About: Evaluation of a novel community-based COVID-19 'Test-to-Care model' for low-income populations

Facets (new session)
Description
Metadata
Settings
- owl:sameAs
- Inference Rule:

About: Evaluation of a novel community-based COVID-19 'Test-to-Care model' for low-income populations Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
has title	Evaluation of a novel community-based COVID-19 'Test-to-Care model' for low-income populations
Creator	Havlir, Diane Gandhi, Monica Kerkhoff, Andrew Marquez, Carina Chamie, Gabriel Jacobo, Jon Peng, James Petersen, Maya Rojas, Susana Tulier-Laiwa, Valerie Black, Douglas Jones, Diane Martinez, Jackie Mizany, Sara Rojas, Susy Sachdev, Darpun
Source	MedRxiv
abstract	Background: After a COVID-19 diagnosis, vulnerable populations face considerable logistical and financial challenges to isolate and quarantine. We developed and evaluated a novel, community-based approach (Test-to-Care Model) designed to address these barriers for socioeconomically vulnerable Latinx individuals with newly diagnosed COVID-19 and their households. Methods: This three-week demonstration project was nested within an epidemiologic surveillance study in a primarily Latinx neighborhood in the Mission district of San Francisco, California. The Test-to-Care model was developed with input from community members and public health leaders. Key components included: (1) provision of COVID-19-related education and information about available community resources, (2) home deliveries of material goods to facilitate safe isolation and quarantine (groceries, personal protective equipment and cleaning supplies), and (3) longitudinal clinical and social support. Newly SARS-CoV-2 PCR-positive participants were eligible to participate. Components of the model were delivered by the Test-to-Care team which was comprised of healthcare providers and community health workers (CHWs) who provided longitudinal clinic- and community-based support for the duration of the isolation period to augment existing services from the Department of Public Health (DPH). We evaluated the Test-to-Care Model using the Reach, Effectiveness, Adoption, Implementation, Maintenance (RE-AIM) Framework and drew upon multiple data sources including: programmatic data, informal interviews with participants and providers/CHWs and structured surveys among providers/CHWs. Results: Overall, 83 participants in the surveillance study were diagnosed with COVID-19, of whom 95% (79/83) were Latinx and 88% (65/74) had an annual household income <$50,000. Ninety-six percent (80/83) of participants were reached for results disclosure, needs assessment and DPH linkage for contact tracing. Among those who underwent an initial needs assessment, 45% (36/80) were uninsured and 55% (44/80) were not connected to primary care. Sixty-seven percent (56/83) of participants requested community-based CHW support to safely isolate at their current address and 65% (54/83) of all COVID-19 participants received ongoing community support via CHWs for the entire self-isolation period. Participants reported that the intervention was highly acceptable and that their trust increased over time - this resulted in 9 individuals who disclosed a larger number of household members than first reported, and 6 persons who requested temporary relocation to a hotel room for isolation despite initially declining this service; no unintended harms were identified. The Test-to-Care Model was found to be both acceptable and feasible to providers and CHWs. Challenges identified included a low proportion of participants linked to primary care despite support (approximately 10% after one month), and insufficient access to financial support for wage replacement. Conclusions: The Test-to-Care Model is a feasible and acceptable intervention for supporting self-isolation and quarantine among newly diagnosed COVID-19 patients and their households by directly addressing key barriers faced by vulnerable populations.
has issue date	2020-07-30(xsd:dateTime)
bibo:doi	10.1101/2020.07.28.20161646
has license	medrxiv
sha1sum (hex)	5aea6af2038ad53f1929db189cf5db684e38ece1
schema:url	https://doi.org/10.1101/2020.07.28.20161646
resource representing a document's title	Evaluation of a novel community-based COVID-19 'Test-to-Care model' for low-income populations
resource representing a document's body	covid:5aea6af2038ad53f1929db189cf5db684e38ece1#body_text
is schema:about of	named entity 'nested' named entity 'public health' named entity 'Latinx' named entity 'participate' named entity 'PROVIDERS' named entity 'CLINIC' named entity 'STUDY' named entity 'THESE' named entity 'CARE' named entity 'NOVEL' named entity 'ADDRESS' named entity 'PERIOD' named entity 'RESULTS' named entity 'CARE TEAM' named entity 'POSITIVE' named entity 'MISSION' named entity 'EPIDEMIOLOGIC' named entity 'INPUT' named entity 'INCLUDED' named entity 'DURATION' named entity '282' named entity 'MULTIPLE' named entity 'ABOUT' named entity 'SARS-COV-2' named entity 'Key' named entity 'quarantine' named entity 'Implementation' named entity 'Overall' named entity 'model' named entity 'evaluated' named entity 'Mission district' named entity 'provision' named entity 'neighborhood' named entity 'surveys' named entity 'personal protective equipment' named entity 'quarantine' named entity 'social support' named entity 'healthcare providers' named entity 'Short title' named entity 'California' named entity 'public health' named entity 'primary care' named entity 'CC-BY-NC-ND 4.0' named entity 'COVID-19 testing' named entity 'primary care' named entity 'COVID' named entity 'COVID-19 pandemic' named entity 'preprint' named entity 'peer review' named entity 'SFDPH' named entity 'PPE' named entity 'self-isolation' named entity 'tested positive for COVID-19' named entity 'COVID' named entity 'Chan Zuckerberg Biohub' named entity 'preprint' named entity 'SFDPH' named entity 'medRxiv' named entity 'preprint' named entity 'COVID-19 testing' named entity 'self-isolate' named entity 'COVID' named entity 'CHW' named entity 'Mission District' named entity 'primary care' named entity 'COVID' named entity 'medRxiv' named entity 'Latinx' named entity 'health insurance' named entity 'CHW'

Faceted Search & Find service v1.13.91 as of Mar 24 2020

Alternative Linked Data Documents: Sponger | ODE Content Formats:

RDF

ODATA

Microdata

About

OpenLink Virtuoso version 07.20.3229 as of Jul 10 2020, on Linux (x86_64-pc-linux-gnu), Single-Server Edition (94 GB total memory)
Data on this page belongs to its respective rights holders.
Virtuoso Faceted Browser Copyright © 2009-2024 OpenLink Software