Harlem Community Academic Partnership: Influenza Immunizations

描述（由申请人提供）：拟议的是一个基于社区的参与性研究项目（CBPR）和评估，旨在改善弱势少数民族社区中高危人群的流感免疫接种。哈莱姆社区和学术伙伴关系（HCAP）的理事会包括居民、社区组织、学术伙伴和地方卫生部门，他们每月开会计划、开展和审查社区评估、干预措施和评价活动；通过组成干预工作组（iwg）来处理特定主题的问题。HCAP委员会注意到哈莱姆区的流感免疫接种率特别低，并成立了成人场所强化疫苗工作组。该工作组进行了单独的试点，包括对免疫障碍进行调查，开发具有文化背景的干预材料，试点“黄夹克”外展工作人员参与和教育难以接触到的人群，以及在非传统地点提供免疫接种。该提案的目标是将这些组成部分组合起来，正式扩大并测试哈莱姆社区成年人的干预措施。为了实现这些目标，HCAP VIVA工作组将计划、组织和实施一项干预措施；我们的主要合作伙伴Palladia Inc .提供外联教育工作者和由120多个社区卫生组织组成的服务网络，以教育和动员社区进行免疫接种，并协调传统和新的非传统免疫接种场所的聚集人员；本地探访护士服务已同意在选定地点免费提供护士和流感疫苗。该计划不是取代，而是通过增加更多相关教育和新的“非传统”场所来补充该市现有的疫苗接种计划。我们期望这一规划将提高整体免疫率，包括难以接触到的人群。为了评估这一计划，我们将比较哈莱姆区与纽约市哈莱姆区类似社区之间的年免疫率，并通过纽约市年度“社区健康调查”（经CDC修改的BRFSS）按社区提供数据，其中包括10,000名纽约市成年居民。我们还将在每次年度干预计划前后对哈莱姆区和比较社区居民进行两次横断面街道拦截调查（n=800）。这些数据与cbo的年度清单相结合，将提供障碍、干预经验和结果的衡量标准，以扩大对持续改进项目的投入。

DESCRIPTION (provided by applicant): Proposed is a community based participatory research project (CBPR) and evaluation for improving influenza immunizations in high risk populations within disadvantaged minority communities. The Harlem Community and Academic Partnership (HCAP)'s Board includes residents, community based organizations, academic partners and the local health department who meet monthly to plan, conduct and review neighborhood assessments, interventions and evaluation activities; topic-specific issues are addressed through formation of Intervention Work Groups (IWGs). The HCAP Board noted especially low rates of influenza immunizations in Harlem and formed the VIVA (Venue Intensive Vaccine for Adults) IWG. This IWG has conducted separate pilots including a survey on barriers to immunization, development of culturally informed intervention materials, a pilot of "yellow jacket" outreach workers to engage and educate hard-to reach populations, and provision of immunizations at non-traditional sites. The goal of this proposal is to assemble these components to formally scale up and test the intervention for adults in the Harlem communities. To achieve these aims, the HCAP VIVA IWG will plan, organize and implement an intervention; our primary partner, Palladia Inc, provides outreach educators and a service network of over 120 CBOs to educate and mobilize the community for immunization as well as coordinate congregating persons with traditional and new non-traditional venues for immunizations; the local Visiting Nurse Service has agreed to provide nurses and influenza vaccines at the selected venues gratis. This program does not replace, but rather supplements existing vaccination programs in the city by adding more relevant education and new "non-traditional" venues. We expect that this program will increase rates of immunizations overall including the hard-to-reach populations. To evaluate this program, we will compare annual rates of immunization between Harlem and communities similar to Harlem in NYC, with data available by neighborhood through the NYC annual "Community Health Survey" (modified BRFSS from CDC) which includes 10,000 adult NYC residents. We will also conduct two cross sectional street intercept surveys (n=800) before and after each annual intervention program between harlem and comparison community residents. These data combined with yearly inventories of CBOs, will provide measures of barriers, intervention experiences and outcomes to broaden input for continuous program improvement.