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Study Information

dbGaP Study Accession: phs002619

NIH Institute/Center: NCATS

RADx Data Program: RADx-UP

Release Date: 08/31/2023

DOI: 10.60773/ydsc-2z38

Study Description: Local health departments are employing widely varying approaches to address the dramatic health inequities associated with the COVID-19 pandemic. Learning collaboratives have been effective in other settings for bringing entities together to support joint problem solving and reduce variance in approach. These collaboratives built upon shared experiences to help their members understand not only what to do but how to do it, providing knowledge and skills that were critical to successful implementation of interventions. This study aimed to examine the effectiveness of a diverse, regional learning collaborative of health departments that rapidly adapt, test, and implement community-driven solutions for COVID testing disparities using a pragmatic, hybrid type II trial design. Based on preliminary data from a community-led approach developed in a severely affected Kansas county (Wyandotte), the project built Local Heath Equity Action Teams in 10 counties (4 urban and 6 rural) disproportionately affected by COVID and provided them with the training and resources needed to achieve COVID testing equity. These Local Health Equity Action Teams came together into a multi-jurisdictional learning collaborative or Community Partner Program (Aim 1) that can share best practices and collaborate on developing, testing and evaluating multi-component intervention packages for addressing COVID. Initial supported interventions included: community-sponsored pop-up testing events; home-based and worksite testing; community-informed communication strategies; and support packages for at-risk individuals and families receiving testing. Additional interventions developed or proposed by local community partners or identified through national RADx-UP efforts were continuously considered by the collaborative. Working with the local Action teams, a series of semi-structured interviews and surveys were conducted within each local community (Aim 2) to better understand common and subgroup (racial, ethnic, geographic, etc.) barriers to and facilitators of testing. Existing epidemiologic surveillance tools were leveraged to develop and track a series of county-level metrics of COVID testing inequities. Guided by the RE-AIM framework and the Consolidated Framework for Intervention Research, the effectiveness (Aim 3) of the collaborative in improving uptake of COVID testing in vulnerable communities was examined, as will the reach, adoption, implementation and maintenance of intervention components within each local community. This study not only advanced understanding of how to achieve COVID testing equity but also provided a framework for supporting underserved communities as they respond to future public health emergencies and COVID vaccination challenges.

Updated Date: 04/17/2024

Principal Investigator: Ellerbeck, Edward F

Has Data Files: Yes

Study Domain: At-Home or Over-the-Counter (OTC) Self-Testing; Community Outreach Programs; Mobile Unit Testing; Testing Rate or Uptake

Data Collection Method: Antigen Testing Device; Interview or Focus Group; Survey

Keywords: COVID Outreach/Education; Testing Disparities

Study Design: Longitudinal Cohort

Multi-Center Study: No

Data Types: Behavioral; Questionnaire or Survey; Social

Study Start Date: 09/25/2020

Study End Date: 06/30/2022

Species: Human

Estimated Cohort Size: 3000

Study Population Focus: Adults; Older Adults or Elderly; Rural Communities; Underserved or Vulnerable Populations

Publication URL: https://pubmed.ncbi.nlm.nih.gov/36265091/; https://pubmed.ncbi.nlm.nih.gov/36446055/

Acknowledgement Statement: This study was supported through funding, 3UL1TR002366-04S3, for the National Center for Advancing Translational Sciences (NCATS) as part of the RADx-UP program. Approved users should acknowledge the provision of data access by dbGaP for accession phs002619.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: PA-20-135

NIH Grant or Contract Number(s): 3UL1TR002366-04S3

Consent/Data Use Limitations: General Research Use

Variable Information
Total Variables: 261
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_ageWhat is your age?
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_zipWhat is your zip code?
nih_employmentPlease specify your employment status.
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_alcohol_ynAlcohol use (Yes or No)
nih_lifetime_use_alcoholIn your entire life, have you had at least 1 drink of any kind of alcohol, not counting small tastes or sips? (Yes or No)
nih_alcohol_frequencyHow often did you have a drink containing alcohol ?
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_heightWhat is your height in inches?
nih_weightWhat is your weight in pounds?
age_yrsAge For babies less than 1 year old, do not write the age in months. Write 0 as the age. (Years)
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
current_employment_statusWe would like to know about what you do -- are you working now, looking for work, retired, keeping house, a student, or something else?
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. )
lifetime_use_alcoholIn your entire life, have you had at least 1 drink of any kind of alcohol, not counting small tastes or sips?
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?
zip_codeZip Code
alcohol_daysperweek-
consentdt_mdy-
covid_pandemic_challenges_abod_2-
covid_pandemic_challenges_food_2-
covid_pandemic_challenges_wate_2-
covid_vaccine-
cov_tst_mthd_2-
edu_years_of_school-
employed_ew-
employed_healthcare_2-
family_income-
flu_vaccinehistind_2-
flu_vaccine_season_3-
hi_loss_covid-
household_congregate_3-
household_famgen_3-
household_homeless-
isolate_maintain_job-
jobloss_covid19_2-
ku_107a1-
ku_107a___1-
ku_107a___10-
ku_107a___11-
ku_107a___2-
ku_107a___3-
ku_107a___4-
ku_107a___5-
ku_107a___6-
ku_107a___7-
ku_107a___8-
ku_107a___9-
ku_107b1-
ku_107b2-
ku_107b3-
ku_107b4-
ku_107c1-
ku_107c___1-
ku_107c___10-
ku_107c___2-
ku_107c___3-
ku_107c___4-
ku_107c___5-
ku_107c___6-
ku_107c___7-
ku_107c___8-
ku_107c___9-
ku_107d-
ku_107d1___1-
ku_107d1___2-
ku_107d1___3-
ku_107d1___4-
ku_107d1___5-
ku_107d1___6-
ku_107d1a-
ku_107e1-
ku_107e___1-
ku_107e___2-
ku_107e___3-
ku_107e___4-
ku_107e___5-
ku_107e___6-
ku_34b___1-
ku_34b___2-
ku_34b___3-
ku_34b___4-
ku_34b___5-
ku_34b___6-
ku_34b___99-
ku_34c-
ku_34d-
ku_34d1-
ku_34d1a___1-
ku_34d1a___2-
ku_34d1a___3-
ku_34d1a___4-
ku_34d1a___5-
ku_34d1b-
ku_45a-
ku_98a___1-
ku_98a___10-
ku_98a___11-
ku_98a___2-
ku_98a___3-
ku_98a___4-
ku_98a___5-
ku_98a___6-
ku_98a___7-
ku_98a___8-
ku_98a___9-
ku_98a_other-
ku_other_vaccine_concerns-
ku_other_vaccine_reasons-
ku_surveylocation-
language_english-
language_home___1-
language_home___2-
language_home___3-
language_home___4-
language_home___5-
language_home___6-
language_home___7-
language_home___8-
language_home___9-
language_home___90-
language_home___99-
positivemonth_covidtest_2-
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_hispanic_detail_2___1-
race_ethn_hispanic_detail_2___2-
race_ethn_hispanic_detail_2___3-
race_ethn_hispanic_detail_2___4-
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-
recentmonth_covidtest_2-
recentresult_covidtest-
recentyear_covidtest_3-
redcap_event_name-
redcap_repeat_instance-
redcap_repeat_instrument-
self_reported_health_status_asse-
self_reported_height_coded-
self_reported_weight_units_2-
smoker_number-
test_accesseasy_2-
test_accesswhere_2-
tested_for_covid-
tested_positive_for_covid-
test_percvaccuneg_2-
test_percvaccupos_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-
work_closecont_2-
work_ppe_2-
work_wash_2-
Study Documents
Study Documents Table
Document
Document Name
File Size
Download
Study Documentationphs002619_Project 34_Protocol.pdf490.03 KB
READMEproject34_README.html274.83 KB
Study Documentationproject34_DDE_dictionary_origcopy.csv36.98 KB
Data Files
Total Files: 8
Data Files: 3
Metadata Files: 3
Dictionary Files: 2
Study Datasets Table
File Name
File Type
File Format(s)
# of Records
# of Variables
Metadata
Dictionary
project34_DATA_transformcopy.csvTabular Data - Harmonizedcsv2196
project34_DDE_DATA_origcopy.csvTabular Data - Non-harmonizedcsv2196

project34_DATA_origcopy.csvTabular Data - Non-harmonizedcsv2196