Boost your health (Refuerza tu Salud): Design of a randomized controlled trial of a community health worker intervention to reduce inequities in COVID-19 and influenza vaccinations

被引：0

作者：

Meredith, Lisa S. ^{[1
]}

Tobin, Jonathan N. ^{[2
,3
]}

Cassells, Andrea ^{[2
]}

Howell, Khadesia ^{[1
]}

Hernandez, Helin G. ^{[1
]}

Gidengil, Courtney ^{[4
]}

Williamson, Stephanie ^{[1
]}

Dong, Lu ^{[1
]}

Timmins, George ^{[1
]}

Alvarado, Gabriela ^{[1
]}

Holder, Tameir ^{[2
]}

Lainez, Jacqueline Cortez ^{[2
]}

Lin, T. J. ^{[2
]}

Lara, Marielena ^{[1
]}

机构：

[1] RAND, Santa Monica, CA USA

[2] Clin Directors Network CDN, New York, NY USA

[3] Rockefeller Univ, Ctr Clin & Translat Sci, New York, NY USA

[4] RAND, Boston, MA USA

来源：

CONTEMPORARY CLINICAL TRIALS | 2025年 / 153卷

关键词：

Community health worker; Vaccination; Underserved populations; Randomized controlled trial; COVID-19; Influenza; CARE; DISPARITIES; MISTRUST; CHILDREN; OUTCOMES; IMPACT; BLACK;

D O I：

10.1016/j.cct.2025.107848

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Introduction: Low-income and underserved populations, especially racial and ethnic minorities, experience health disparities linked to social determinants. The COVID-19 pandemic amplified these disparities, necessitating effective strategies to address structural racism and related factors. Vaccination, crucial for mitigating infectious diseases, including COVID-19 and influenza, remains challenging among underserved populations. Community health worker (CHW) interventions show promise in addressing these disparities but have not undergone rigorous evaluation with a randomized controlled trial to increase vaccination uptake among underserved populations. This study develops and evaluates a CHW vaccination behavior (CHW-VB) intervention to increase COVID-19 and influenza vaccination among adult patients in primary care settings. Methods: Tailoring of the Boost Your Health (Refuerza tu Salud) intervention is grounded in behavior change theory and integrates input from a Community Advisory Board. The study employs a patient randomized controlled trial design to test the effectiveness the CHW-VB intervention compared with usual care across six Federally Qualified Health Centers (FQHCs) in New York. Patients are being screened for eligibility (vaccinated but not up to date with the COVID-19 vaccine and have at least one of seven common chronic illnesses) and 800 are assessed at baseline and three months. Outcomes include COVID-19 vaccine (primary) and influenza vaccine (secondary) uptake. The study also evaluates intervention implementation using the RE-AIM model. Conclusion: Boost Your Health aims to increase COVID-19 and influenza vaccination among racially/ethnically diverse, underserved populations with chronic illness through the CHW-VB intervention, targeting critical gaps in vaccination uptake to reduce health disparities and increase health equity. Trial registration: (ClinicalTrials.gov NCT06156254).

引用

页数：11

共 90 条

[1]

[Anonymous], 2022, COVID-19 Vaccination Coverage, by Race and Ethnicity-National Immunization Survey Adult COVID Module, United States, December 2020-November 2021, P757

[2]

[Anonymous], 2006, Qual Res Psychol, DOI [DOI 10.1191/1478088706QP063OA, DOI 10.1080/14780887.2020.1769238]

[3]

[Anonymous], 2022, COVID-19 Cases and Deaths by Race/Ethnicity: Current Data and Changes Over Time

[4]

[Anonymous], 2020, 69 COVID-19 Outbreak-New York City, February 29-June 1, 2020, P1725

[5] Prevalence of Comorbidities and Risks Associated with COVID-19 Among Black and Hispanic Populations in New York City: an Examination of the 2018 New York City Community Health Survey [J].