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

项目摘要/摘要 美国目前是世界上新冠肺炎感染率和相关死亡率最高的国家。在……里面 加利福尼亚州的拉丁裔在新冠肺炎病例(58.9%)和死亡(47.3%)中所占比例最高，而且 在被认为是“基本”的职业中有不成比例的代表性。拉美裔人也遭受着更高的 贫穷和慢性病使他们面临感染新冠肺炎和相关并发症的更大风险。 与SD家庭健康中心(FHCSD)合作并与社区卫生工作者(又名， 推广)，我们将实施量身定制的干预措施，以减少家庭和社区传播 拉美裔中的新冠肺炎。最近确诊的拉丁裔成年人的家庭(n=256户)将是 随机分为两组：1)护理标准对照组，2)新冠肺炎启动者/a干预， 谁将接受标准护理以及由促销员/AS提供的量身定做的咨询。该项目将测试 促进者/a预防家庭和社区干预的直接、中期和长期效果 新冠肺炎的传播。此外，我们将测试拟议的干预措施在短期和长期的效果 行为、心理和身体健康结果。这项研究旨在减少新冠肺炎在中国的传播 因新冠肺炎而发病率和死亡率极高的人群。我们将利用我们的 研究团队在开发与促销员/AS合作的多层次干预措施方面的丰富经验 促进拉美裔人的行为改变，并利用强大的社区-学术合作 最大限度地提高社区影响力和可持续性。这项研究将有助于可持续发展和可持续发展。 可扩展的社区-旨在快速、高效和有效地应对这两种情况的学术模式 现有和未来的公共卫生威胁。

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.