COVID-19
Conditions
Keywords
Latino Day Laborers
Brief summary
The purpose of this study is to assess the extent to which LDL report increased adherence with COVID 19 mitigation practices 1 month post intervention.
Interventions
BEHAVIORALCOVID-19 Group Problem Solving
This group will have three core components to be delivered at the corner by trained data collectors. Interactive dialogue component that incorporates popular education activities aimed at developing social cohesion among LDLs, building awareness about COVID-19 risks and protective behaviors and developing a plan of action to reduce their and their peers' risk for COVID-19 transmission. Navigation Component will consist of providing information and linking LDLs with social service providers that can help buffer some of the social and economic effects of the COVID-19 pandemic and the Multiplicador de salud/Health Multiplier component that builds from the theoretical and practice-based method of mobilizing social networks and social support, defined as encouraging social networks to provide informational, emotional, appraisal, and instrumental support as cited in the Taxonomy of Behavior Change Methods.
BEHAVIORALStandard of Care
This group will receive a COVID-19 prevention flyer and social resources list only
BEHAVIORALBooster session
Participants will have a 10 - 15 minute booster' session about a week after engaging in the small group intervention. They will be contacted by phone and the booster will consist of brief prompts to engage participants in a discussion to encourage them to act on their personal commitments to protect themselves and others against COVID. They will also be encouraged to seek COVID related resources based on the information provided during the small group intervention.
Sponsors
National Institute on Minority Health and Health Disparities (NIMHD)
The University of Texas Health Science Center, Houston
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Intervention model description
Cluster Randomized
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Self-identify as Hispanic or Latino * Be present at the corner for the purposes of looking for work
Exclusion criteria
* Have not been previously hired to work at a corner * Symptoms of COVID-19 in the previous 48 hours
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants Compliant With COVID Vaccination Guidelines as Assessed by a Survey | Baseline | Measure of compliance with COVID vaccination guidelines. |
| Mask Wearing Frequency as Assessed by a Survey | Baseline | Mask Wearing frequency is reported as a score, ranging from 1-4, with a higher score indicating greater mask wearing frequency. |
| Percentage of Participants Who Contacted an Agency About the Gold Card | 4 weeks post intervention | Percentage of participants who reported contacting a local community or health agency to request the Gold Card a local medical insurance for low income individuals living in Harris County. |
| Percentage of Participants Who Reported Contacting the Agency for Assistance to Get Food | 4 weeks post intervention | Percentage of participants who reported seeking food assistance from a local community organization. |
| Percentage of Participants Who Reported Contacting the Agency for Assistance With Health Care Resources | 4 weeks post intervention | Percentage of participants who reported seeking medical assistance or health advice from a local clinic or community organization. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| COVID-19 Group Problem Solving COVID-19 Group Problem Solving: This group will have three core components to be delivered at the corner by trained data collectors. Interactive dialogue component that incorporates popular education activities aimed at developing social cohesion among LDLs, building awareness about COVID-19 risks and protective behaviors and developing a plan of action to reduce their and their peers' risk for COVID-19 transmission. Navigation Component will consist of providing information and linking LDLs with social service providers that can help buffer some of the social and economic effects of the COVID-19 pandemic and the Multiplicador de salud/Health Multiplier component that builds from the theoretical and practice-based method of mobilizing social networks and social support, defined as encouraging social networks to provide informational, emotional, appraisal, and instrumental support as cited in the Taxonomy of Behavior Change Methods.
Standard of Care: This group will receive a COVID-19 prevention flyer and social resources list only | 120 |
| Group Problem Solving Plus Booster Session COVID-19 Group Problem Solving: This group will have three core components to be delivered at the corner by trained data collectors. Interactive dialogue component that incorporates popular education activities aimed at developing social cohesion among LDLs, building awareness about COVID-19 risks and protective behaviors and developing a plan of action to reduce their and their peers' risk for COVID-19 transmission. Navigation Component will consist of providing information and linking LDLs with social service providers that can help buffer some of the social and economic effects of the COVID-19 pandemic and the Multiplicador de salud/Health Multiplier component that builds from the theoretical and practice-based method of mobilizing social networks and social support, defined as encouraging social networks to provide informational, emotional, appraisal, and instrumental support as cited in the Taxonomy of Behavior Change Methods.
Standard of Care: This group will receive a COVID-19 prevention flyer and social resources list only
Booster session: Participants will have a 10 - 15 minute booster' session about a week after engaging in the small group intervention. | 120 |
| Standard of Care Standard of Care: This group will receive a COVID-19 prevention flyer and social resources list only | 119 |
| Total | 359 |
Baseline characteristics
| Characteristic | COVID-19 Group Problem Solving | Group Problem Solving Plus Booster Session | Standard of Care | Total |
|---|---|---|---|---|
| Age, Continuous | 43.4 years STANDARD_DEVIATION 13.4 | 43.7 years STANDARD_DEVIATION 12.4 | 40.3 years STANDARD_DEVIATION 14.3 | 42.5 years STANDARD_DEVIATION 13.4 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 120 Participants | 120 Participants | 119 Participants | 359 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Region of Enrollment United States | 120 Participants | 120 Participants | 119 Participants | 359 Participants |
| Sex: Female, Male Female | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Sex: Female, Male Male | 120 Participants | 120 Participants | 119 Participants | 359 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 120 | 0 / 120 | 0 / 119 |
| other Total, other adverse events | 0 / 120 | 0 / 120 | 0 / 119 |
| serious Total, serious adverse events | 0 / 120 | 0 / 120 | 0 / 119 |
Outcome results
Primary
Mask Wearing Frequency as Assessed by a Survey
Mask Wearing frequency is reported as a score, ranging from 1-4, with a higher score indicating greater mask wearing frequency.
Time frame: 4 weeks post intervention
Population: Data for this outcome measure were not collected for 16 in the Group Problem Solving arm, for 20 in the Group Problem Solving plus Booster Session arm, and for 24 in the Standard of Care arm--this is because these participants were lost to follow up at the 4-week timepoint.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| COVID-19 Group Problem Solving | Mask Wearing Frequency as Assessed by a Survey | 1.720 score on a scale | Standard Deviation 0.621 |
| Group Problem Solving Plus Booster Session | Mask Wearing Frequency as Assessed by a Survey | 1.798 score on a scale | Standard Deviation 0.567 |
| Standard of Care | Mask Wearing Frequency as Assessed by a Survey | 1.632 score on a scale | Standard Deviation 0.673 |
Primary
Mask Wearing Frequency as Assessed by a Survey
Mask Wearing frequency is reported as a score, ranging from 1-4, with a higher score indicating greater mask wearing frequency.
Time frame: Baseline
Population: Data for this outcome measure were not collected for 2 in the Group Problem Solving arm and for 4 in the Group Problem Solving plus Booster Session arm--this is because these participants did not complete this survey.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| COVID-19 Group Problem Solving | Mask Wearing Frequency as Assessed by a Survey | 2.050 score on a scale | Standard Deviation 0.915 |
| Group Problem Solving Plus Booster Session | Mask Wearing Frequency as Assessed by a Survey | 2.109 score on a scale | Standard Deviation 0.836 |
| Standard of Care | Mask Wearing Frequency as Assessed by a Survey | 1.927 score on a scale | Standard Deviation 0.842 |
Primary
Number of Participants Compliant With COVID Vaccination Guidelines as Assessed by a Survey
Measure of compliance with COVID vaccination guidelines.
Time frame: Baseline
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COVID-19 Group Problem Solving | Number of Participants Compliant With COVID Vaccination Guidelines as Assessed by a Survey | 30 Participants |
| Group Problem Solving Plus Booster Session | Number of Participants Compliant With COVID Vaccination Guidelines as Assessed by a Survey | 28 Participants |
| Standard of Care | Number of Participants Compliant With COVID Vaccination Guidelines as Assessed by a Survey | 33 Participants |
Primary
Number of Participants Compliant With COVID Vaccination Guidelines as Assessed by a Survey
Post test measure of compliance with COVID vaccination guidelines.
Time frame: 4 weeks post intervention
Population: Data were not collected for 16 in the Group Problem Solving arm, for 20 in the Group Problem Solving plus Booster Session arm, and 24 in the Standard of Care arm--this is because these participants were lost to follow up at the 4-week timepoint.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COVID-19 Group Problem Solving | Number of Participants Compliant With COVID Vaccination Guidelines as Assessed by a Survey | 59 Participants |
| Group Problem Solving Plus Booster Session | Number of Participants Compliant With COVID Vaccination Guidelines as Assessed by a Survey | 53 Participants |
| Standard of Care | Number of Participants Compliant With COVID Vaccination Guidelines as Assessed by a Survey | 53 Participants |
Primary
Percentage of Participants Who Contacted an Agency About the Gold Card
Percentage of participants who reported contacting a local community or health agency to request the Gold Card a local medical insurance for low income individuals living in Harris County.
Time frame: 4 weeks post intervention
Population: For this outcome measure, data were collected only for those who called a number on the resource sheet--for the Group Problem Solving arm, 20 called a number; for the Group Problem Solving plus Booster Session arm, 22 called a number; and for the Standard of Care arm, 7 called a number.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COVID-19 Group Problem Solving | Percentage of Participants Who Contacted an Agency About the Gold Card | 6 Participants |
| Group Problem Solving Plus Booster Session | Percentage of Participants Who Contacted an Agency About the Gold Card | 10 Participants |
| Standard of Care | Percentage of Participants Who Contacted an Agency About the Gold Card | 4 Participants |
Primary
Percentage of Participants Who Reported Contacting the Agency for Assistance to Get Food
Percentage of participants who reported seeking food assistance from a local community organization.
Time frame: 4 weeks post intervention
Population: For this outcome measure, data were collected only for those who called a number on the resource sheet--for the Group Problem Solving arm, 20 called a number; for the Group Problem Solving plus Booster Session arm, 22 called a number; and for the Standard of Care arm, 7 called a number.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COVID-19 Group Problem Solving | Percentage of Participants Who Reported Contacting the Agency for Assistance to Get Food | 10 Participants |
| Group Problem Solving Plus Booster Session | Percentage of Participants Who Reported Contacting the Agency for Assistance to Get Food | 13 Participants |
| Standard of Care | Percentage of Participants Who Reported Contacting the Agency for Assistance to Get Food | 3 Participants |
Primary
Percentage of Participants Who Reported Contacting the Agency for Assistance With Health Care Resources
Percentage of participants who reported seeking medical assistance or health advice from a local clinic or community organization.
Time frame: 4 weeks post intervention
Population: For this outcome measure, data were collected only for those who called a number on the resource sheet--for the Group Problem Solving arm, 20 called a number; for the Group Problem Solving plus Booster Session arm, 22 called a number; and for the Standard of Care arm, 7 called a number.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| COVID-19 Group Problem Solving | Percentage of Participants Who Reported Contacting the Agency for Assistance With Health Care Resources | 2 Participants |
| Group Problem Solving Plus Booster Session | Percentage of Participants Who Reported Contacting the Agency for Assistance With Health Care Resources | 2 Participants |
| Standard of Care | Percentage of Participants Who Reported Contacting the Agency for Assistance With Health Care Resources | 0 Participants |