التفاصيل البيبلوغرافية
| العنوان: |
'You know, it feels like you can trust them': mixed methods implementation research to inform the scale up of a health disparities-responsive COVID-19 school testing program |
| المؤلفون: |
Susan M. Kiene, Amanda P. Miller, Doreen Tuhebwe, Diego A. Ceballos, Cynthia N. Sanchez, Jamie Moody, Lynnette Famania, Richard Vernon Moore, Eyal Oren, Corinne McDaniels-Davidson |
| المصدر: |
Implementation Science Communications, Vol 5, Iss 1, Pp 1-16 (2024) |
| بيانات النشر: |
BMC, 2024. |
| سنة النشر: |
2024 |
| المجموعة: |
LCC:Medicine (General) |
| مصطلحات موضوعية: |
At-home testing, Middle school, Hispanic/Latino, COVID-19, Implementation science, Health disparities, Medicine (General), R5-920 |
| الوصف: |
Abstract Background Health disparities lead to negative COVID-19 outcomes for Hispanic/Latino communities. Rapid antigen testing was an important mitigation tool for protecting schools and their communities as in-person learning resumed. Within the context of a 3-middle-school non-inferiority trial we assessed acceptability and appropriateness of at-home and school-based COVID-19 antigen testing and implementation barriers and facilitators to facilitate district-wide scale up. Methods Guided by the Consolidated Framework for Implementation Research (CFIR) and acceptability and appropriateness implementation outcomes, we collected post-implementation qualitative (n = 30) and quantitative (n = 454) data in English and Spanish from trial participants, in-depth feedback sessions among program implementers (n = 19) and coded 137 project meeting minutes. Verbatim transcripts were thematically analyzed. We used multivariate linear models to evaluate program acceptability and appropriateness by COVID-19 testing modality and mixed qualitative and quantitative findings for interpretation. Results Questionnaire respondents closely matched school demographics (> 80% Hispanic/Latino and 8% Filipino/Asian Pacific Islander). While both testing modalities were rated as highly acceptable and appropriate, at-home testing was consistently favorable. Qualitative findings provided actionable areas for at-home testing program refinement, guiding district-wide scale up including: maintaining a learning climate to accommodate modifications as guidelines changed, needs of the school community, and implementation challenges; ensuring an engaged school leadership and sufficient human resources; improving educational communication about COVID-19 and technology ease of use; and increased time for pre-implementation planning and engagement. Conclusions Results underscore the value of the CFIR to inform program implementation, particularly programs to reduce disparities during a public health emergency. Results support optimal testing implementation strategies centering the needs and perspectives of Hispanic/Latinos. |
| نوع الوثيقة: |
article |
| وصف الملف: |
electronic resource |
| اللغة: |
English |
| تدمد: |
2662-2211 |
| Relation: |
https://doaj.org/toc/2662-2211 |
| DOI: |
10.1186/s43058-024-00669-7 |
| URL الوصول: |
https://doaj.org/article/14967534c5c445b5a22784dc1c4bbc84 |
| رقم الانضمام: |
edsdoj.14967534c5c445b5a22784dc1c4bbc84 |
| قاعدة البيانات: |
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