Tailored Behavioral Intervention to Prevent Household and Community Spread of COVID-19 among Latinos

量身定制的行为干预措施，以防止拉丁美洲人中 COVID-19 的家庭和社区传播

• 批准号: 10580078
• 负责人: Noe Cuauhtemoc Crespo
• 金额: $ 62.15万
• 依托单位: SAN DIEGO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-06-10 至 2026-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10580078
• 关键词: Adherence; Adult; Behavior; Behavior Therapy; Behavioral; COVID-19; COVID-19 complications; COVID-19 diagnosis; COVID-19 mortality; COVID-19 pandemic; COVID-19 prevention; COVID-19 risk; California; Cellular Phone; Cessation of life; Chronic; Chronic Disease; Clinical; Collaborations; Communicable Diseases; Communities; Community Health Aides; Counseling; Data; Diagnosis; Disparity; Economics; Education; Emotional; Family health status; Federally Qualified Health Center; Future; Government; Health; Hispanic-serving Institution; Home; Home environment; Household; Housing; Infrastructure; Intervention; Latin America; Latino; Latino Population; Low income; Mental Health; Misinformation; Modeling; Morbidity - disease rate; Occupations; Outcome; Participant; Patients; Population; Positioning Attribute; Poverty; Preventive; Psyche structure; Public Health; Randomized; Recommendation; Research; Resources; Risk; Risk Factors; Risk Reduction; SARS-CoV-2 infection; Services; Social Distance; Sustainable Development; Techniques; Technology; Testing; Time; Underserved Population; United States; behavior change; behavioral health; clinical care; community transmission; comparison group; disability; distrust; economic impact; effective intervention; efficacy testing; emotional distress; ethnic minority population; evidence base; experience; flexibility; follow-up; group intervention; health care service; health communication; high risk population; indexing; innovation; member; model design; mortality; motivational enhancement therapy; novel; pandemic disease; physical conditioning; prevent; promoter; public health emergency; racial minority population; recruit; severe COVID-19; social; standard of care; theories; vaccine acceptance; virtual

Project Summary/Abstract The United States currently has the highest COVID-19 infection and related mortality rates in the world. In California, Latinos account for the highest percent of COVID-19 cases (58.9%) and deaths (47.3%) and are disproportionately represented in occupations deemed as ‘essential’. Latinos also suffer from higher rates of poverty and chronic disease which places them at greater risk of COVID-19 infection and related complications. In collaboration with Family Health Centers of SD (FHCSD) and working with Community Health Workers (aka, promotores/as), we will implement a tailored intervention to reduce household- and community- spread of COVID-19 among Latinos. Households of recently diagnosed Latino adults (n=256 households) will be randomized to one of two groups: 1) Standard-of-Care comparison group, 2) COVID-19 promotor/a Intervention, who will receive standard of care plus tailored counseling delivered by promotores/as. This project will test the immediate, mid-term, and long-term efficacy of the promotor/a intervention to prevent household and community spread of COVID-19. In addition, we will test the efficacy of the proposed intervention on short- and long-term behavioral, mental, and physical health outcomes. This study aims to reduce the spread of COVID-19 in a population that has exceptionally high rates of morbidity and mortality due to COVID-19. We will harness our research team’s extensive experience in developing multi-level interventions working with promotores/as to promote behavior change among Latinos, and leverage a strong community-academic collaboration that maximizes community impact and sustainability. This research will lead to the development of sustainable and scalable community-academic models designed to respond quickly, efficiently, and effectively to both this existing and future public health threats.

项目总结/摘要 美国目前拥有世界上最高的COVID-19感染率和相关死亡率。在 在加州，拉丁裔占COVID-19病例（58.9%）和死亡（47.3%）的比例最高， 在被认为是“必要”的职业中所占比例不成比例。拉美裔人也遭受着更高的 贫困和慢性疾病使他们面临更大的感染COVID-19和相关并发症的风险。 与可持续发展家庭保健中心（FHCSD）合作，并与社区保健工作者（又名， 我们将实施针对性的干预措施，以减少家庭和社区传播 新冠肺炎在拉丁美洲人中蔓延。最近确诊的拉丁美洲成年人的家庭（n=256户）将被 随机分配至两组之一：1）标准治疗对照组，2）COVID-19促进剂/a干预组， 他们将接受标准护理以及由推广人/助理提供的量身定制的咨询。该项目将测试 促进剂/干预措施预防家庭和社区的近期、中期和长期效力 COVID-19的传播。此外，我们将测试拟议干预措施对短期和长期的有效性。 行为、心理和身体健康结果。这项研究旨在减少COVID-19在一个 因COVID-19而发病率和死亡率极高的人群。我们将利用 研究团队在开发多层次干预措施方面的丰富经验， 促进拉丁美洲人的行为改变，并利用强大的社区学术合作， 最大化社区影响力和可持续性。这项研究将导致可持续的发展， 可扩展的社区-学术模式，旨在快速，高效，有效地应对这两个问题 现有和未来的公共卫生威胁。