Impact of Community Health Worker Home Deployment on COVID-19 Vaccine Confidence and Uptake

项目总结/摘要 作为对NOT-OD-21-101的回应，格鲁吉亚糖尿病翻译研究中心（P30 DK 111024 - 05 S1）， 埃默里大学（欧盟），莫尔豪斯医学院（MSM）和格鲁吉亚研究所的合作伙伴关系 技术提交了这个RADx-UP补充提案，标题为“社区卫生工作者的影响” 关于COVID-19疫苗信心和吸收的部署。我们建议与我们的RADx-UP合作 糖尿病农村社区合作伙伴和利用当地开发和测试的格鲁吉亚CEAL（1 OT 2 HL 156812- 01/16-312-0217571- 66105 L，PI-Akinakini）COVID-19传播材料，以加强COVID-19检测， 除了对受COVID-19影响最严重的服务不足人群的疫苗信心和接种率之外 疾病（即，患有糖尿病、糖尿病前期的非裔美国人和拉丁美洲人及其家庭接触者 [“bubble”]）。拟议的1年项目将实施和评估一个简短的社区卫生工作者（CHW） 通过奥尔巴尼地区初级卫生保健，一个农村联邦合格的卫生中心（卫生中心）进行干预。 本研究的主要目标是通过CHW最大限度地提高有效的外展、教育和沟通 为了促进提高对COVID-19疫苗的信心， 社区.社区卫生工作者将被派往发病和死亡风险较高的成年人家中（即， 非裔美国人或拉丁美洲人，患有不受控制的糖尿病或糖尿病前期，年龄<50岁，非COVID-19 接种疫苗），以教育他们有关糖尿病，COVID-19和相关疫苗的知识。健康评估， 包括血糖测量，将对索引患者进行，并提供给所有其他成人 家庭中的家庭成员（即，“泡沫”）。2型糖尿病患者可能生活在 患有糖尿病或糖尿病风险增加的其他成年人（即，糖尿病前期和肥胖）。1预计， 他们也将面临类似的COVID-19风险。具体目标是：（1）评估社区驱动的 教育计划，以提高和加强COVID-19疫苗的信心和个人的吸收， 不受控制的糖尿病及其家庭（即，他们的“泡沫”）和2）评估社区驱动的教育 改善糖尿病自我管理行为和相关结果的计划（例如，血糖） 格鲁吉亚西南部农村的糖尿病患者。

PROJECT SUMMARY / ABSTRACT In response to NOT-OD-21-101, the Georgia Center for Diabetes Translation Research (P30DK111024-05S1), a partnership of Emory University (EU), Morehouse School of Medicine (MSM), and Georgia Institute of Technology submits this RADx-UP Supplement proposal titled, “Impact of Community Health Worker Home Deployment on COVID-19 Vaccine Confidence and Uptake.” We propose collaborating with our RADx-UP Diabetes rural community partner and utilizing locally developed and tested Georgia CEAL (1OT2HL156812- 01/16-312-0217571-66105L, PI-Akintobi) COVID-19 communication materials to enhance COVID-19 testing in addition to vaccine confidence and uptake in underserved populations most severely affected by COVID-19 disease (i.e., African Americans and Latinos with diabetes, prediabetes, and their household contacts [“bubble”]). The proposed 1-year project will implement and evaluate a brief Community Health Worker (CHW) intervention through the Albany Area Primary Health Care, a rural Federally Qualified Health Center (FQHC). The primary goal of this study is to maximize effective outreach, education, and communication through CHWs in order to facilitate improved COVID-19 vaccine confidence and uptake in underserved and vulnerable communities. CHWs will be deployed to the homes of adults with increased risk of morbidity and mortality (i.e., African Americans or Latinos with uncontrolled diabetes or prediabetes, age <50 years, and non-COVID-19 vaccinated) in order to educate them about diabetes, COVID-19 and related vaccines. Health assessments, including blood glucose measurement, will be conducted on the indexed patient and offered to all other adult family members in the household (i.e., “bubble”). Adults with Type 2 diabetes likely live in households with other adults who have or are at increased risk for diabetes (i.e., prediabetes and obesity).1 It is expected that they will also share similar COVID-19 exposure risk. The specific aims are to: 1) Evaluate a community-driven education program to increase and enhance COVID-19 vaccine confidence and uptake in individuals with uncontrolled diabetes and their families (i.e., their “bubble”) and 2) Evaluate a community-driven education program to improve diabetes self-management behaviors and related outcomes (e.g., blood glucose) in individuals with uncontrolled diabetes in rural, Southwest Georgia.