Tailored Behavioral Intervention to Prevent Household and Community Spread of COVID-19 among Latinos

量身定制的行为干预措施，以防止拉丁美洲人中 COVID-19 的家庭和社区传播

• 批准号: 10249797
• 负责人: Noe Cuauhtemoc Crespo
• 金额: $ 65.96万
• 依托单位: SAN DIEGO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-06-10 至 2026-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10249797
• 关键词: Adherence; Adult; Behavior; Behavior Therapy; Behavioral; COVID-19; COVID-19 diagnosis; COVID-19 mortality; COVID-19 pandemic; COVID-19 prevention; California; Car Phone; Cessation of life; Chronic; Chronic Disease; Clinical; Collaborations; Communicable Diseases; Communities; Community Health Aides; Counseling; Data; Diagnosis; Economics; Emotional; Family health status; Federally Qualified Health Center; Future; Generations; Government; Health; Hispanic-serving Institution; Home; Home environment; Household; Housing; Infrastructure; Intervention; Latin America; Latino; Low Income Population; Mental Health; Minority Groups; Misinformation; Modeling; Morbidity - disease rate; Occupations; Outcome; Participant; Patients; Population; Positioning Attribute; Poverty; Preventive; Psyche structure; Public Health; Randomized; Recommendation; Research; Resources; Risk; Risk Factors; SARS-CoV-2 infection; Services; Social Distance; Sustainable Development; Techniques; Technology; Testing; Time; Underserved Population; United States; behavior change; behavioral health; clinical care; comparison group; disability; distrust; economic impact; effective intervention; efficacy testing; emotional distress; evidence base; experience; flexibility; follow-up; group intervention; health care service; health communication; high risk population; indexing; innovation; member; model design; mortality; motivational enhancement therapy; novel; pandemic disease; physical conditioning; prevent; promoter; public health emergency; racial and ethnic; recruit; severe COVID-19; social; standard of care; theories; vaccine acceptance; virtual

Project Summary/Abstract The United States currently has the highest COVID-19 infection and related mortality rates in the world. In California, Latinos account for the highest percent of COVID-19 cases (58.9%) and deaths (47.3%) and are disproportionately represented in occupations deemed as ‘essential’. Latinos also suffer from higher rates of poverty and chronic disease which places them at greater risk of COVID-19 infection and related complications. In collaboration with Family Health Centers of SD (FHCSD) and working with Community Health Workers (aka, promotores/as), we will implement a tailored intervention to reduce household- and community- spread of COVID-19 among Latinos. Households of recently diagnosed Latino adults (n=256 households) will be randomized to one of two groups: 1) Standard-of-Care comparison group, 2) COVID-19 promotor/a Intervention, who will receive standard of care plus tailored counseling delivered by promotores/as. This project will test the immediate, mid-term, and long-term efficacy of the promotor/a intervention to prevent household and community spread of COVID-19. In addition, we will test the efficacy of the proposed intervention on short- and long-term behavioral, mental, and physical health outcomes. This study aims to reduce the spread of COVID-19 in a population that has exceptionally high rates of morbidity and mortality due to COVID-19. We will harness our research team’s extensive experience in developing multi-level interventions working with promotores/as to promote behavior change among Latinos, and leverage a strong community-academic collaboration that maximizes community impact and sustainability. This research will lead to the development of sustainable and scalable community-academic models designed to respond quickly, efficiently, and effectively to both this existing and future public health threats.

项目总结/文摘