Center for American Indian and Rural Health Equity

美洲印第安人和农村健康公平中心

• 批准号: 10255113
• 负责人: Alexandra K. Adams
• 金额: $ 111.6万
• 依托单位: MONTANA STATE UNIVERSITY - BOZEMAN
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-11-17 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10255113
• 关键词: 2019-nCoV; Adult; Affect; Agricultural Workers; American Indians; COVID testing; COVID-19; COVID-19 pandemic; COVID-19 testing; Cardiovascular Diseases; Characteristics; Chronic Disease; Clinical Research; Collaborations; Communities; Community Health; Community Outreach; Diabetes Mellitus; Diagnostic Reagent Kits; Economics; Educational Materials; Face; Focus Groups; Harvest; Health Educators; Health behavior; Hispanics; Home; Indian reservation; Individual; Influenza; Instruction; Interview; Latino; Malignant Neoplasms; Materials Testing; Methods; Migrant; Misinformation; Modeling; Montana; Northwestern United States; Outcome Measure; Participant; Population; Positioning Attribute; Prognosis; Protocols documentation; Qualitative Research; RADx Underserved Populations; Randomized; Research; Reservations; Respiratory Tract Infections; Risk; Rural; Rural Community; Rural Health; SARS-CoV-2 transmission; Salish and Kootenai Tribes; Seasons; Site; Surveys; Telephone; Testing; Training; Travel; Trust; Universities; Washington; Work; Yakima Valley; acceptability and feasibility; active method; arm; base; behavioral economics; community based participatory research; community based research; dissemination strategy; electronic consent; experience; farm worker; flu; health care availability; health disparity; health equity; high risk; home test; implementation strategy; informant; interest; member; outreach; point of care; point of care testing; primary outcome; randomized trial; respiratory virus; rural underserved; secondary outcome; self testing; social; sociodemographics; testing uptake; trial design; tribal community

Project Summary The COVID-19 pandemic has disproportionately affected American Indian (AI) and Latino communities, and these groups also have increased risk of poor prognosis due to high rates of chronic disease such as diabetes, cardiovascular disease, and cancer. In the northwestern United States, AI and Latino communities already face significant disparities in health care access, which have been further exacerbated by the COVID-19 pandemic. In the proposed study, Protecting Our Community: A Pragmatic Randomized Trial of Home-Based COVID Testing with American Indian and Latino Communities, we will leverage our long-term community- based participatory research partnerships to test the hypothesis that home-based testing will be feasible, impactful, and better-accepted using active delivery of test kits by trusted community health educators in two vulnerable, high-risk rural communities. Our two long-term partner communities are the Flathead Indian Reservation of the Confederated Salish and Kootenai Tribes in Montana, and the Yakima Valley of Washington, a large Latino community. We will determine the cultural, social, behavioral, and economic barriers to home-based SARS-CoV-2 testing; culturally adapt and enhance home-testing educational materials and create home-testing instructional graphics and YouTube videos; conduct a 2-arm pragmatic randomized trial of active (delivered by community health educator) vs. passive (mailed) home-based testing kits (n = 200/community) for testing completion; and create model community-driven testing protocols that can have significant impact for increasing home-based testing uptake among AI and Latino communities nationally. This work will enable underserved AI and Latino communities to take full advantage of the coming wave of rapid point-of-care home tests and decrease the significant impact of COVID-19 in their communities.

项目总结