Addressing COVID-19 Testing Disparities in Vulnerable Populations Using a Community JITAI (Just in Time Adaptive Intervention) Approach - Phase II
使用社区 JITAI(及时适应性干预)方法解决弱势群体中的 COVID-19 检测差异 - 第二阶段
基本信息
- 批准号:10661999
- 负责人:
- 金额:$ 115.9万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2019
- 资助国家:美国
- 起止时间:2019-07-24 至 2024-06-30
- 项目状态:已结题
- 来源:
- 关键词:AddressAmericanAmericasAreaBasic ScienceBiomedical ResearchCOVID-19 testingCancer CenterChildhoodChronic lung diseaseClinical ResearchClinical SciencesClinical TrialsClinical and Translational Science AwardsCollaborationsCommunitiesCommunity HealthConduct Clinical TrialsCountryDataDoctor of MedicineEconomically Deprived PopulationEducationElderlyEnvironmentFirst Independent Research Support and Transition AwardsFosteringGoalsHealthHealth Care ResearchHealth SciencesHealthcareHispanicHospitalsIndividualInformaticsInstitute of Medicine (U.S.)InstitutionInstitutional Review BoardsKnowledgeLearningLesbian Gay Bisexual Transgender QueerMalignant NeoplasmsMedicalMedical FacultyMedical StaffMedical centerMedicineMethodist ChurchMexican AmericansMulti-Institutional Clinical TrialNational Center for Advancing Translational SciencesPatientsPhasePhysiciansPopulationPopulation HeterogeneityProcessReportingResearchResearch ContractsResearch MethodologyResearch PersonnelResearch TrainingResourcesRiceRuralRural HealthSchoolsScienceServicesSiteSolidSouth TexasTexasTimeTrainingTranslational ResearchTranslationsTuberculosisUniversitiesVulnerable PopulationsWorkWorkforce Developmentadaptive interventionbasebench to bedsidebiobankcancer carecancer clinical trialclinical careclinical centerclinical data warehousecollegecommunity engagementcomputer scienceimprovedinnovationinter-institutionalmultidisciplinarynext generationnoveloutreachpatient registrypopulation basedprogramsscience educationskillstranslational pipelinetranslational scientist
项目摘要
ABSTRACT
The
(Phase
goal of the Center for Clinical and Translational Science's (CCTS) proposed continuation
II) RADx-UP 121 project is todetermine trends and disparities of SARS-CoV-2 testing,
infections, and COVID-19 vaccination coverage in threetargeted Texas regions:Houston/Harris
County; South Texas (Cameron and Hidalgo Counties; and 3) Northeast TX (seven counties
including the city of Tyler). This effort will result in improved and expanded
time
related
will:
recent
structural
and
access
enabled
multilevel, just-in-
adaptive intervention trategies to reach vulnerable populations experiencing inequities
to COVID-19. More specifically, in collaboration with community partners, this project
1) identify disparities and dynamics of SARS-CoV-2 testing and infections, considering
data on COVID-19 vaccination; 2) identify personal, organizational, community, and
factors contributing to SARS-CoV-2 testing and COVID-19 vaccination disparities,
3) expand the reach and impact of a
multil evel intervention to increase motivation for and
to testing and vaccination among vulnerable populations. The project's efforts will be
by leveraging long-standing community partnerships.
s
Phase II will be informed by learnings and accomplishments from the Phase I effort,
which have included: (1) Developing real-time data processing procedures and implemented
quality control measures for various local data, including SARS-CoV-2 testing data, case
investigation and hospital records; (2) Processing and analyzing COVID-19 case data including
over 367,000 cases in Harris County, over 40,000 in Cameron County, and over 29,000 cases in
Northeast Texas counties - all datasets now have common data elements and consistent formats;
(3) Developing several metrics to quantify the COVID-19 disease burden for the overall
population and by demographic subgroups; (4) Developing the census block group (CBG)-level
disparity index, which is constructed using 12 variables from the American Community Survey
(ACS) and; (5) Identifying the CBGs disproportionately affected by SARS-CoV-2 infections and
prioritizing them for interventions to increase testing uptake and COVID-19 vaccination using
the developed disease burden metrics and disparity index.
Changes (enhancements and expansion) to be implemented in Phase II, as compared to
Phase I (benchmark), include: (A) Adapting Phase I CHW-training/outreach program to include
training on motivational interviewing, and an expanded focus on vaccination education and
motivation/promotion of testing; (B) Enhancing 2-1-1-based education, motivation, and referral
to testing and vaccination, (C) Including broader-based social media outreach, such as geo-
targeted Facebook ads to motivate users to access COVID-19 testing and vaccination; (D)
Conducting a panel study to compare the effectiveness of the CHW-Facilitated Self-Sampling
Intervention vs. CHW Testing Navigation Intervention on participation in SARS-CoV-2 testing,
and; (E) Assessing the impact and reach of multilevel COVID-19 communication networks on
individuals' attitudes, intentions, and decisions on behavior surrounding SARS-CoV-2 testing
and COVID-19 vaccination in underserved communities.
摘要
的
(阶段
临床和转化科学中心(CCTS)的目标
II)RADx-UP 121项目旨在确定SARS-CoV-2检测的趋势和差异,
感染,以及德克萨斯州三个目标地区的COVID-19疫苗接种覆盖率:休斯顿/哈里斯
县;德克萨斯州南部(卡梅隆县和伊达尔戈县; 3)德克萨斯州东北部(7个县
包括泰勒市)。这一努力将改善和扩大
时间
相关
将:
最近
结构
和
接入
启用
多层次的,刚刚在-
适应性干预战略,以帮助经历不平等的弱势群体
新冠肺炎更具体地说,通过与社区伙伴合作,该项目
1)确定SARS-CoV-2检测和感染的差异和动态,考虑
关于COVID-19疫苗接种的数据; 2)识别个人、组织、社区和
导致SARS-CoV-2检测和COVID-19疫苗接种差异的因素,
3)扩大一个
多层次的干预,以增加动力,
在弱势群体中进行检测和接种疫苗。该项目的努力将是
通过利用长期的社区合作伙伴关系。
S
第二阶段将借鉴第一阶段工作的经验和成就,
包括:(1)开发实时数据处理程序,
各种本地数据的质量控制措施,包括SARS-CoV-2检测数据、病例
调查和医院记录;(2)处理和分析COVID-19病例数据,包括
哈里斯县超过367,000例,卡梅隆县超过40,000例,
德克萨斯州东北部各县-所有数据集现在都有共同的数据元素和一致的格式;
(3)制定几个指标来量化整体COVID-19疾病负担
(4)发展人口普查区组-一级
差距指数,它是由美国社区调查的12个变量构成的
(ACS)和;(5)确定受SARS-CoV-2感染不成比例影响的CBG,
优先考虑他们的干预措施,以增加检测和COVID-19疫苗接种,
发达国家的疾病负担指标和差距指数。
与第二阶段相比,第二阶段将实施的变更(增强和扩展)
第一阶段(基准),包括:(A)调整第一阶段CHW培训/推广方案,
关于动机访谈的培训,以及扩大对疫苗接种教育的关注,
激励/促进测试;(B)加强基于2 - 1 - 1的教育、激励和转诊
(c)包括基础更广泛的社会媒体外联,如地理信息系统,
有针对性的Facebook广告,以激励用户获得COVID-19检测和疫苗接种;(D)
进行一项小组研究,以比较CHW促进的自我采样的有效性
参与SARS-CoV-2检测的干预与CHW检测导航干预,
及;(E)评估COVID-19多层次传播网络的影响和范围,
个人对SARS-CoV-2检测的态度、意图和行为决定
以及在服务不足的社区接种新冠疫苗。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Maria Eulalia Fernandez其他文献
Maria Eulalia Fernandez的其他文献
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{{ truncateString('Maria Eulalia Fernandez', 18)}}的其他基金
LISTOS for Cancer Control - Leveraging Implementation Science To Optimize Strategies for Cancer Control
LISTOS 用于癌症控制 - 利用实施科学来优化癌症控制策略
- 批准号:
10738709 - 财政年份:2023
- 资助金额:
$ 115.9万 - 项目类别:
Addressing COVID-19 Testing Disparities in Vulnerable Populations Using a Community JITAI (Just in Time Adaptive Intervention) Approach - Phase II
使用社区 JITAI(及时适应性干预)方法解决弱势群体中的 COVID-19 检测差异 - 第二阶段
- 批准号:
10414681 - 财政年份:2021
- 资助金额:
$ 115.9万 - 项目类别:
Health Promotion and Disease Prevention Research Centers
健康促进和疾病预防研究中心
- 批准号:
10662444 - 财政年份:2020
- 资助金额:
$ 115.9万 - 项目类别:
Development and Validation of a Measure of Organizational Readiness (motivation x capacity) for Implementation
制定和验证组织实施准备情况(动机 x 能力)衡量标准
- 批准号:
10311516 - 财政年份:2018
- 资助金额:
$ 115.9万 - 项目类别:
Development and Validation of a Measure of Organizational Readiness (motivation x capacity) for Implementation
制定和验证组织实施准备情况(动机 x 能力)衡量标准
- 批准号:
10530666 - 财政年份:2018
- 资助金额:
$ 115.9万 - 项目类别:
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