Communities Fighting COVID Return to School

Not Applicable

Completed

Interventions: Behavioral: At-home COVID-19 testing
Behavioral: Family-based model
Behavioral: Onsite COVID-19 testing

Brief Summary: San Diego State University (SDSU), a designated Hispanic-serving institution, is partnering with Sweetwater Union High School District, an independent public school district serving 90% ethnic minority and a high proportion of socioeconomically disadvantaged students, and other community partners, to generate evidence for effective and feasible COVID-19 testing for unvaccinated and medically vulnerable middle school students and staff as part of broader COVID mitigation strategies including vaccination to return students back to school safely.

Detailed Description: Equitable access to coronavirus 2019 (COVID-19) screening is important to reduce transmission and maintain in-person learning for middle school communities, particularly in disadvantaged schools. Rapid antigen testing, and at-home testing in particular, could offer substantial advantages over onsite testing from a school district's perspective, but it is unknown if engagement in at-home testing can be initiated and sustained. The investigators hypothesized that an at-home COVID-19 school testing program would be non-inferior to an onsite school COVID-19 testing program with regard to school participation rates and adherence to a weekly screening testing schedule. The study enrolled 3 middle schools within a large, predominantly Latinx-serving, independent school district into a noninferiority trial from October 2021 to March 2022. Two schools were randomized to onsite and 1 school to at-home COVID-19 testing programs. All students and staff were eligible to participate.

Recruitment & Eligibility

Inclusion Criteria

student at a Sweetwater Union High School District Middle School, staff at a Sweetwater Union High School District Middle School

Exclusion Criteria

<2 years of age
Not a student or staff at a participating Sweetwater Union High School District Middle School

Arm && Interventions

Group	Intervention	Description
At-home testing + household	Family-based model	At-home COVID-19 testing model with active encouragement of household member participation in regular COVID-19 testing part way through the trial
On-site testing + household	Family-based model	On-site COVID-19 testing model with active encouragement of household member participation in regular COVID-19 testing part way through the trial
On-site testing + household	Onsite COVID-19 testing	On-site COVID-19 testing model with active encouragement of household member participation in regular COVID-19 testing part way through the trial
At-home testing + household	At-home COVID-19 testing	At-home COVID-19 testing model with active encouragement of household member participation in regular COVID-19 testing part way through the trial
On-site testing	Onsite COVID-19 testing	On-site COVID-19 testing model, no active encouragement of household member participation in COVID-19 testing

Primary Outcome Measures

Name	Time	Method
Adherence to the Weekly COVID-19 Testing Schedule	through study completion, up to 21 weeks	Proportion of scheduled weekly COVID-19 tests completed when enrolled in the trial

Secondary Outcome Measures