Getting Asian Americans INFORMED to Facilitate COVID-19 Testing and Vaccination

让亚裔美国人了解情况以促进 COVID-19 检测和疫苗接种

• 批准号: 10259559
• 负责人: Janice Y Tsoh
• 金额: $ 59万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-12-01 至 2022-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10259559
• 关键词: Address; Affect; American; Asian Americans; Behavioral; COVID-19; COVID-19 diagnosis; COVID-19 mortality; COVID-19 outbreak; COVID-19 pandemic; COVID-19 testing; COVID-19 vaccination; California; Cessation of life; Chinese People; Clinical Trials; Color; Colorectal; Communication; Communities; Competitive Behavior; Conflict (Psychology); Confusion; Data; Decision Making; Diagnosis; Disease; Disease Progression; Education; Education and Outreach; Educational Intervention; Ethics; Face; Family; Filipino; Fright; Goals; Government; Guidelines; Health; Hepatitis B; Hepatitis C; Home; Household; Immigrant; Immunization; Incidence; Individual; Inequality; Intervention; Intervention Studies; Investigation; Knowledge; Korean American; Koreans; Limited English Proficiency; Measures; Parents; Participant; Persons; Physical activity; Population; Preventive care; Randomized Controlled Trials; Readiness; Research; Resources; Rural Community; SARS-CoV-2 infection; Shelter facility; Smoker; Testing; Text; Text Messaging; Time; Tobacco use; Training; Trust; Uncertainty; United States; Urban Community; Vaccination; Videoconferencing; arm; authority; base; behavior change; breast and cervical cancer screening; combustible cigarette; community burden; community partnership; electronic cigarette use; experience; hate crimes; male; novel strategies; nutrition; outreach; pandemic disease; programs; prospective; recruit; reduce tobacco use; social culture; social stigma; testing uptake; uptake; vaccine acceptance

PROJECT SUMMARY This time sensitive proposal, Getting Asian Americans INFORMED to Facilitate COVID-19 Testing and Vaccinations, is to identify and address sociocultural, ethical and behavioral barriers related to COVID-19 testing and COVID-19 vaccination to enable Asian Americans to make well-informed decisions about getting tested for COVID-19. Asian Americans have experienced among the highest COVID-19 mortality rates when measured in case fatality and proportionate mortality due to COVID-19. Excess COVID-19 related deaths observed in Asian Americans are in part due to under-testing. Asian Americans may face multiple challenges, including sociocultural (limited English proficiency, lack of trust, excess fears and social stigma related COVID-19), ethical (lack of proven benefits of various guidelines, unequal access to testing resources), and behavioral (tobacco and e-cigarette use, other competitive behaviors) factors. The pandemic is rapidly evolving and presents urgent needs to develop highly efficient channels to communicate accurate, easily comprehensive, cultural appropriate and practical information. This application is a supplement to a parent R01 “A Family- Focused Intervention for Asian American Male Smokers,” as known to the public as a community-based intervention research program “Healthy Family Project.” The Healthy Family Project has provided more than 1,100 smokers and families a family-oriented intervention delivered by lay health workers (LHW) showing efficacies in in reducing tobacco use and promoting healthy nutrition and physical activity among Chinese and Vietnamese Americans. Prior to the parent R01, our team tested LHW interventions targeting individual behavior change in increasing colorectal, cervical and breast cancer screening and hepatitis B and C testing, and healthy nutrition and physical activity among Chinese, Hmong, Korean, Filipino and Vietnamese Americans. Leveraging the community partnerships and the individual / family-based LHW intervention approaches that we developed, we propose these aims: (1) Develop and evaluate “INdividual and Family- Oriented Responsive Messaging EDucation” (INFORMED) intervention in increasing knowledge about COVID- 19 testing and decreasing decisional conflicts of getting tested for COVID-19. A 2-arm randomized controlled trial will compare INFORMED delivered by LHW educational outreach plus SMS text messaging to SMS text with LHW support. (2) Conduct in-depth prospective investigation of sociocultural, ethical and behavioral factors related to COVID-19 testing in Chinese, Hmong and Vietnamese American over-time. In addition, we will explore factors affecting acceptance for vaccination research trial participation and vaccination uptake and how vaccination acceptance is associated with COVID-19 testing uptake.

项目摘要 这项时间敏感的提案，让亚裔美国人知情，以促进COVID-19检测， 疫苗接种是为了识别和解决与COVID-19相关的社会文化，道德和行为障碍 检测和COVID-19疫苗接种，使亚裔美国人能够在充分知情的情况下决定是否接受检测， 2019冠状病毒病。亚裔美国人经历了最高的COVID-19死亡率， COVID-19导致的死亡率和死亡率比例。观察到的COVID-19相关死亡人数 亚裔美国人的部分原因是测试不足。亚裔美国人可能面临多重挑战，包括 社会文化（英语能力有限，缺乏信任，过度恐惧和与COVID-19相关的社会耻辱）， 道德（缺乏各种指南的证明效益，获得测试资源的不平等）和行为 （烟草和电子烟使用，其他竞争行为）因素。这一流行病正在迅速演变， 迫切需要开发高效的沟通渠道，准确，易于全面， 文化上的实用信息。本申请是对父母R 01“A家庭- 针对亚裔美国男性吸烟者的重点干预”，作为一个以社区为基础的 干预研究方案“健康家庭项目”。健康家庭项目提供了超过 1，100名吸烟者和家庭，由非专业卫生工作者（LHW）提供面向家庭的干预，显示 在中国人中减少烟草使用和促进健康营养和体育活动的功效， 越南裔美国人。在母体R 01之前，我们的团队测试了针对个体的LHW干预措施， 在增加结直肠癌、宫颈癌和乳腺癌筛查以及B和C型肝炎检测方面的行为改变， 中国人、苗族人、韩国人、菲律宾人和越南人的健康营养和体育活动 美国人利用社区伙伴关系和基于个人/家庭的LHW干预 我们开发的方法，我们提出了这些目标：（1）开发和评估“个人和家庭， 定向响应消息教育”（INFORMED）干预，以增加对COVID的了解- 19检测和减少接受COVID-19检测的决策冲突。一项2组随机对照 试验将比较LHW教育外展服务加上短信发送的INFORMED与短信发送的INFORMED 在LHW的支持下(2)对社会文化、道德和行为进行深入的前瞻性调查 随着时间的推移，中国人、苗族人和越南裔美国人的COVID-19检测相关因素。另外我们 将探讨影响接受疫苗接种研究试验参与和疫苗接种的因素， 疫苗接种接受度与COVID-19检测接受度之间的关系。