针对性与一般性COVID-19预防在团体住宅居住的精神残疾成年人:一个随机控制的有效性实施试验
Stephen Bartels1,2, Julie H Levison3,4, Hao D Trieu3
1Mongan Institute, Massachusetts General Hospital,, 100 Cambridge St., Suite 1600, Boston, MA, 02114, USA. sjbartels@mgh.harvard.edu.
BMC public health
|June 26, 2024
概括
一个量身定制的COVID-19预防计划改善了集体住房中非白人精神残疾居民的疫苗接种率. 这一战略显示出减少弱势群体健康差异的潜力.
科学领域:
- 公共卫生 公共卫生
- 预防传染病 预防传染病
- 健康差异 在健康上的差异
背景情况:
- 患有严重精神疾病 (SMI) 和智力/发育障碍 (ID/DD) 的人面临严重COVID-19结果的更高风险.
- 团体住宅 (GHs) 是聚集的环境,需要针对弱势居民制定有效的预防策略.
研究的目的:
- 将一个量身定制的最佳实践 (TBP) 计划与一般的最佳实践 (GBP) 进行比较,用于SMI或ID/DD的个人在GH中预防COVID-19.
- 评估TBP在提高疫苗接种率和减少COVID-19感染中的实施和有效性.
主要方法:
- 一个混合有效性实施集群随机试验,涉及415个小组家庭和3836名居民.
- 与标准英相比,TBP包括同行推,激励面试,交互式教育和忠诚反,与标准英相比.
- 测量结果包括COVID-19疫苗接种率,忠诚度得分和15个月的感染发病率.
主要成果:
- 在TBP和英之间,忠诚度或COVID-19发病率没有显著差异.
- TBP显示出更大的可接受性,适当性和可行性.
- 在精神残疾未接种疫苗的非白人居民中,TBP与英 (28.6%对14.4%) 相比,完全接种疫苗率翻了一番.
结论:
- 定制的COVID-19预防策略是可行的和可以接受的.
- TBP有可能减少精神障碍的非白人个人接受疫苗的差异.
- 实施策略应考虑针对特定弱势子组量身定制,以解决健康不平等问题.
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