Getting Asian Americans INFORMED to Facilitate COVID-19 Testing and Vaccination

Not Applicable

Completed

Conditions: Educational Activities

Interventions: Behavioral: Text Messaging Only
Behavioral: INFORMED

Registration Number: NCT04893265

Lead Sponsor: University of California, San Francisco

Brief Summary: This study develops and evaluates the "INdividual and Family-Oriented Responsive Messaging EDucation" (INFORMED) intervention in increasing knowledge about COVID-19 testing and decreasing decisional conflicts of getting tested for COVID-19. A 2-arm randomized controlled trial will compare INFORMED delivered by LHW educational outreach plus Short Message Service (SMS) text messaging to SMS text with LHW support.

Detailed Description: This project "Getting Asian Americans INFORMED to Facilitate COVID-19 Testing and Vaccinations" is to identify and address sociocultural, ethical and behavioral barriers related to Coronavirus Disease 2019 (COVID-19) testing and vaccination to enable Asian Americans to make well-informed decisions about getting tested for COVID-19. Asian Americans have experienced high rates of COVID-19 related hospitalization and mortality rates when compared to non-Hispanic whites particularly among those who tested positive. Excess COVID-19 related deaths observed in Asian Americans are in part due to under-testing or delayed testing. Asian Americans may face multiple challenges, including sociocultural (limited English proficiency, lack of trust, excess fears and social stigma related COVID-19), ethical (lack of proven benefits of various guidelines, unequal access to testing resources), and behavioral (tobacco and e-cigarette use, other competitive behaviors) factors. The pandemic is rapidly evolving and presents urgent needs to develop highly efficient channels to communicate accurate, easily comprehensive, cultural appropriate and practical information. This application is a supplement to a parent R01 "A Family-Focused Intervention for Asian American Male Smokers," as known to the public as a community-based intervention research program "Healthy Family Project." Leveraging the community partnerships and the individual / family-based LHW intervention approaches developed by the study team, the proposed aims are: (1)Develop and evaluate "INdividual and Family-Oriented Responsive Messaging EDucation" (INFORMED) intervention in increasing knowledge about COVID-19 testing and decreasing decisional conflicts of getting tested for COVID-19. A 2-arm randomized controlled trial will compare INFORMED delivered by LHW educational outreach plus SMS text messaging to SMS text with LHW support. (2) Conduct in-depth prospective investigation of sociocultural, ethical and behavioral factors related to COVID-19 testing in Chinese, Hmong and Vietnamese American over-time. In addition, factors affecting acceptance for vaccination research trial participation and vaccination uptake and how vaccination acceptance is associated with COVID-19 testing uptake will be explored.

Recruitment & Eligibility

Status: COMPLETED

Sex: All

Target Recruitment: 247

Inclusion Criteria

age 18 and older
self-identify as Chinese, Hmong or Vietnamese
able to read and/or speak: English, Chinese (Cantonese/Mandarin), Hmong or Vietnamese;
have access to a mobile phone to receive SMS text messages

Exclusion Criteria

unwilling to receive SMS text messages from the project

Study & Design

Study Type: INTERVENTIONAL

Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Text Messaging Only	Text Messaging Only	Participants will receive a weekly SMS Text or instant message on a topic related to COVID-19 testing over 12 weeks. In addition, participants will receive as-needed messages on updates of COVID-19 testing related information. The messages will be responsive to the rapid evolving developments and changes related to COVID-19 testing guidelines. Some of the messages will include a link to allow participants to get to the entire message/information on the study website.
INFORMED	INFORMED	Participants will receive a weekly SMS Text or instant message on a topic related to COVID-19 testing as described in the "Text Messaging Only." In addition, participants will receive a Lay Health Worker (LHW) Educational Outreach Program, which includes 2 group sessions via video calls like Zoom or another video conferencing platform and 2 follow-up contacts via telephone, text or other media assignment.

Primary Outcome Measures

Name	Time	Method
Decisional Conflict for Getting Tested for COVID-19	Week 16	Decision conflict is measured by the 4-item Decision Making Conflict (SURE) test which asks whether participants: 1) know enough about benefits and harm; 2) clear about which benefits and harms matter most; 3) have enough support/advice to make a choice; and 4) feel sure about the best choice regarding getting tested for COVID-19. Each item is scored either 0 (unsure) or 1(sure). The total score ranges from 0 to 4. Higher scores indicate 'more sure,' lower scores indicate higher decisional conflict.

Secondary Outcome Measures

Name	Time	Method
COVID-19 Testing Intention	Week 16	Proportion of participants who "agreed" or "strongly agreed" to the statement "I plan to get tested as often as needed."
Tested for COVID-19 During the Past Month	Week 16	Participants are asked to self-report whether they have been tested for COVID-19 in the past 30 days

Trial Locations

Locations (3): Immigrant Resettlement & Cultural Center Inc
🇺🇸
San Jose, California, United States
The Fresno Center
🇺🇸
Fresno, California, United States
Chinese Community Health Resource Center
🇺🇸
San Francisco, California, United States