Community Health Workers, COVID-19 Testing, Vaccine Hesitancy
Conditions
Keywords
COVID-19 vaccine hesitancy, COVID-19 testing, Community Health Workers, Safety-Net Patients
Brief summary
The objective of this study is to compare the results of a COVID-19 specific curriculum led by LACDHS Community Health Workers (CHWs) from these same communities of safety-net patients to effectively increase COVID-19 testing and vaccination for individual patients, and to facilitate needed healthcare in a timely manner for the safety net health system, and to develop a sustained public health presence in these communities to build trust and preparedness for critical COVID-19 related future needs.
Detailed description
This study represents the third aim of a grant with three aims. The study used unsupervised machine learning and qualitative interviews to develop a CHW intervention for this aim. The aim will compare and evaluate a Community Health Worker-led curriculum aimed to identify and address barriers to COVID-19 testing and vaccination among LACDHS safety-net patients. For the study, the investigators will recruit 66 eligible safety-net patients for a COVID-19 specific curriculum, provided by Community Health Workers at Los Angeles County Department of Health Services. The study will take place remotely over the course of 6-weeks. Utilizing a randomized control design among African American and Latinx safety net patients, will assess the effect of the CHW hypothesis-driven intervention on trust, self-efficacy, and intent to participate in COVID-19 testing and vaccination. The remote CHW intervention that the study participants will participate in and be compensated for is a pilot program intended to provide additional CHW training. Monthly calls from LACDHS to remind them of COVID-19 vaccination are standard of care for all empaneled LACDHS patients.
Interventions
BEHAVIORALCommunity Health Worker led curriculum
The intervention arm will consist of a CHW-based health educational program via Zoom, where participants will be provided with information about COVID-19, COVID-19 resources and services in Los Angeles County, and engagement with Los Angeles County Department of Health Services CHWs who will lead the curriculum and be available to answer questions of the intervention arm patients.
Sponsors
Los Angeles County Department of Public Health
National Library of Medicine (NLM)
Charles Drew University of Medicine and Science
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
16 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Age 16 years and older * Self-identify as African American or Latinx * English Speaking * Receives primary or specialty care treatment at an LACDHS facility * Has either not completed lab orders for COVID-19 testing and/or vaccination at an LACDHS facility * Have reliable internet access
Exclusion criteria
* Not meeting the inclusion criteria listed above
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Project Survey: Phenx toolkit - Worry about COVID | Six weeks from start of project | In a 4-point Likert scale, we will ask questions about their worry and concern about getting infected with COVID from extremely concerned, somewhat concerned, neutral, not concerned Measure three key measures: trust, self-efficacy, and intent to participate in COVID-19 testing and vaccination. Consolidated pre- and post- surveys (Name: Project Survey) will measure participants' intentions of getting vaccinated and tested for COVID-19. |
| Project Survey: Phenx toolkit - Attitudes and Behavior | Six weeks from start of project | In a 5 point Likert scale, questions will ask about attitudes, and behaviors regarding COVID, from very likely, somewhat likely, neutral, somewhat unlikely, and very unlikely Measure three key measures: trust, self-efficacy, and intent to participate in COVID-19 testing and vaccination. Consolidated pre- and post- surveys (Name: Project Survey) will measure participants' intentions of getting vaccinated and tested for COVID-19. |
| Project Survey: Phenx toolkit - Perceived Coronavirus Threat | Six weeks from start of project | In a 4-point Likert scale, we will ask questions about their perceived Coronavirus threat extremely concerned, somewhat concerned, neutral, not concerned Measure three key measures: trust, self-efficacy, and intent to participate in COVID-19 testing and vaccination. Consolidated pre- and post- surveys (Name: Project Survey) will measure participants' intentions of getting vaccinated and tested for COVID-19. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Project Survey: Phenx toolkit - Intent to participate in COVID testing and vaccination | Six weeks from start of project | assessed by a single declarative item using a four-point scale (very likely, somewhat likely, somewhat not likely, very not likely). Consolidated pre- and post- surveys (Name: Project Survey) will measure participants' intentions of getting vaccinated and tested for COVID-19. |
| Pre and Post Program Survey: Medical Mistrust Scale | Six weeks from start of project | Trust will be measured using 8 adapted items from the Medical Mistrust scale, with a list of statements asking about general feelins about the healthcare systems, answers will be strongly disagree, disagree, neutral, agree, strongly agree |
| Sherer, et al.'s General Self-Efficacy Scale | Six weeks from start of project | It contains 17 items that are rated on a 5-point Likert-type scale ranging from agree strongly to disagree strongly and are intended to assess a general set of expectations that the individual carries into new situations |
Countries
United States
Contacts
Primary ContactJunko Nishitani, PhD
Outcome results
None listed