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CO-CREATE-Ex: Community-engaged Optimization of COVID-19 Rapid Evaluation And TEsting Experiences

CO-CREATE-Ex：社区参与优化 COVID-19 快速评估和测试体验

基本信息

批准号：
10617124
负责人：
LOUISE CHANG LAURENT
金额：
$ 102.31万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN DIEGO
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：
2022-11-01 至 2024-10-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10617124
关键词：
Acceleration Action Research Address Administrator Adoption Area Authorization documentation COVID-19 COVID-19 impact COVID-19 pandemic COVID-19 test COVID-19 testing California Clinic Clinical Communities Community Participation Counseling County Diagnostic Reagent Kits Disparity FDA approved Federally Qualified Health Center Generations Goals Health Home Human Incidence Institution Investments Knowledge Latino Learning Linguistics Maps Measures Methods Mexico Modeling Organizational Change Outcome Participant Phase Population Positioning Attribute Practical Robust Implementation and Sustainability Model Preparation Preventive care Protocols documentation Provider Public Health RADx Underserved Populations Reduce health disparities Research Research Design Research Personnel SARS-CoV-2 infection Self Administration Services Site Social Change Specific qualifier value Testing Theory of Change Trust Walking Work antigen test authority care systems community center community organizations ethnic minority evaluation/testing experience flexibility health disparity health information technology implementation design implementation evaluation implementation measures implementation science implementation strategy innovation member minority communities pandemic disease practical application primary care clinic primary outcome programs prototype public health research rapid test rapid testing response safety net secondary outcome self testing success testing uptake transmission process underserved community uptake

项目摘要

PROJECT SUMMARY/ABSTRACT Cases of COVID-19 infection in San Diego have persistently remained high in the county’s central and southern communities near the US/Mexico border, home to primarily Latino residents who have been one of the ethnic minority communities most impacted by COVID-19. To address this, our Phase I RADx-UP project partnered with San Ysidro Health (SYH), a federally qualified health center, and the Global Action Research Center (Global ARC), a social change organization, to co-create and demonstrate the impact of a PCR-based COVID-19 testing program in San Ysidro. To date, we have administered approximately 15,000 PCR tests for >10,000 community members (92% Latino) and received requests from SYH to scale-out the testing program to additional primary care clinic sites. Responsive to RFA-OD-22-006, we will continue working with our community (Global ARC) and clinical (SYH) partners to refine, specify, implement, and evaluate an implementation strategy bundle that optimizes COVID-19 testing, expanding beyond current PCR testing to focus on FDA-authorized COVID-19 rapid antigen testing. Use of self-administered rapid antigen tests will allow participants to build capacity to self-test and use health information technology to access additional clinic services. Based on initial implementation mapping with the project’s established Community and Scientific Advisory Board, three implementation strategies were prioritized to accelerate sustained uptake of rapid COVID-19 testing. These three strategies include: (1) current, walk-up onsite free testing; (2) promotores-led COVID-19 test counseling and preventive care reminders; (3) vending machines that dispense FDA-authorized self-testing kits. Our primary objectives are to: 1) refine and operationalize our multi-component implementation strategy bundle and a related set of measures of success for rapid FDA- authorized COVID-19 testing and 2) implement and evaluate impact of our innovative, multilevel, and multicomponent implementation strategy bundle to optimize COVID-19 rapid testing among underserved, Latino communities using a roll-out implementation optimization study design across four clinics over 18 months. The COVID-19 pandemic has underscored the urgent and essential need to engage invested community parties continuously and meaningfully in public health research to reduce health disparities. This proposal is well-positioned to provide a set of strategies and measures of success that can be used in settings serving underserved communities while maintaining flexibility to adjust to the changing COVID-19 landscape.

项目概要/摘要圣地亚哥的 COVID-19 感染病例在该县中部和南部地区持续居高不下美国/墨西哥边境附近的社区，主要居住着拉丁裔居民，他们是少数民族之一受 COVID-19 影响最严重的少数族裔社区。为了解决这个问题，我们的第一阶段 RADx-UP 项目合作与圣伊西德罗健康中心（SYH）（一家联邦合格的健康中心）和全球行动研究中心（全球 ARC）是一个社会变革组织，共同创建并展示基于 PCR 的 COVID-19 测试的影响圣伊西德罗计划。迄今为止，我们已为超过 10,000 个社区进行了大约 15,000 次 PCR 检测成员（92% 拉丁裔），并收到 SYH 的请求，将测试计划扩展到更多主要地区护理诊所网站。为了响应 RFA-OD-22-006，我们将继续与我们的社区 (Global ARC) 合作并临床 (SYH) 合作伙伴完善、指定、实施和评估实施策略包，优化 COVID-19 检测，超越当前的 PCR 检测，重点关注 FDA 授权的 COVID-19 快速检测抗原检测。使用自我管理的快速抗原测试将使参与者能够建立自我测试的能力并利用健康信息技术获得额外的诊所服务。基于初步实施与该项目成立的社区和科学咨询委员会进行映射，三个实施优先考虑加速快速 COVID-19 检测的持续采用的策略。这三个策略包括： (1) 当前的现场免费测试； (2) 发起人主导的COVID-19检测咨询和预防护理提醒； (3) 分发 FDA 授权的自检套件的自动售货机。我们的主要目标是 1）完善和实施我们的多组件实施策略包和一组相关的 FDA 授权的快速 COVID-19 检测的成功衡量标准，以及 2) 实施和评估我们的影响用于优化 COVID-19 快速检测的创新、多层次、多组件实施策略包在服务不足的拉丁裔社区中使用跨四个项目的实施优化研究设计诊所超过18个月。 COVID-19 大流行凸显了参与的紧迫性和必要性社区各方持续、有意义地投资于公共卫生研究，以减少健康差距。该提案很好地提供了一套可用于以下方面的成功战略和衡量标准：为服务欠缺的社区提供服务的环境，同时保持灵活性以适应不断变化的 COVID-19 景观。