Supported Employment to Create a Community Culture of COVID-19 Rapid Testing Among People Who Inject Drugs: PeerConnect2Test
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 102
- 试验地点
- 1
- 主要终点
- Qualitative semi-structured interview with PWID Peer Health Worker
研究概览
简要总结
This community-engaged project aims to improve the accessibility of rapid tests through a supported employment program for people who inject drugs (PWID). The overall goal is to develop a transformative community-driven intervention in partnership with a community partner to promote widespread access to rapid testing among PWID.
详细描述
The program is called Peer Connect2Test (PeerC2T). PWID will be recruited by a community partner who provides syringe exchange services. The community partner will train PWID to become peer health workers (PHW) to distribute SARS-CoV-2 rapid tests to other PWID. Investigators expect that PeerC2T will improve knowledge, self-efficacy, and health behaviors among PHWs.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age 18 and older
- •Able to speak and understand English
排除标准
- 未提供
研究组 & 干预措施
Supported Employment for Peer Health Workers
Supported employment program (Peer Connect2Test) for people who inject drugs to provide SARS-CoV-2 rapid tests to others in their networks
干预措施: Supported Employment (Behavioral)
结局指标
主要结局
Qualitative semi-structured interview with PWID Peer Health Worker
时间窗: 3 months post intervention involvement
Includes:(a) provided participant with purpose and meaning; (b) helped them create more meaningful social relationships; (c) provided opportunities for engaging with society in a positive way; (d) helped them feel competent and capable; and (e) facilitated optimism about the future. Coded using NVivo text-analysis software.
Percent of people who inject drugs who agree to testing for COVID-19
时间窗: through study completion, an average of 1 year
Peer Health Workers will offer a rapid test to 1000 PWID. The percent of PWID who agree to take the test serves as this measure for Aim 2a.
Change in Self-efficacy of PWID Peer Health Worker
时间窗: Change from Baseline Self-efficacy at 3 months
To test Aim 1 using qualitative data, we will develop self-efficacy items based on skills taught in the supported employment training 5-point response option (1 = Strongly disagree, 5 = strongly agree).
Change in Behavioral Intentions of Peer Health Worker
时间窗: Change from Baseline Behavior at 3 months
To test Aim 1, we will adapt questions from the Preventative Medicine Attitudes and Activities Questionnaire, and using the same response option, reframe the items based on how often they intend to engage in the behavior. We will develop the knowledge items based on skills taught in the training. Higher scores indicate greater behavioral intentions.
Change in Flourishing Scale (Well-Being)
时间窗: Change from Baseline Flourishing (well-being) at 3 months
To test Aim 1, we will use an 8-item summary measure of self-perceived success in important areas such as relationships, self-esteem, purpose, and optimism. Questions pertain to experiences over the past 4-weeks (e.g., My social relationships are supportive and rewarding, I am engaged and interested in my daily activities) and responses are indicated on a 7-point scale (1 = Strongly disagree, 7 = Strongly agree). The possible range of scores is from 8 (lowest possible) to 56 (highest PWB possible). A high score represents a person with many psychological resources and strengths
Participant Peer Well-Being (Flourishing Scale)
时间窗: Assessed at baseline and 3-month follow-up
Participant well-being was computed as the mean of eight items with a 7-point response option (1 = strongly disagree, 7 = strongly agree). The internal consistency, as measured with Cronbach's alpha (α), was .90, scores could range from 1 to 7, and higher scores indicated greater levels of well-being.
次要结局
- Health Communication Self-Efficacy(Assessed at baseline and 3-month follow-up)
- Peer Support Self-Efficacy(Assessed at baseline and 3-month follow-up)
- COVID-19 Knowledge(Assessed at baseline and 3-month follow-up)
- HIV Knowledge(Assessed at baseline and 3-month follow-up)
- Hepatitis C Knowledge(Assessed at baseline and 3-month follow-up)
- Syphilis Knowledge(Assessed at baseline and 3-month follow-up)
- Naloxone Knowledge(Assessed at baseline and 3-month follow-up)
- Harm Reduction Risk Behaviors - Number of Times a Person Injected Drugs(Assessed at baseline and 3-month follow-up)
- Harm Reduction Risk Behaviors - Number of Times a Person Used Needles(Assessed at baseline and 3-month follow-up)
- Harm Reduction Risk Behaviors - Number of Times Person Engaged in Risky Intercourse Behaviors(Assessed at baseline and 3-month follow-up)