Supported employment to create a community culture of SARS-CoV-2 rapid testing among people who inject drugs: PeerConnect2Test

项目摘要 这个第三阶段项目建立在我们第一阶段和第二阶段项目的成功基础上，但使用了一种新的方法 以适应不断变化的大流行背景;通过一个 支持就业计划，培训PWID为同伴保健工作者（PHW）。PWID容易受到 感染严重急性呼吸系统综合征冠状病毒2型（SARS-CoV-2）的风险和疾病的影响 由SARS-CoV-2，2019冠状病毒病（COVID-19）引起的结构性劣势，健康 脆弱性和耻辱阻碍了获得充分的医疗服务。虽然我们的项目 之前处理了超过6，000个自我收集的聚合酶链反应（PCR）检测PWID， 俄勒冈州，大流行的不断变化的性质，包括新的变种和可用性， SARS-CoV-2疫苗，呼吁采取额外的战略，可以增加获得和吸收测试， PWID。快速检测可能比PCR检测更有利于PWID的结构脆弱性 例如无家可归和无法获得技术，使他们能够实时收到结果， 快速连接到所需的资源。PWID快速检测的可及性以前受到以下因素的限制： 劳动力短缺和无法接触到需要检测的PWID。我们提出了一个新的社区- 参与战略，通过支持就业计划， PWID，Peer Connect 2 Test（PeerC 2 T），将成为PHW，向其他国家分发SARS-CoV-2快速检测试剂盒 PWID。我们希望PeerC 2 T将提高PHW（目的）中的知识，自我效能和健康行为 1）。我们将在目标2和3中使用RE-AIM框架来评估PeerC 2 T是否改善了SARS-CoV-2 在其他PWID中测试摄取（RE;目标2）并确定干预考虑因素（AIM;目标3）。的 该项目的总体目标是建立我们与HIVA的伙伴关系，以发展一个变革性的社区- 推动干预措施，以促进在残疾人中广泛获得快速检测。我们将继续 与RADx-UP协调和数据收集中心合作。调查结果将澄清的影响， 支持残疾人就业计划，以促进残疾人和其他公众接受SARS-CoV-2检测 努力改善残疾人的健康状况。因此，这项研究的结果可能会有广泛的公众 利用支持性就业计划预防PWID传播的健康影响 其他传染病。

Project Summary This Phase III project builds on the successes of our Phase I and Phase II projects but uses a novel approach to adapt to the changing pandemic context; facilitation of rapid testing by people who inject drugs (PWID) via a supported employment program that trains PWID as peer health workers (PHW). PWID are vulnerable to contracting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and to the effects of the disease caused by SARS-CoV-2, coronavirus disease 2019 (COVID-19) due to structural disadvantage, health vulnerabilities, and stigmatization that prevents adequate access to medical care. While our project has previously processed more than 6,000 self-collected polymerase chain reaction (PCR) tests for PWID across the state of Oregon, the ever-changing nature of the pandemic, including new variants and the availability of SARS-CoV-2 vaccines, calls for additional strategies that can increase access to and uptake of testing among PWID. Rapid tests may offer an advantage over PCR tests for PWID experiencing structural vulnerabilities such as houselessness and lack of access to technology so that they can receive results in real-time and be quickly connected to needed resources. Accessibility of rapid testing for PWID has been previously limited by workforce shortages and the inability to reach PWID who need testing. We propose a novel community- engaged strategy to improve the accessibility of rapid tests through a supported employment program for PWID, Peer Connect2Test (PeerC2T), to become PHW to distribute SARS-CoV-2 rapid test kits to other PWID. We expect that PeerC2T will improve knowledge, self-efficacy, and health behaviors among PHW (Aim 1). We will use the RE-AIM framework in Aims 2 and 3 to evaluate whether PeerC2T improves SARS-CoV-2 testing uptake among other PWID (RE; Aim 2) and identify intervention considerations (AIM; Aim 3). The overall goal of this project is to build on our partnership with HIVA to develop a transformative community- driven intervention to promote widespread access to rapid testing among PWID. We will continue to collaborate with the RADx-UP Coordination and Data Collection Center. Findings will clarify the implications of supported employment programs for PWID for SARS-CoV-2 testing uptake among PWID and other public health efforts to improve health outcomes among PWID. Thus, findings from this study may have broad public health implications for leveraging supported employment programs for PWID to prevent the transmission of other infectious diseases.