Scaling and Sustaining COVID-19 Vaccination through Meaningful Community Engagement and Care Coordination for Underserved Communities
通过对服务不足的社区进行有意义的社区参与和护理协调来扩大和维持 COVID-19 疫苗接种
基本信息
- 批准号:10585015
- 负责人:
- 金额:$ 60.37万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-09-26 至 2027-06-30
- 项目状态:未结题
- 来源:
- 关键词:Action ResearchAddressAdoptionAdultAppointmentAppointments and SchedulesBehaviorBlack, Indigenous, People of ColorBorder CommunityCOVID-19COVID-19 disparityCOVID-19 testingCOVID-19 vaccinationCOVID-19 vaccineClinicCombined VaccinesCommunicable DiseasesCommunitiesComplexCountryDataEffectivenessElementsEvaluationFDA approvedFederally Qualified Health CenterGoalsHealthHealth behaviorHealthy People 2020HybridsImmigrantImmunizationIndividualInfluenza vaccinationInstitutionKnowledgeLatinoLearningLinguisticsLow incomeMaintenanceMammographyMethodsMexicoMorbidity - disease ratePersonsPractical Robust Implementation and Sustainability ModelPreventivePreventive carePreventive healthcareProcessPublic HealthRADx Underserved PopulationsRefugeesReportingResearch PersonnelResourcesSARS-CoV-2 infectionScheduleScientistScreening for cancerSequential Multiple Assignment Randomized TrialServicesSocial ChangeSurveysTechnologyTestingTextText MessagingThinkingTrustVaccinationVaccinesVoiceWorkbasecare coordinationcare outcomescolorectal cancer screeningcommunity centercommunity engagementdiabetes managementdriving forceeffectiveness outcomeexperiencehealth care availabilityhealth communicationhealth disparityhealth equityhealth literacyimplementation evaluationimplementation outcomesimplementation researchimplementation scienceimprovedinnovationlong-standing disparitieslow and middle-income countriesmHealthmobile computingmortalityoutreachpandemic diseasepost implementationpreventprogramspublic health prioritiesscreeningsocial health determinantssuccesstrial designunderserved communityuptakevaccine acceptancevaccine distributionvaccine hesitancy
项目摘要
PROJECT SUMMARY/ABSTRACT
COVID-19 vaccines have been inequitably distributed and vaccine uptake has lagged, particularly for
immigrant, refugee, Latino, and Black, Indigenous, People of Color (BIPOC) communities. Underlying reasons
for the slow and variable uptake of COVID-19 vaccines include individual (e.g., health literacy, trust), cultural
(e.g., linguistic needs), and structural barriers, such as technological and systemic factors (e.g., complex and
onerous processes to schedule and attend vaccine appointments). There is no one-size-fits-all approach to
vaccine implementation. This is borne out in the data indicating enormous disparities in COVID-19 testing,
morbidity, mortality, and inoculation rates. Culturally relevant and linguistically appropriate, dynamic, and
scalable strategies are essential to the immediate and long-term success of COVID-19 vaccine uptake and
pandemic mitigation. Changing COVID-19 vaccine uptake behaviors offers an opportunity to concurrently
improve engagement in other preventive health behaviors that are important public health priorities (e.g.,
diabetes management, cancer screenings, recommended adult vaccinations). We propose to co-refine, test,
and scale a multicomponent health program to address the multi-level barriers to vaccine uptake and
engagement in preventative healthcare in immigrant, refugee, Latino, and BIPOC communities in San Diego.
Harnessing reverse innovation thinking, we will apply the Practical Robust Implementation and Sustainability
Model (PRISM) to co-create with our community partners, the Global ARC, and San Ysidro Health, the
elements of a health program that combines mHealth outreach (community-driven text and voice messages)
and enhanced care coordination. Responsive to NOSI NOT-MD-22-006, this R01 will build on our current
CEAL and RADx-UP implementation research to scale and sustain a multicomponent health program to
increase acceptance, access, and uptake of COVID-19 vaccination and preventive care engagement among
underserved communities. We assembled an experienced team of community-engaged implementation
scientists, health equity, public health, and infectious disease researchers to accomplish the following aims: 1)
Optimize a multicomponent health program to promote COVID-19 vaccine uptake and engagement in
preventive healthcare using our established co-creation approach to address multi-level (individual,
community, systemic) barriers to vaccine uptake and preventive care engagement; 2) Evaluate the
implementation, effectiveness, and sustainment of the multicomponent COVID-19 vaccine and preventive care
engagement program using a hybrid type 3 implementation-effectiveness sequential multiple assignment
randomized trial design across immigrant, refugee, Latino, and BIPOC communities in Central and East San
Diego.
项目总结/摘要
COVID-19疫苗分配不公平,疫苗接种滞后,特别是
移民,难民,拉丁美洲人,黑人,土著,有色人种(BIPOC)社区。深层原因
对于COVID-19疫苗的缓慢和可变吸收,包括个体(例如,卫生知识、信任)、文化
(e.g.,语言需要)和结构性障碍,如技术和系统因素(例如,复杂和
安排和参加疫苗预约的繁重过程)。没有一种放之四海而皆准的方法,
疫苗实施。数据显示,COVID-19检测存在巨大差异,
发病率、死亡率和接种率。具有文化相关性和语言适当性、动态性,
可扩展的策略对于COVID-19疫苗接种的即时和长期成功至关重要,
大流行缓解。改变COVID-19疫苗接种行为提供了一个同时
改善参与其他预防性健康行为,这些行为是重要的公共卫生优先事项(例如,
糖尿病管理、癌症筛查、推荐的成人疫苗接种)。我们建议共同完善,测试,
并扩大多方面的卫生计划,以解决疫苗接种的多层次障碍,
在圣地亚哥的移民,难民,拉丁裔和BIPOC社区参与预防性医疗保健。
利用逆向创新思维,我们将应用实用的稳健实施和可持续性
模型(PRISM)与我们的社区合作伙伴,全球ARC和圣伊西德罗健康,
结合移动健康外展(社区驱动的文本和语音消息)的健康计划的要素
加强护理协调。响应NOSI NOT-MD-22-006,该R 01将基于我们目前的
CEAL和RADx-UP实施研究,以扩展和维持多组分健康计划,
增加接受、获得和接受COVID-19疫苗接种和预防保健的人数,
服务不足的社区。我们组建了一支经验丰富的社区参与实施团队,
科学家、卫生公平、公共卫生和传染病研究人员,以实现以下目标:1)
优化多组分卫生计划,促进COVID-19疫苗接种和参与
预防性医疗保健使用我们建立的共同创造方法来解决多层次(个人,
社区、系统性)疫苗接种和预防保健参与的障碍; 2)评估
多组分COVID-19疫苗和预防性护理的实施、有效性和可持续性
采用第三类实施-效能混合型顺序多重分配的交战计划
在旧金山中部和东部的移民、难民、拉丁裔和BIPOC社区进行随机试验设计
迪亚哥
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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Adrienn Borsika Rabin其他文献
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{{ truncateString('Adrienn Borsika Rabin', 18)}}的其他基金
Scaling and Sustaining COVID-19 Vaccination through Meaningful Community Engagement and Care Coordination for Underserved Communities
通过对服务不足的社区进行有意义的社区参与和护理协调来扩大和维持 COVID-19 疫苗接种
- 批准号:
10710200 - 财政年份:2022
- 资助金额:
$ 60.37万 - 项目类别:
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