Enhancing SARS-Co-V-2 Rapid Testing Acceptance in Latinx Communities

该项目采用数据知情的方法实施预防性干预措施，旨在 促进健康公平，改善弱势群体的健康差距。建立在 成功的一期和二期项目，我们将进一步为新冠肺炎量身定做推介有据可依 健康促进干预实验评估简短的行为自我肯定实施 意向(SAII)干预；一种以证据为基础的提高健康接受度的方法 信息，增加改变的意图，增加促进健康的行为，以及减少 心理上的痛苦。我们假设(A)SAII将增加SARS-CoV-2快速检测，检测和 疫苗接受度，通过加强健康促进信息，减少污名， 和肯定自我认知；和(B)SAII将作为缓冲，缓和(降低)负面影响 与新冠肺炎相关的压力源以及对检测和健康结果的歧视。该计划的主要目标是 干预将是健康的结构性社会决定因素(即歧视和不信任)，成为阻碍健康的障碍 测试验收。项目目标是：(1)试点测试SARS-CoV-2快速测试分发和一个英文和 西班牙版的Saii干预。为文化量身定做的赛伊干预将以西班牙语和 英语，并可口头管理，不要求英语熟练或识字；及(2) 进行一项群集性随机试验(CRT)测试健康公平有效性假说。我们将使用2- 分组×2次(事后)设计，随机分配从墨西哥领事馆活动中抽取的400名参与者 参加SAII+Promotores de Salud条件或控制条件(Promotores De Salud)的人 仅限于干预)和测试(A)假设的干预对检测和疫苗接受度的主要影响 和健康结果，以及(B)新冠肺炎应激源和歧视对 检测和健康结果。将详细说明线性和可推广的多水平结构方程建模 以供评估。研究设计旨在检测适度的主效应(ES=.30)和缓和效应 萨伊尔的干预行动。

This project employs a data-informed approach for implementing preventive interventions designed to advance health equity and ameliorate health disparities among vulnerable populations. Building on the successful Phase I and II projects, we will further tailor the Promotores de Salud COVID-19 evidence-based health promotion intervention to experimentally evaluate a brief behavioral self-affirming implementation intention (SAII) intervention; an approach that is evidence-based for increasing acceptance of health messaging, increasing intentions to change, increasing health promoting behaviors, and decreasing psychological distress. We hypothesize (a) the SAII will increase SARS-CoV-2 rapid testing, testing and vaccine acceptance, and health outcomes through enhancing health promotion messaging, reducing stigma, and affirming self-perceptions; and (b) the SAII will serve as a buffer that moderates (lowers) negative effects of COVID-19-related stressors and discrimination on testing and health outcomes. The key targets of the intervention will be structural social determinants of health (i.e., discrimination and mistrust) as barriers to testing acceptance. Project aims are: (1) To pilot test rapid SARS-CoV-2 test distribution and an English and Spanish version of the SAII intervention. The culturally tailored SAII intervention will be offered in Spanish and English and can be administered orally and does not require English language proficiency or literacy; and (2) conduct a clustered randomized trial (CRT) testing a health equity effectiveness hypothesis. We will use a 2- group × 2-time (pre-post) design to randomly assign 400 participants sampled from Mexican Consulate event attendees to either an SAII + Promotores de Salud condition or to a control condition (the Promotores de Salud intervention only) and test (a) hypothesized main effects of the intervention on testing and vaccine acceptance and health outcomes, and (b) hypothesized buffering effects of COVID-19 stressors and discrimination on testing and health outcomes. Linear and generalizable multilevel structural equation modeling will be specified for evaluation. The study design is powered to detect moderate main effects (ES = .30) and moderating effects of the SAII intervention.