Addressing Vaccine AcceptaNce in Carceral Settings through Community Engagement (ADVANCE)

通过社区参与 (ADVANCE) 解决监狱环境中的疫苗接受问题

• 批准号: 10585239
• 负责人: DEANNA HOSKINS
• 金额: $ 66.58万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-26 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10585239
• 关键词: Address; Affect; Black Populations; Black race; COVID-19; COVID-19 impact; COVID-19 pandemic; COVID-19 vaccine; Cluster randomized trial; Communities; Effectiveness of Interventions; Family; General Population; Goals; Imprisonment; Individual; Intervention; Jail; Justice; Knowledge; Latinx; Latinx population; Link; Mission; National Institute on Minority Health and Health Disparities; Patients; Pennsylvania; Persons; Phase; Population; Prisons; Provider; Public Health; Recording of previous events; Research; Social Policies; Testing; Time; Update; Vaccination; Variant; Work; base; community based participatory research; community engagement; correctional system; distrust; effective intervention; effectiveness study; effectiveness testing; evidence base; health care model; health disparity; improve minority health; improved; infection rate; influenza virus vaccine; minority communities; prison population; social norm; vaccine acceptance

PROJECT SUMMARY The COVID-19 pandemic has had a disproportionate impact on those who are incarcerated and work in our nation's prisons and jails. The prison population has had an infection rate that is five times the rate in the general population and correctional staff have been infected at three times the rate of the general population. High rates of COVID-19 in correctional systems are linked to high rates in surrounding communities, especially in jails with high population turnover and in communities where correctional officers work. Vaccination in correctional systems is an important community-wide COVID-19 mitigation strategy. But rates of vaccine acceptance vary considerably, in part due to issues of distrust and unique social norms and policies within correctional systems. Prior work on vaccine acceptance strategies, even amongst Black and Latinx people who are disproportionately incarcerated, has rarely focused on strategies that work in corrections. Until this knowledge gap is addressed, it will be difficult to reduce the disproportionate impact of COVID-19 on minoritized populations in correctional facilities and the communities to which they return. This is especially important with ongoing new variants emerging. The overall objective of this proposal, ADdressing Vaccine AcceptaNce in Carceral Settings through Community Engagement (ADVANCE), is to identify feasible and effective interventions to improve vaccine uptake in prisons. We will adapt the successful P3 vaccine acceptance model for healthcare practices, developed by our team, to identify new and iterate on old strategies appropriate for prisons, creating a new Patient, Provider, Practice, Prison-level (P4) framework. The central hypothesis of the proposal is that strategies developed by and studied in partnership with people directly impacted by the correctional system will increase vaccine acceptance. To test this hypothesis, we will tackle three aims: (1) identify promising correctional system-based strategies to improve vaccine acceptance; (2) adapt these strategies into an updated P4 framework using community based participatory research approach; and (3) study the effectiveness of these interventions through rapid cycle, cluster-randomized trials in the Pennsylvania correctional system. Throughout study phases, currently and previously incarcerated people and correctional staff will provide input so P4 interventions are most likely to succeed. ADVANCE represents a substantial departure from previous work on vaccine acceptance by focusing on providing an evidence base for addressing vaccine acceptance in correctional systems that can be scaled and adapted for other justice- involved populations.

项目总结 新冠肺炎疫情对那些在我们的监狱里工作的人产生了不成比例的影响 国家的监狱和监狱。监狱人口的感染率是美国监狱感染率的五倍 普通人口和教养人员的感染率是普通人口的三倍。 惩教系统中新冠肺炎的高比率与周围社区的高比率有关，特别是 在人口流动率高的监狱和惩教人员工作的社区。在中国接种疫苗 惩教系统是一项重要的社区范围的新冠肺炎缓解战略。但疫苗接种率 接受程度差异很大，部分原因是内部的不信任问题和独特的社会规范和政策 惩教系统。之前在疫苗接受策略方面的工作，即使在黑人和拉丁裔人中也是如此 不成比例地被监禁，很少把重点放在管教有效的战略上。直到这一天 如果知识鸿沟得到解决，将很难减少新冠肺炎对 惩教机构和他们返回的社区中的小规模人口。这是特别的 随着不断涌现的新变种，这一点很重要。这项提案的总体目标是解决疫苗问题 通过社区参与(高级)在监狱环境中的接受，是为了确定可行和 有效干预措施，以提高监狱中的疫苗接种率。我们将采用成功的P3疫苗 医疗实践的接受模型，由我们的团队开发，用于识别新策略并在旧策略上迭代 适用于监狱，创建了一个新的患者、提供者、执业、监狱级(P4)框架。中环 该提议的假设是，战略是由人们直接开发并与之合作研究的 受惩教系统的影响将增加疫苗的接受度。为了验证这一假设，我们将处理 三个目标：(1)确定基于惩教系统的有前景的战略，以提高疫苗接受度；(2) 采用以社区为基础的参与性研究方法，将这些战略纳入更新后的P4框架； 以及(3)通过快速循环、整群随机试验研究这些干预措施的有效性。 宾夕法尼亚州惩教系统。在整个研究阶段，目前和以前被监禁的人和 惩教人员将提供意见，因此P4干预最有可能成功。预付款代表一种 将重点放在提供证据基础上，与以前关于疫苗接受度的工作大相径庭 解决惩教系统接受疫苗的问题，这些系统可以扩大和调整，以适应其他司法- 涉及到的人群。