Administrative Core

项目总结/摘要 尽管COVID-19疫苗的全国分配和传播不断增加，但 COVID-19疫苗在少数民族中仍然很低。资源不足的群体，特别是少数群体， 在2010年期间，除了健康状况较差之外， 2019冠状病毒病疫情。这是由于这一人群中疫苗犹豫的程度更高， 可能归因于多种问题，包括医疗不信任和缺乏医疗服务。一 特别是非洲裔美国人和拉丁裔公共住房居民，正面临着与以下方面有关的不利影响： 日益恶化的社会决定因素和健康差距。利用社区驱动的方法， 这项拟议研究的目的是提高非洲人对COVID-19疫苗的接种率和完成率， 美国和拉丁裔公共住房居民。在以社区为基础的示范模式的指导下， 信息，动机和行为技能（IMB）和跨理论模型将被用来执行 这次干预。通过这一创新计划，我们将建立学术社区团队， 提高疫苗可接受性和有针对性的参与（ACTIVATE）计划，该计划将开发 公共住房居民领导人，护士执业学生和公共卫生学生的领导三合会， 进行多层次的干预。多学科的，基于理论的，文化驱动的建议 该项目是证据知情和有前途的非洲裔美国人和拉丁裔公共住房居民，并将 透过以下三个目标，以推动：1）为30名活跃三合会成员进行为期12周的训练， 将掌握有关COVID-19的信息，并增加知识和技能，以应对社会， 非裔美国人和拉丁裔公共住房中的行为和卫生保健相关的疫苗接种挑战 居民2)透过30个ACTIVATE三合会的参与和赋权， 一个社区驱动的，文化敏感的计划，将a）减少不信任，宿命论的信仰，和心理社会 COVID-19疫苗接受的障碍和B）增加接受COVID-19的接受性和意愿 为600名公屋居民注射疫苗。采用前后测设计， 纵向，ACTIVATE主导的干预措施对完成COVID-19疫苗系列的影响， 252名非洲裔美国人和拉丁裔公共住房居民报告在Aim 2后疫苗犹豫 社区一级的干预。该提案的结果将产生社区和卫生专业人员， 基于疫苗的领导者，可以提高少数民族公共住房对COVID-19疫苗的接受程度 居民，促进可持续发展。总的来说，这项研究将影响循证实践，并告知 卫生保健专业人员，社区团体和政策制定者，以改善获得和文化敏感 在疫情期间和之后，为这些服务不足的人群提供COVID-19疫苗接种的资源。

PROJECT SUMMARY/ABSTRACT Despite the increasing national distribution and dissemination of COVID-19 vaccines, uptake and completion of COVID-19 vaccine remains low among minorities. Underresourced groups, specifically minorities, are experiencing exponentially high morbidity and mortality rates, in addition to poorer health outcomes, during the COVID-19 pandemic. This is compounded by higher levels of vaccine hesitancy within this population, which may be attributed to a myriad of issues, including medical mistrust and lack of access to health services. One particular group, African American and Latinx public housing residents, are facing adverse effects related to worsening social determinants and health disparities. Utilizing a community-driven approach, the overall objective of this proposed study is to increase COVID-19 vaccine uptake and completion among African American and Latinx public housing residents. Guided by the Community Based Participatory Model, the Information, Motivation, and Behavioral Skills (IMB) and the Transtheoretical Model will be utilized to carry out this intervention. Through this innovative program, we will establish the Academic-Community Team for Improving Vaccine Acceptability and Targeted Engagement (ACTIVATE) program, which will develop leadership triads of public housing resident leaders, nurse practitioner students, and public health students to carry out this multilevel intervention. The multidisciplinary, theoretically-based, culturally-driven proposed project is evidence-informed and promising for African American and Latinx public housing residents and will be advanced through the following three aims: 1) To conduct a 12-week training of 30 ACTIVATE triads, who will master information about COVID-19, and increase in knowledge and skills to address the social, behavioral, and healthcare-related vaccination challenges among African American and Latinx public housing residents. 2) Through the engagement and empowerment of 30 ACTIVATE triads, to jointly implement a community-driven, culturally-sensitive plan that will a) reduce mistrust, fatalistic beliefs, and psychosocial barriers to COVID-19 vaccine acceptance and b) increase receptivity and willingness for uptake of COVID-19 vaccine among 600 residents in public housing areas. And 3) using a pretest-posttest design, to investigate the impact of a longitudinal, ACTIVATE-led intervention on the completion of the COVID-19 vaccine series among 252 African American and Latinx public housing residents reporting vaccine hesitancy following the Aim 2 community-level intervention. The outcomes of this proposal will produce community- and health-professional- based vaccine leaders that can increase COVID-19 vaccine acceptance among minority public housing residents, inducing sustainability. Overall, this study will influence evidence-based practice and inform healthcare professionals, community groups, and policymakers on improving access and culturally-sensitive resources for COVID-19 vaccination for these underserved populations during and after the pandemic.