Addressing COVID-19 Vaccine Hesitancy With Muliti-Level Interventions in Appalachia

Launched by MARC KIVINIEMI · Jul 16, 2024

Keywords

ClinConnect Summary

The intervention trial will be a community-based, three-arm cluster randomized controlled trial. The three arms are: (1) multilevel invention (vaccine communication campaign + community-level structural intervention),(2) health communications only intervention, and (3) control/standard of care. Randomization will take place at the county level. The 15 participating counties will first be matched into blocks of three, with each block being matched as closely as possible on recent county influenza vaccination rates. After matching, the three counties within each matched block will be randomly...

Gender

ALL

Eligibility criteria

• • Up to 2,250 participants will take part in the study --- approximately 150 residents in each of the 15 participating Appalachian Kentucky Counties. In each of the fifteen counties, the investigators will collect survey data from 150 adults who are served by Homeplace, a medical and social services organization run by the UK Center for Excellence in Rural Health, which provides services in each of the 15 partner counties. Homeplace provides services to adults who are medically underserved and typically at 100-133% of the federal poverty level, primarily through service delivery by trained local Community Health Workers (CHWs). CHWs will recruit participants and collect the survey data from the identified individuals. Importantly, the criteria for qualification for Homeplace services are equivalent across the 15 counties, providing equivalence of sample across counties. A random sample of 150 individuals per county will be drawn from the Homeplace client database for that county. Gender, ethnic background, and health status will roughly mirror that of the demographics of the county.
• Inclusion Criteria:
• • 1. Must be a current Homeplace client
• • 2. Live in one of the 15 selected study counties
• • 3. Over the age of 18
• • 4. Have the ability to complete the survey in English
• Exclusion Criteria:
• • 1. Not a current Homeplace client
• • 2. Primary residence is not in one of the 15 study counties
• • 3. Not within the ages of 18-99 years old
• • 4. English is not your primary language