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A pragmatic randomized trial of home-based testing for COVID-19 in rural Native American and Latino communities: Protocol for the "Protecting our Communities" study.
Thompson, Matthew J; Drain, Paul K; Gregor, Charlie E; Hassell, Laurie A; Ko, Linda K; Lyon, Victoria; Ahmed, Selena; Bishop, Sonia; Dupuis, Virgil; Garza, Lorenzo; Lambert, Allison A; Rowe, Carly; Warne, Teresa; Webber, Eliza; Westbroek, Wendy; Adams, Alexandra K.
  • Thompson MJ; Institute of Translational Health Sciences, University of Washington, 850 Republican Street, Box 358051, Seattle, WA 98109, USA; Department of Family Medicine, University of Washington, Box 354696, Seattle, WA 98195, USA.
  • Drain PK; Department of Global Health, University of Washington, Box 351620, Seattle, WA 98195, USA; Department of Medicine, University of Washington, Box 356420, Seattle, WA 98195, USA; Department of Epidemiology, University of Washington, Box 351619, Seattle, WA 98195, USA.
  • Gregor CE; Institute of Translational Health Sciences, University of Washington, 850 Republican Street, Box 358051, Seattle, WA 98109, USA.
  • Hassell LA; Institute of Translational Health Sciences, University of Washington, 850 Republican Street, Box 358051, Seattle, WA 98109, USA.
  • Ko LK; Institute of Translational Health Sciences, University of Washington, 850 Republican Street, Box 358051, Seattle, WA 98109, USA; Department of Health Systems and Population Health, University of Washington, Box 351621, Seattle, WA 98195, USA; Division of Public Health Sciences, Fred Hutchinson Cance
  • Lyon V; Department of Family Medicine, University of Washington, Box 354696, Seattle, WA 98195, USA.
  • Ahmed S; Center for American Indian and Rural Health Equity (CAIRHE), Montana State University, PO Box 173485, Bozeman, MT 59717, USA.
  • Bishop S; Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, 1100 Fairview Avenue N, PO Box 19024, Seattle, WA 98109, USA.
  • Dupuis V; Salish Kootenai College, 58138 US-93, Pablo, MT, USA.
  • Garza L; Sunnyside School District, 1110 S 6th St., Sunnyside, WA, USA.
  • Lambert AA; Institute of Translational Health Sciences, University of Washington, 850 Republican Street, Box 358051, Seattle, WA 98109, USA; Department of Medicine, University of Washington, Box 356420, Seattle, WA 98195, USA; Providence Medical Research Center, Providence Health Care, 105 W 8th Ave, Suite 6050
  • Rowe C; Institute of Translational Health Sciences, University of Washington, 850 Republican Street, Box 358051, Seattle, WA 98109, USA.
  • Warne T; Center for American Indian and Rural Health Equity (CAIRHE), Montana State University, PO Box 173485, Bozeman, MT 59717, USA.
  • Webber E; Center for American Indian and Rural Health Equity (CAIRHE), Montana State University, PO Box 173485, Bozeman, MT 59717, USA.
  • Westbroek W; Salish Kootenai College, 58138 US-93, Pablo, MT, USA.
  • Adams AK; Center for American Indian and Rural Health Equity (CAIRHE), Montana State University, PO Box 173485, Bozeman, MT 59717, USA. Electronic address: alexandra.adams2@montana.edu.
Contemp Clin Trials ; 119: 106820, 2022 08.
Article in English | MEDLINE | ID: covidwho-1881752
ABSTRACT

BACKGROUND:

Home-based testing for COVID-19 has potential to reduce existing health care disparities among underserved populations in the United States. However, implementation of home-based tests in these communities may face significant barriers. This study evaluates the acceptability, feasibility, and success of home-based testing and the potential added benefit of active support from trusted community health workers for Native Americans and Hispanic/Latino adults living in rural Montana and Washington states. METHODS/

DESIGN:

The academic-community research team designed the trial to be responsive to community needs for understanding barriers and supports to home-based COVID-19 testing. The "Protecting Our Community" study is a two-arm pragmatic randomized controlled trial in which a total of 400 participants are randomized to active or passive arms. Participants of both study arms receive a commercially available home collection COVID-19 test kit, which is completed by mailing a self-collected nasal swab to a central laboratory. The primary study outcome is return of the kit to the central lab within 14 days. The cultural, social, behavioral, and economic barriers to home-based COVID-19 testing are also assessed by qualitative research methods. A survey and semi-structured interviews are conducted after the trial to evaluate perceptions and experience of home-based testing.

DISCUSSION:

Implementing home-based testing in underserved populations, including among Native American and Hispanic/Latino communities, may require additional support to be successful. The Protecting Our Community trial examines the effect of trusted community health workers on use of home-based testing, which may be adaptable for community-driven models of home-based testing in other underserved populations.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Humans Country/Region as subject: North America Language: English Journal: Contemp Clin Trials Journal subject: Medicine / Therapeutics Year: 2022 Document Type: Article Affiliation country: J.cct.2022.106820

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Full text: Available Collection: International databases Database: MEDLINE Main subject: COVID-19 Type of study: Diagnostic study / Experimental Studies / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Humans Country/Region as subject: North America Language: English Journal: Contemp Clin Trials Journal subject: Medicine / Therapeutics Year: 2022 Document Type: Article Affiliation country: J.cct.2022.106820