Community Care Intervention to Decrease COVID-19 Vaccination Inequities

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorRAND

About this trial

The purpose of this study is to find out if a community health workers (CHW) intervention conducted in Federally Qualified Health Centers (FQHCs) can increase the number of adults with chronic illnesses who are up-to-date with their COVID-19 and influenza vaccines.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

None

Trial design

Design model

Parallel

Treatments tested in this trial

  • Community Health Worker Intervention to Enhance Vaccination Behavior (CHW-VB)

    Behavioral

    Patients randomized to the CHW intervention will receive up to 3 psychoeducational sessions in English or Spanish targeting the specific reason(s) why a patient is not up to date with their COVID-19 vaccine. CHWs will use motivational interviewing techniques to promote vaccination behaviors.

Treatment groups

800 Participants
are divided into 2 treatment groups
Group A: Community Health Worker (CHW) Intervention to Enhance Vaccination BehaviorExperimental treatment 1 intervention
Group B: Usual CareNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

COVID-19 vaccine acceptance

COVID-19 vaccine acceptance at 3 months is measured by a survey self-report survey item asking participants to rate the following statement on a 5-to Likert scale (from 1 = strongly disagree to 5 = strongly agree): "If I was not up-to-date with the COVID-19 vaccines recommended for me, I would get the missing vaccinations." This variable is dichotomized to COVID-19 vaccine acceptance (0 = strongly disagree/disagree/neutral; 1 = agree/strongly agree)

Time frame
Baseline and 3 months
2

COVID-19 vaccine uptake

COVID-19 vaccine uptake is defined based on information gathered by multiple sources combining data obtained from patient survey self-reports, EHR data, and Healthix data. We also confirm receipt of the vaccine by asking the participant to see their COVID-19 vaccination card. Vaccination extracted data is from Healthix, the largest Regional Health Information Organization (RHIO) and from a wide array of facilities providing vaccinations will be pulled, including hospitals, health centers, ambulatory care sites, community vaccination sites, and pharmacies.

Time frame
Baseline and 3 months

Secondary outcomes

1

Influenza vaccine uptake

As for COVID-19 update, we rely on a combination of survey self-report, EHR, and Healthix data.

Time frame
Baseline and 3 months

Other outcomes

Sponsors and contacts

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RAND

Lead sponsor

Clinical Directors Network

Collaborator

National Institute on Minority Health and Health Disparities (NIMHD)

Collaborator