dbGaP Study Accession: phs002649

NIH Institute/Center: NCI

RADx Data Program: RADx-UP

Release Date: 08/31/2023

DOI: 10.60773/85ty-n986

Study Description: Given observed disparities in COVID-19 morbidity, hospitalization, and mortality across race, ethnicity, and socioeconomic status, there is a great need to increase testing access and uptake with rapid return of test results. Therefore, a community health worker (CHW)-led approach to facilitate COVID-19 testing for underserved populations, with a focus on increasing testing access, uptake, and impact among Latinx, African American, Filipino, and immigrant communities using different testing implementation strategies was proposed. This project utilized COVID-19 contact tracing and community partner infrastructure to reach individuals aged 6 and above exposed or at risk of COVID-19 exposure. Mobile and home-based testing strategies for increasing testing uptake among contacts, referred high-risk friends and family, and the broader community were evaluated. The specific aims of this project were to: 1) Implement COVID-19 testing integrated into community health worker contact tracing home visits and compare the subsequent uptake of testing for referred high-risk friends and family in a mobile testing vs. home-based testing approach; 2) Using a community-led rapid cycle research process, identify effective strategies to promote uptake of COVID-19 testing through mobile/pop-up testing for Latinx, African American, Filipino, and immigrant populations exposed or at risk of exposure to COVID-19; 3) Gather CHW and community insights to establish best practices for future scale-up and sustainability. The project contributed to health disparity reductions in COVID-19 morbidity and mortality and produce high impact through core strengths in drawing on local knowledge, the team's existing community partnerships, use of culturally-competent community healthcare workers, point-of-care rapid and inexpensive testing, and the use of geospatial data to prioritize locations for mobile pop-up testing. This focus on underserved populations with high COVID-19 exposures informed both future testing and vaccination efforts.

Updated Date: 04/10/2024

Principal Investigator: Kiene, Susan Maria

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; Contact Tracing; Survey

Keywords: COVID-19 related Health Disparities; Filipino Population

Study Design: Cross-Sectional

Multi-Center Study: No

Data Types: Behavioral; Questionnaire or Survey

Study Start Date: 09/24/2020

Study End Date: 08/31/2021

Species: Human

Estimated Cohort Size: 15000

Study Population Focus: Adults; African Americans; Children; Hispanics or Latinos; Older Adults or Elderly; Racial or Ethnic Minorities

Study Website URL: https://cfc.sdsu.edu/

ClinicalTrials.gov URL: https://clinicaltrials.gov/study/NCT05148936

Acknowledgement Statement: This study was supported through funding, 3U54CA132384-10S1, for the National Cancer Institute (NCI) as part of the RADx-UP program. Communities Fighting COVID! (PIs: Susan M. Kiene, Eyal Oren, Hala Madanat) acknowledges the invaluable contributions of the community leadership (the COVID CARE Team), project staff, community members, and study participants. Approved users should acknowledge the provision of data access by dbGaP for accession phs002649.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): 3U54CA132384-10S1

Consent/Data Use Limitations: General Research Use