Evaluating a Community-Led COVID-19 Testing Intervention to Address Mistrust

项目摘要 我们对弗吉尼亚州东南部和中部低收入黑人居民的初步研究表明 对公共卫生机构和其他重要政府机构先前存在的不信任 在大流行期间恶化，影响了关于遵循与以下相关的公共卫生指导的决策 新冠肺炎检测和疫苗接种。特别是，我们目前研究的参与者报告说，实现 新冠肺炎检测是对阳性结果将被用来对抗他们的预期。这表明信任- 建筑必须是任何新冠肺炎推广努力的基石。 这项提案的目标是通过发展一个由社区主导的 干预措施与我们的合作伙伴住房合作社区咨询委员会(HC CAB)共同制定。我们的 HC CAB合作伙伴报告说，我们与他们的关系帮助他们克服了他们 社区。他们描述了我们与他们互动的方式，而不是任何具体的内容，引导我们成为 被视为值得信赖的。因此，具有强烈的关系建设重点的参与可能是一个重要的 干预本身-在这项研究中，我们将标准化关系和信任建立的过程 作为社区主导的干预措施的核心组成部分，促进快速新冠肺炎检测。 在目标1中，我们管理和评估了初步的虚拟同伴导师新冠肺炎测试干预 与我们的HC CAB合作伙伴共同开发。它使用同行导师模式，由HC CAB成员指导其他成员 社区成员通过自我管理的家庭快速测试参与研究。这一过程将 虚拟的，HC CAB成员同行导师和参与者使用提供的数字访问能力，并 由研究团队提供支持。在研究的第二个分支中，参与者将在 小组会议的目的是接近成为社区咨询委员会成员的经历。 还将有一个对照组，只接受后续评估。在目标2中，我们使用评估 数据，以开发适应的新冠肺炎测试干预。在目标3中，我们实施适应性干预。

Project Summary Our preliminary work with low-income Black residents in Southeastern and Central Virginia suggests that preexisting mistrust in the public health establishment and other important government institutions has worsened during the pandemic, affecting decision making about following public health guidance related to COVID-19 testing and vaccination. In particular, participants in our current study report that a major barrier to COVID-19 testing is the expectation that a positive result will be used against them. This suggests that trust- building must be a cornerstone of any COVID-19 outreach efforts. The goal of this proposal is to address these concerns through the development of a community-led intervention co-developed with our partner Housing Collaborative Community Advisory Board (HC CAB). Our HC CAB partners report that our relationships with them helped overcome mistrust common in their communities. They described the way we interacted with them, rather than any specific content, led us to be viewed as trustworthy. Engagement with a strong relationship building focus is thus likely an important intervention in and of itself—in this study we will standardize a process of relationship and trust building to be used as core components of a community-led intervention promoting rapid COVID-19 testing. In Aim 1 we administer and evaluate a preliminary virtual Peer Mentor COVID-19 testing intervention developed with our HC CAB partners. It uses a Peer Mentor model in which HC CAB members guide other community members participating in the study through self-administering a rapid in-home test. The process will be virtual, with HC CAB member Peer Mentors and participants using digital access capacity provided and supported by the research team. In a second arm of the study participants will meet with research staff in group sessions meant to approximate the experience of being a member of a community advisory board. There will also be a control group which will only receive follow up assessment. In Aim 2 we use evaluation data to develop an adapted COVID-19 testing intervention. In Aim 3 we administer the adapted intervention.