Skip to main content
This repository is under review for potential modification in compliance with Administration directives.
Study Information

dbGaP Study Accession: phs002567

NIH Institute/Center: NCATS

RADx Data Program: RADx-UP

Release Date: 08/29/2023

DOI: 10.60773/ddc6-ar41

Study Description: The COVID-19 pandemic disproportionately impacts members of under-represented minority (URM) communities. Unfortunately, URM and other vulnerable communities remain profoundly under-tested. As such, new approaches are needed to disseminate and accomplish testing that could be generalized across the US. New Jersey can serve as a unique, virtual testing laboratory, ranking 11th in the US in population, 2nd in the US (after NY) in the per capita rate of COVID-19 deaths, and 5th in total cases, while representing a highly diverse state with substantial Black and Latinx minority populations. Rutgers has assembled cohorts of healthcare workers (HCWs) to monitor the spread of COVID-19 and to enroll subjects for clinical and vaccine trials. While building these cohorts, it was recognized that many URMs serve as HCWs or personal care aides often in lower-income roles, and these workers were more often infected compared with those with higher income occupations. Given these observations, it is posited that HCWs in occupations at lower incomes would facilitate testing among their households and their communities. In a sense, these HCWs served as ambassadors to catalyze community-based COVID-19 testing. NJ HEROES TOO (New Jersey Healthcare Essential WoRker Outreach and Education Study - Testing Overlooked Occupations) proposed to approach URM HCWs who have been identified as index individuals who will act as ambassadors to help expand testing in their households and extended networks. In Aim 1, an innovative, HCW-centric outreach intervention strategy was (co-)designed, developed, and implemented to engage Black and Latinx minority communities. Community perceptions about COVID-19 testing, treatment, and vaccination were explored to design COVID-19 testing materials and messages that were culturally tailored to address concerns of Black and Latinx minority communities. In Aim 2, a mixed methods study was conducted to evaluate the effectiveness and cost of: (1) the HCW-focused outreach intervention strategy versus (2) standard community engaged outreach, working with community based organizations (CBOs). Contextual factors (individual, family, and community) affecting COVID-19 testing implementation outcomes and scalability were explored. The primary outcome was uptake of COVID-19 testing in the targeted populations. The novel Rutgers Clinical Genomics Laboratory/RUCDR saliva test, the first FDA-authorized diagnostic test using saliva to detect SARS-CoV-2 for non-invasive, home based self-testing was used. The hypothesis was that a participatory outreach strategy approach focused on identified index HCWs would mobilize quicker uptake of testing within community settings than best-practice CBO recruitment approaches. It was also hypothesized that recruitment through index HCWs would be more successful for hard to reach participants compared to a traditional CBO approach. The strategy focusing on HCWs could easily be expanded to other front-line and essential workers, making the strategy generalizable and sustainable.

Updated Date: 04/17/2024

Principal Investigator: Hudson, Shawna

Has Data Files: Yes

Study Domain: At-Home or Over-the-Counter (OTC) Self-Testing; Community Outreach Programs; Pandemic Perceptions or Decision-Making; Social Determinants of Health; Testing Rate or Uptake

Data Collection Method: Antigen Testing Device; Molecular Nucleic Acid or PCR Testing Device; Survey

Keywords: Healthcare Workers; Testing Disparities

Study Design: Longitudinal Cohort

Multi-Center Study: No

Data Types: Questionnaire or Survey

Study Start Date: 09/25/2020

Study End Date: 02/29/2024

Species: Human

Estimated Cohort Size: 2000

Study Population Focus: Adults; African Americans; Children; Essential Workers; Hispanics or Latinos; Lower Socioeconomic Status (SES) Populations; Racial or Ethnic Minorities

ClinicalTrials.gov URL: https://clinicaltrials.gov/study/NCT04766333

Publication URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7699516/; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8283554/; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8436370/; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8765643/; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9707722/

Acknowledgement Statement: This study was supported through funding, 7UL1TR003017-05, for the National Center for Advancing Translational Sciences (NCATS) as part of the RADx-UP program. We thank each of the participants, without whom this study would not be possible. We are grateful to our community partners, healthcare partners and Rutgers colleagues who comprise the NJ HEROES TOO team. Approved users should acknowledge the provision of data access by dbGaP for accession phs002567.v1.p1, and the NIH RADx Data Hub. Approved users should also acknowledge the specific version(s) of the dataset(s) obtained from the NIH RADx Data Hub.

Funding Opportunity Announcement (FOA) Number: PAR-18-464

NIH Grant or Contract Number(s): 7UL1TR003017-05

Consent/Data Use Limitations: General Research Use

Variable Information
Total Variables: 209
Study Variables Information Table
Variable Name
Label
nih_record_idUser ID
nih_raceWhat is your race?
nih_ethnicityAre you of Hispanic or Latino origin? May include Spanish origin.
nih_sexWhat is your biological sex assigned at birth?
nih_educationWhat is the highest level of education you have achieved outside or in the United States?
nih_insuranceWhat kind of health insurance do you have?
nih_disabilityDo you have a disability, including serious physical or mental conditions, that interfere with your ability to carry out daily activities?
nih_vape_freqVaping Frequency: Do you now use electronic cigarettes every day, some days, rarely, or not at all?
nih_cig_smoke_freqNicotine Frequency: Do you now smoke cigarettes?
nih_smoking_ynDo you use any tobacco/nicotine products (including cigarettes, cigars, e-cigarettes, etc)?
nih_history_smokingHistory of Smoking
nih_asthmaAsthma
nih_cancer_past_yrCancer diagnosis and/or treatment within the past 12 months
nih_cardiovascular_diseaseCardiovascular disease
nih_chronic_kidney_diseaseChronic kidney disease
nih_diabetesDiabetes
nih_hypertensionHypertension
nih_mental_health_disorderMental health disorder
nih_sickle_cell_diseaseSickle cell disease
nih_pregnancyPregnancy status
nih_immunocompromisedImmunocompromised condition
nih_autoimmAutoimmune disease
nih_copdChronic obstructive pulmonary disease (COPD)
nih_chronic_lungOther chronic lung disease
nih_depressionDepression
nih_alc_sub_abuseAlcohol or substance use disorder
nih_iv_drug_useIntravenous drug use
nih_other_chronic_condOther chronic condition
nih_coughCough
nih_fever_chillsFever or Chills
nih_diff_breathShortness of breath or difficulty breathing
nih_headacheHeadache
nih_muscle_acheMuscle ache
nih_olfactoryNew loss of taste or smell
nih_fatigueExcessive fatigue
nih_nausea_vomiting_diarrheaNausea, vomiting, or diarrhea
nih_abdom_painAbdominal pain
nih_skin_rashSkin rash
nih_throat_congestion_noseSore throat, congestion or runny nose
nih_other_sympOther
nih_health_statusWould you say that (your) health in general is excellent, very good, good, fair, or poor?
nih_heightWhat is your height in inches?
nih_weightWhat is your weight in pounds?
bio_sex_birth_2What was your sex assigned at birth on your birth certificate?
cc_asthma_2Asthma
cc_asud_2Alcohol or substance use disorder
cc_autoimm_2Autoimmune disease
cc_cancer_2Cancer diagnosis and/or treatment within the past 12 months
cc_chronickd_2Chronic kidney disease (CKD)
cc_clung_2Other chronic lung disease
cc_copd_2Chronic obstructive pulmonary disease (COPD)
cc_cvd_2Cardiovascular disease (CVD or heart disease)
cc_depression_2Depression
cc_diabetes_2Diabetes
cc_hypertension_2Hypertension (HTN, high blood pressure)
cc_imm_2Immunocompromised condition
cc_intrav_2Intravenous drug use
cc_otherchroniccond_2Other chronic condition
cc_othermh_2Other mental health disorder
cc_sickle_2Sickle Cell Anemia
covid_abpain_2Abdominal Pain
covid_cough_2Cough
covid_diffbreath_2Shortness of breath or difficulty breathing
covid_fever_2Fever or chills
covid_headache_2Headache
covid_myalgia_2Muscle or body aches
covid_nausea_2Feeling sick to your stomach or vomiting, diarrhea
covid_olfactory_2New loss of taste or smell
covid_other_2Other
covid_runnynose_2Sore throat, congestion or runny nose
covid_skinrash_2Skin Rash
hi_coverage_typeWhat is the primary kind of health insurance or health care plan that you have now? (Exclude plans that pay for only one type of Service (such as, nursing home care, accidents, family planning, or dental care) and plans that only provide extra cash when hospitalized. )
pregnancy_statusAre you currently pregnant?
race_ethn_hispanicAre you of Hispanic, Latino, or Spanish origin?
self_reported_disabilityDo you have a disability that interferes with your ability to carry out daily activities? Examples of daily activities include walking, climbing stairs, shopping, balancing a checkbook, bathing or dressing.
self_reported_height_centimetersCentimeters
self_reported_height_feetFeet
self_reported_height_inchesInches
self_reported_height_metersMeters
self_reported_weight_kgsHow much do you weigh without clothes or shoes? If you are currently pregnant, how much did you weigh before your pregnancy?
self_reported_weight_lbsHow much do you weigh without clothes or shoes? If you are currently pregnant, how much did you weigh before your pregnancy?
smoker_cur_stat_2Do you now smoke cigarettes?
vaper_cur_statDo you now use electronic cigarettes every day, some days, rarely, or not at all?
consent_given-
consent_recontact-
covid_fatique_2-
covid_pandemic_challenges_abod_2-
covid_pandemic_challenges_food_2-
covid_pandemic_challenges_wate_2-
covid_test_approval-
covid_test_collection_setting-
covid_test_performed_location-
covid_test_result-
covid_test_specimen_collector-
covid_test_specimen_type-
covid_test_study_setting-
covid_test_type-
covid_vaccine-
covid_vaccine_course-
cov_pan_chal_hlth_2-
cov_pan_chal_med_2-
cov_pan_chlng_trans_2-
cov_tst_mthd_2-
edu_years_of_school-
employed_ew-
employed_healthcare_2-
family_income-
flu_vaccinehistind_2-
flu_vaccine_season_3-
gender_identity_term_2-
hi_loss_covid-
household_famgen_3-
isolate_maintain_job-
jobloss_covid19_2-
language_english-
language_home___9-
language_home___99-
positiveyear_covidtest_3-
quarantine_maintain_job-
race_ethn_asian_detail_3___1-
race_ethn_asian_detail_3___2-
race_ethn_asian_detail_3___3-
race_ethn_asian_detail_3___4-
race_ethn_asian_detail_3___5-
race_ethn_islander_detail_2___1-
race_ethn_islander_detail_2___10-
race_ethn_islander_detail_2___11-
race_ethn_islander_detail_2___12-
race_ethn_islander_detail_2___13-
race_ethn_islander_detail_2___14-
race_ethn_islander_detail_2___2-
race_ethn_islander_detail_2___3-
race_ethn_islander_detail_2___4-
race_ethn_islander_detail_2___5-
race_ethn_islander_detail_2___6-
race_ethn_islander_detail_2___7-
race_ethn_islander_detail_2___8-
race_ethn_islander_detail_2___9-
race_ethn_race___1-
race_ethn_race___15-
race_ethn_race___2-
race_ethn_race___3-
race_ethn_race___4-
race_ethn_race___5-
race_ethn_race___99-
recentresult_covidtest-
recentyear_covidtest_3-
redcap_event_name-
redcap_repeat_instance-
redcap_repeat_instrument-
self_reported_health_status_assessment-
self_reported_height_coded-
self_reported_weight_units_2-
sex_orient_id-
smoker_number-
test_accesseasy_2-
test_accesswhere_2-
tested_for_covid-
tested_positive_for_covid-
test_pbenearound_2-
test_pbeneexposed_2-
test_pbenepos_2-
test_pbenesafe_2-
test_pbenework_2-
test_pbeneworry_2-
test_percvaccuneg_2-
test_percvaccupos_2-
test_priskcontact_2-
test_priskhlthcare_2-
test_priskknow_2-
test_prisklater_2-
test_prisknohelp_2-
test_prisknosymp_2-
test_priskouch_2-
test_resneg_2___1-
test_resneg_2___2-
test_resneg_2___3-
test_resneg_2___4-
test_respos_2___1-
test_respos_2___2-
test_respos_2___3-
trust_coll_2-
trust_cortf_2-
trust_doc_2-
trust_fam_2-
trust_flead_2-
trust_news_2-
trust_social_2-
trust_usgov_2-
vaccine_avail-
vaccine_concerns_3___1-
vaccine_concerns_3___10-
vaccine_concerns_3___2-
vaccine_concerns_3___3-
vaccine_concerns_3___4-
vaccine_concerns_3___5-
vaccine_concerns_3___6-
vaccine_concerns_3___7-
vaccine_concerns_3___8-
vaccine_concerns_3___9-
vaccine_reasons_3___1-
vaccine_reasons_3___2-
vaccine_reasons_3___3-
vaccine_reasons_3___4-
vaccine_reasons_3___5-
vaccine_reasons_3___6-
vaccine_reasons_3___7-
vaccine_reasons_3___8-
vaccine_reasons_3___9-
Study Documents
Study Documents Table
Document
Document Name
File Size
Download
Study Documentationphs002567_Project 37_Protocol_26OCT2020.pdf1.13 MB
READMEproject37_README.html274.70 KB
Data Files
Total Files: 6
Data Files: 2
Metadata Files: 2
Dictionary Files: 2
Study Datasets Table
File Name
File Type
File Format(s)
# of Records
# of Variables
Metadata
Dictionary
project37_DATA_transformcopy.csvTabular Data - Harmonizedcsv214
project37_DATA_origcopy.csvTabular Data - Non-harmonizedcsv214