%的 COVID-19住院患者为拉丁裔患者。在哈里斯县，这项研究的地点， 代表了COVID 19阳性率最高（30%）的种族群体，并居住在前10名邮政编码， 感染率最高。拉丁裔日工（LDL）是来自墨西哥和中美洲的移民， 主要在建筑和服务部门工作，经常接触多种个人和工作， 相关的压力源，后者发生在危险、临时、低收入的工作环境中， 剥削在目前的大流行期间，这些压力源变得更加严重，迫使LDL 继续每天寻找工作，生活在拥挤的条件下以支付租金，并且在没有必要保护的情况下工作 用于保持社交距离或保护个人防护设备（PPE）。COVID 19很可能 除非采取行动解决他们的压力源，并支持他们的努力，以防止它严重影响LDL。 基于一个随时可用的便携式伤害风险降低计划Vales+Tu（你值得更多）， Vale+Tu Salud（你的健康更有价值）研究将调整其在低密度脂蛋白中的应用。 循证参与者招募、参与和干预策略，以促进群体问题 解决方案和共同实施COVID 19缓解策略的计划。以社区咨询为指导 委员会（CAB）和领导的低密度脂蛋白promotores，这个角落为基础的计划将在一个随机试验， 回答这个问题：一个经过调整的拉丁美洲日工计划能否增加对缓解措施的坚持 降低COVID 19风险的方法为了回答这个问题，我们将追求这些目标：目标1：确定 影响COVID 19缓解措施的文化、社会经济、人际关系和工作相关因素 包括社交距离、洗手和个人防护用品的使用。目标2：在一个环境中调整、实施和测试Vale+Tu Salud 评估LDL报告增加COVID 19依从性的程度的群集随机试验 干预后1个月的缓解措施。目标3：促进Vales+Tu Salud准时结果， 提高其能力，以迅速传播服务LDL和其他拉丁美洲移民群体的调查结果。 在短期内，我们预计我们的计划将通过以下方式解决在低密度脂蛋白中预防COVID 19的迫切需要： 测试其在促进缓解措施和COVID 19疫苗方面的有效性，当它成为 available.从长远来看，我们预计，在这一COVID 19预防计划中吸取的教训将 转移到其他工作和生活领域，在这些领域，LDL可能会采取类似的做法，以减少其他健康风险。