The proposed project will implement and evaluate a brief Community Health Worker (CHW)intervention through the Albany Area Primary Health Care, a rural Federally QualifiedHealth Center (FQHC). The primary goal of this study is to maximize effective outreach,education, and communication through CHWs in order to facilitate improved COVID-19vaccine confidence and uptake in underserved and vulnerable communities. CHWs will bedeployed to the homes of adults with increased risk of morbidity and mortality (i.e.,African Americans or Latinos with uncontrolled diabetes or prediabetes, age
Not Provided
Behavioral: Impact of Community Health Worker Home Deployment on COVID-19 Vaccine Confidence and Uptake
CHWs will conduct home visits to provide diabetes and COVID-19 health education based on
the participant's needs, interests, and clinical health assessment results. All adults in
the household will be invited to participate in the health education discussions. At each
visit, the CHW will use diabetes management and COVID-19 educational materials to
facilitate and inform discussions. CHWs will also make available at-home COVID-19 testing
kits with instructions for the patient and their household family members. The discussion
of COVID-19 beliefs, perceptions, and related behaviors will be raised during a later
visit, i.e., after rapport and trust has been established and if it has not been raised
by the participants during the earlier visits. In addition, CHWs will help schedule
vaccination and healthcare appointments upon participant's interest.
Inclusion Criteria:
- Participants must be between18 and 50 years
- Self-identify as African American/Black or Latino
- English speaking
- Have received care for uncontrolled diabetes (HbA1c > 9%) or prediabetes diagnosis
within one of the AAPHC 27 community sites
- Unvaccinated for Phase 1 (vaccinated for Phase 2)
Exclusion Criteria:
- Not meeting the Inclusion Criteria
- Enrolled in the parent RADx-UP Project PEACH study
- Unable or unwilling to provide informed consent to participate in the study (ie:
incarcerated individuals and children)
- Individuals with a terminal cancer diagnosis, have chronic kidney disease (stage
4-5), pregnant women, and people with severe psychological disorders (i.e.,
dementia,suicide ideation)
Albany Area Primary Health Care
Albany, Georgia, United States
Rakale C Quarells, PhD, Principal Investigator
Morehouse School of Medicine