Evaluating a Community-Led COVID-19 Testing Intervention to Address Mistrust

评估社区主导的 COVID-19 检测干预措施以解决不信任问题

• 批准号: 10617004
• 负责人: Kelli England
• 金额: $ 52.5万
• 依托单位: EASTERN VIRGINIA MEDICAL SCHOOL
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-11-01 至 2024-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10617004
• 关键词: Address; Affect; Anxiety; Area; Authorization documentation; Black race; COVID-19; COVID-19 impact; COVID-19 pandemic; COVID-19 testing; COVID-19 vaccination; COVID-19 vaccine; Charge; Communities; Control Groups; Coupled; Data; Decision Making; Development; Employment; Enrollment; Environment; Evaluation; Family; Feedback; Goals; Government; Hand; Housing; Institution; Intervention; Low income; Measures; Modeling; Nature; Participant; Persons; Privacy; Process; Public Health; Public Housing; Quarantine; RADx Underserved Populations; Relationship-Building; Replication-Associated Process; Reporting; Research; Research Design; Research Infrastructure; Research Support; Resistance; Rest; Self Administration; Standardization; Testing; Trust; Vaccination; Virginia; Work; arm; authority; cohort; cost; digital; effectiveness/implementation study; expectation; experience; follow up assessment; home test; member; outreach; pandemic disease; pandemic response; peer coaching; public trust; rapid test; rapid testing; response; socioeconomics; success; therapy design; trustworthiness; vaccine hesitancy; virtual

Project Summary Our preliminary work with low-income Black residents in Southeastern and Central Virginia suggests that preexisting mistrust in the public health establishment and other important government institutions has worsened during the pandemic, affecting decision making about following public health guidance related to COVID-19 testing and vaccination. In particular, participants in our current study report that a major barrier to COVID-19 testing is the expectation that a positive result will be used against them. This suggests that trust- building must be a cornerstone of any COVID-19 outreach efforts. The goal of this proposal is to address these concerns through the development of a community-led intervention co-developed with our partner Housing Collaborative Community Advisory Board (HC CAB). Our HC CAB partners report that our relationships with them helped overcome mistrust common in their communities. They described the way we interacted with them, rather than any specific content, led us to be viewed as trustworthy. Engagement with a strong relationship building focus is thus likely an important intervention in and of itself—in this study we will standardize a process of relationship and trust building to be used as core components of a community-led intervention promoting rapid COVID-19 testing. In Aim 1 we administer and evaluate a preliminary virtual Peer Mentor COVID-19 testing intervention developed with our HC CAB partners. It uses a Peer Mentor model in which HC CAB members guide other community members participating in the study through self-administering a rapid in-home test. The process will be virtual, with HC CAB member Peer Mentors and participants using digital access capacity provided and supported by the research team. In a second arm of the study participants will meet with research staff in group sessions meant to approximate the experience of being a member of a community advisory board. There will also be a control group which will only receive follow up assessment. In Aim 2 we use evaluation data to develop an adapted COVID-19 testing intervention. In Aim 3 we administer the adapted intervention.

项目摘要 我们对弗吉尼亚州东南部和中部低收入黑人居民的初步研究表明， 对公共卫生机构和其他重要政府机构的不信任， 在大流行期间恶化，影响了关于遵循与以下方面有关的公共卫生指导的决策： COVID-19检测和疫苗接种。特别是，我们目前研究的参与者报告说， COVID-19检测是预期阳性结果将用于对抗他们。这表明信任- 建筑必须是任何COVID-19外联工作的基石。 这项建议的目标是通过发展一个社区主导的 我们与我们的合作伙伴住房合作社区咨询委员会（HC CAB）共同制定了干预措施。我们 HC CAB合作伙伴报告说，我们与他们的关系有助于克服他们在工作中常见的不信任。 社区.他们描述了我们与他们互动的方式，而不是任何具体的内容，导致我们被 被视为值得信赖的。因此，以建立牢固的关系为重点的参与可能是重要的 在这项研究中，我们将标准化的关系和信任的建立过程， 作为社区主导的干预措施的核心组成部分，促进快速COVID-19检测。 在目标1中，我们管理和评估了初步的虚拟同伴导师COVID-19测试干预 与我们的HC CAB合作伙伴共同开发。它使用了一个同行导师模式，其中HC CAB成员指导其他 参与研究的社区成员通过自我管理快速在家测试。该过程将 是虚拟的，HC CAB成员同行导师和参与者使用提供的数字访问能力， 由研究团队支持。在研究的第二部分，参与者将与研究人员会面， 小组会议的意思是近似的经验，是一个社区咨询委员会的成员。 另外还有一个对照组，只接受后续评估。在目标2中，我们使用评估 数据，以制定适应COVID-19检测干预措施。在目标3中，我们实施了适应性干预。