Implementation of COVID-19 Testing Strategies in Community Health Centers
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 6
- Locations
- 4
- Primary Endpoint
- Percentage Change in Testing During the Study Compared to Tests Completed Prior to Study Start
Study Overview
Brief Summary
This project is part of a competitive revision to accelerate COVID-19 testing in underserved populations. The overall aim is to implement strategies to expand COVID testing in hotspot communities in MA, through 6 community health center (CHC)-community partnerships. A base strategy will be implemented at all sites. A tailored strategy unique to local populations will be added and tested in a stepped wedge design.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Participants are patients at the intervention or control CHCs or members of the local community. The participating sites constitute one group; a set of matched control CHCs that will conduct testing as usual constitute the second group.
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Percentage Change in Testing During the Study Compared to Tests Completed Prior to Study Start
Time Frame: 85 weeks post-implementation compared to 35 weeks pre-implementation
Acceleration of covid testing volume during covid surges, estimated as the percent change in weekly covid testing volume trend for each 10% increase in covid cases. A slope value was estimated from a segmented regression model for the entire study period, which was then used to calculate a difference between the post- and pre-implementation periods.
Secondary Outcomes
No secondary outcomes reported
Investigators
Elsie Taveras, MD
Executive Director, Kraft Center for Community Health and Division Chief, General Academic Pediatrics
Massachusetts General Hospital