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

项目总结 这项时间敏感的提案，让亚裔美国人了解情况，以方便新冠肺炎测试和 接种疫苗，是为了识别和解决与新冠肺炎相关的社会文化、伦理和行为障碍 检测和新冠肺炎接种，使亚裔美国人能够在知情的情况下做出关于检测的决定 新冠肺炎。亚裔美国人经历了新冠肺炎死亡率最高的人群之一 在新冠肺炎导致的病死率和比例死亡率。观察到与新冠肺炎相关的过量死亡人数 亚裔美国人的部分原因是测试不足。亚裔美国人可能面临多重挑战，包括 社会文化(英语水平有限，缺乏信任，过度恐惧和与新冠肺炎有关的社会污名)， 道德(缺乏各种指导方针已证实的好处，不平等地获得测试资源)和行为 (烟草和电子烟使用、其他竞争行为)因素。大流行正在迅速演变， 迫切需要开发高效的渠道，以准确、轻松、全面、 文化上适当和实用的信息。本申请是对家长R01“A Family-- 针对亚裔美国男性吸烟者的重点干预措施，被公众称为以社区为基础 干预研究项目“健康家庭计划”。健康家庭计划提供了超过 1100名吸烟者和家庭由非专业卫生工作者(LHW)提供的以家庭为导向的干预显示 减少烟草使用，促进中国人健康营养和身体活动的效果 越南裔美国人。在家长R01之前，我们的团队测试了针对个人的LHW干预 在增加结直肠癌、宫颈癌和乳腺癌筛查以及乙肝和丙型肝炎检测方面的行为变化， 中国人、苗族、韩国人、菲律宾人和越南人的健康营养和体力活动 美国人。利用社区伙伴关系和以个人/家庭为基础的LHW干预 方法，我们提出了这些目标：(1)发展和评估“个人和家庭-- 定向响应性信息教育“(知情的)干预措施，以增加对COVID的了解- 19测试和减少新冠肺炎测试的决策冲突。双臂随机对照试验 试验将比较LHW教育推广提供的通知加上短信短信与短信短信 在LHW支持下。(二)深入开展社会文化、伦理、行为等前瞻性调查 影响中国人、苗族和越南裔美国人新冠肺炎测试时间的因素。此外，我们 将探讨影响疫苗研究、试验参与和疫苗接种接受度的因素，以及 疫苗接种接受度与新冠肺炎测试摄入量之间的关系。

PROJECT SUMMARY 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.