Getting Asian Americans INFORMED to Facilitate COVID-19 Testing and Vaccination

让亚裔美国人了解情况以促进 COVID-19 检测和疫苗接种

• 批准号: 10619714
• 负责人: Janice Y Tsoh
• 金额: $ 54.53万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-09-01 至 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10619714
• 关键词: Abstinence; Address; Adult; Affect; American; Asian; Asian Americans; Asian population; Behavioral; Biochemical; COVID-19; COVID-19 mortality; COVID-19 testing; COVID-19 vaccination; California; Chinese; Chinese American; Colorectal; Communities; Competitive Behavior; Conflict (Psychology); Control Groups; Counseling; Country; Data; Education; Educational Intervention; Ethics; Ethnic group; FDA approved; Face; Family; Family member; Filipino; Foundations; Fright; Future; Goals; Guidelines; Health; Health Personnel; Health Professional; Healthy Eating; Hepatitis B; Hepatitis C; Hour; Household and Family; Immigrant; Individual; Intention; Intervention; Intervention Studies; Interview; Investigation; Knowledge; Koreans; Language; Limited English Proficiency; Measures; Mediator of activation protein; Methods; Modeling; Network-based; Nicotine Dependence; Parents; Participant; Pharmaceutical Preparations; Physical activity; Pilot Projects; Population; Prevalence; Process; Protocols documentation; Public Health; Qualitative Research; Randomized; Randomized Controlled Trials; Readiness; Relapse; Reporting; Research; Resources; Sample Size; Sampling; Self Efficacy; Smoker; Smoking; Smoking History; Social Network; Social support; Subgroup; Surveys; Telephone; Testing; Text; Text Messaging; Time; Tobacco Dependence; Tobacco use; Trust; Underrepresented Populations; arm; attentional control; base; behavior change; breast and cervical cancer screening; community partnership; efficacy evaluation; electronic cigarette use; evidence base; experience; follow-up; group intervention; innovation; male; men; nicotine replacement; nutrition; outreach; pandemic disease; peer; population based; post intervention; programs; prospective; public health relevance; quitline; recruit; reduce tobacco use; smoking abstinence; smoking cessation; smoking prevalence; social cognitive theory; social culture; social stigma; testing uptake; theories; vaccine acceptance

This time sensitive proposal, Getting Asian Americans INFORMED to Facilitate COVID-19 Testing and Vaccinations, is to identify and address sociocultural, ethical and behavioral barriers related to COVID-19 testing and COVID-19 vaccination to enable Asian Americans to make well-informed decisions about getting tested for COVID-19. Asian Americans have experienced among the highest COVID-19 mortality rates when measured in case fatality and proportionate mortality due to COVID-19. Excess COVID-19 related deaths observed in Asian Americans are in part due to under-testing. Asian Americans may face multiple challenges, including sociocultural (limited English proficiency, lack of trust, excess fears and social stigma related COVID-19), ethical (lack of proven benefits of various guidelines, unequal access to testing resources), and behavioral (tobacco and e-cigarette use, other competitive behaviors) factors. The pandemic is rapidly evolving and presents urgent needs to develop highly efficient channels to communicate accurate, easily comprehensive, cultural appropriate and practical information. This application is a supplement to a parent R01 “A Family-Focused Intervention for Asian American Male Smokers,” as known to the public as a community-based intervention research program “Healthy Family Project.” The Healthy Family Project has provided more than 1,100 smokers and families a family-oriented intervention delivered by lay health workers (LHW) showing efficacies in in reducing tobacco use and promoting healthy nutrition and physical activity among Chinese and Vietnamese Americans. Prior to the parent R01, our team tested LHW interventions targeting individual behavior change in increasing colorectal, cervical and breast cancer screening and hepatitis B and C testing, and healthy nutrition and physical activity among Chinese, Hmong, Korean, Filipino and Vietnamese Americans. Leveraging the community partnerships and the individual / family-based LHW intervention approaches that we developed, we propose these aims: (1) Develop and evaluate “INdividual and Family-Oriented Responsive Messaging EDucation” (INFORMED) intervention in increasing knowledge about COVID- 19 testing and decreasing decisional conflicts of getting tested for COVID-19. A 2-arm randomized controlled trial will compare INFORMED delivered by LHW educational outreach plus SMS text messaging to SMS text with LHW support. (2) Conduct in-depth prospective investigation of sociocultural, ethical and behavioral factors related to COVID-19 testing in Chinese, Hmong and Vietnamese American over-time. In addition, we will explore factors affecting acceptance for vaccination research trial participation and vaccination uptake and how vaccination acceptance is associated with COVID-19 testing uptake.

这项时间敏感的提案，让亚裔美国人知情，以促进COVID-19检测， 疫苗接种是为了识别和解决与COVID-19相关的社会文化，道德和行为障碍 检测和COVID-19疫苗接种，使亚裔美国人能够就接受COVID-19检测做出明智的决定。以COVID-19导致的病死率和比例死亡率衡量，亚裔美国人的COVID-19死亡率最高。在亚裔美国人中观察到的COVID-19相关死亡人数过多，部分原因是检测不足。亚裔美国人可能面临多重挑战，包括社会文化（英语能力有限、缺乏信任、过度恐惧和与COVID-19相关的社会耻辱）、道德（缺乏各种指南的证明效益、获得测试资源的不平等）和行为（烟草和电子烟使用、其他竞争行为）因素。这一流行病正在迅速演变，迫切需要建立高效的渠道，以传播准确、易于全面、文化上适当和实用的信息。该应用程序是对家长R 01“针对亚裔美国男性吸烟者的以家庭为中心的干预”的补充，公众将其称为基于社区的干预研究计划“健康家庭项目”。健康家庭项目为1，100多名吸烟者和家庭提供了由非专业卫生工作者（LHW）提供的以家庭为导向的干预措施，在减少华裔和越南裔美国人的烟草使用和促进健康营养和体育活动方面取得了成效。在母公司R 01之前，我们的团队测试了LHW干预措施，目标是在中国人，苗族人，韩国人，菲律宾人和越南裔美国人中增加结直肠癌，宫颈癌和乳腺癌筛查以及B和C型肝炎检测，健康营养和体育活动。利用我们开发的社区伙伴关系和以个人/家庭为基础的LHW干预方法，我们提出了以下目标：（1）开发和评估“以个人和家庭为导向的响应信息教育”（INFORMED）干预，以增加对COVID的认识- 19检测和减少接受COVID-19检测的决策冲突。一项2组随机对照试验将比较由LHW教育推广加短信发送的INFORMED与LHW支持下的短信发送。(2)对中国人、苗族人和越南裔美国人进行与COVID-19检测相关的社会文化、道德和行为因素的深入前瞻性调查。此外，我们将探讨影响疫苗接种研究试验参与和疫苗接种接受度的因素，以及疫苗接种接受度与COVID-19检测接受度的相关性。

项目成果

Improving Asian American health during the Syndemic of COVID-19 and racism.

• DOI: 10.1016/j.eclinm.2022.101313
• 发表时间: 2022-03
• 期刊: EClinicalMedicine
• 影响因子: 15.1
• 作者: Saw A;Yi SS;Ðoàn LN;Tsoh JY;Yellow Horse AJ;Kwon SC;Samoa R;Aitaoto N;Takeuchi DT
• 通讯作者: Takeuchi DT

Disentangling individual and neighborhood differences in the intention to quit smoking in Asian American male smokers.

消除亚裔美国男性吸烟者戒烟意愿的个人和社区差异。

• DOI: 10.1016/j.pmedr.2020.101064
• 发表时间: 2020
• 期刊: Preventive medicine reports
• 影响因子: 2.8
• 作者: Vyas,Priyanka;Tsoh,JaniceY;Gildengorin,Ginny;Stewart,SusanL;Yu,Edgar;Guan,Alice;Pham,Amber;Burke,NancyJ;McPhee,StevenJ
• 通讯作者: McPhee,StevenJ

Trends in Racial Discrimination Experiences for Asian Americans During the COVID-19 Pandemic.

• DOI: 10.1007/s40615-022-01508-y
• 发表时间: 2024-02
• 期刊: JOURNAL OF RACIAL AND ETHNIC HEALTH DISPARITIES
• 影响因子: 3.9
• 作者: McGarity-Palmer, Rebecca;Saw, Anne;Tsoh, Janice Y;Yellow Horse, Aggie J
• 通讯作者: Yellow Horse, Aggie J

Neighborhood Ethnic Composition and Self-rated Health Among Chinese and Vietnamese American Immigrants.

• DOI: 10.1007/s10903-020-01041-2
• 发表时间: 2021-06
• 期刊: Journal of immigrant and minority health
• 影响因子: 1.9
• 作者: Guan A;Kim-Mozeleski JE;Vyas P;Stewart SL;Gildengorin G;Burke NJ;Ma K;Pham AT;Tan J;Lu Q;McPhee SJ;Tsoh JY
• 通讯作者: Tsoh JY

Unpacking the 'black box' of lay health worker processes in a US-based intervention.

• DOI: 10.1093/yel/day094
• 发表时间: 2018-12-01
• 期刊: Health promotion international
• 影响因子: 2.7
• 作者: Burke, Nancy J;Phung, Kristine;Tsoh, Janice Y
• 通讯作者: Tsoh, Janice Y