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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.

项目总结/文摘