TY - JOUR
T1 - Mitigation through on-site testing & education among formerly incarcerated individuals against Covid-19 – The MOSAIC study
T2 - Design and rationale
AU - Ackerman, Maxwell
AU - Holmes, Connor S.
AU - Antigua, Jordy Rojas
AU - Riback, Lindsey R.
AU - Zhang, Chenshu
AU - Walker, Josephine G.
AU - Vickerman, Peter
AU - Travers, Ann
AU - Linder, Micaela
AU - Day, Ronald
AU - Fox, Aaron D.
AU - Cunningham, Chinazo O.
AU - Akiyama, Matthew J.
N1 - Publisher Copyright:
© 2023
PY - 2024/1
Y1 - 2024/1
N2 - Background: Many of the largest COVID-19 outbreaks in the United States have occurred at carceral facilities. Criminal legal system (CLS)-involved individuals typically face structural barriers accessing medical care post-release. Improving COVID-19 testing and education for CLS-involved individuals could improve health outcomes for this vulnerable population and the communities to which they return. Community-based organizations (CBO) and community health workers (CHWs) fill care gaps by connecting CLS-involved individuals with essential re-entry services. The MOSAIC study will: 1) test an onsite CHW-led SARS-CoV-2 testing and education intervention in a reentry CBO and 2) model the cost-effectiveness of this intervention compared to standard care. Methods: We will recruit 250 CLS-involved individuals who have left incarceration in the prior 90 days. Participants will be randomized to receive onsite Point-of-Care testing and education (O-PoC) or Standard of Care (SoC). Over one year, participants will complete quarterly questionnaires and biweekly short surveys through a mobile application, and be tested for SARS-CoV-2 quarterly, either at the CBO (O-PoC) or an offsite community testing site (SoC). O-PoC will also receive COVID-19 mitigation counseling and education from the CHW. Our primary outcome is the proportion of SARS-CoV-2 tests performed with results received by participants. Secondary outcomes include adherence to mitigation behaviors and cost-effectiveness of the intervention. Discussion: The MOSAIC study will offer insight into cost effective strategies for SARS-CoV-2 testing and education for CLS-involved individuals. The study will also contribute to the growing literature on CHW's role in health education, supportive counseling, and building trust between patients and healthcare organizations.
AB - Background: Many of the largest COVID-19 outbreaks in the United States have occurred at carceral facilities. Criminal legal system (CLS)-involved individuals typically face structural barriers accessing medical care post-release. Improving COVID-19 testing and education for CLS-involved individuals could improve health outcomes for this vulnerable population and the communities to which they return. Community-based organizations (CBO) and community health workers (CHWs) fill care gaps by connecting CLS-involved individuals with essential re-entry services. The MOSAIC study will: 1) test an onsite CHW-led SARS-CoV-2 testing and education intervention in a reentry CBO and 2) model the cost-effectiveness of this intervention compared to standard care. Methods: We will recruit 250 CLS-involved individuals who have left incarceration in the prior 90 days. Participants will be randomized to receive onsite Point-of-Care testing and education (O-PoC) or Standard of Care (SoC). Over one year, participants will complete quarterly questionnaires and biweekly short surveys through a mobile application, and be tested for SARS-CoV-2 quarterly, either at the CBO (O-PoC) or an offsite community testing site (SoC). O-PoC will also receive COVID-19 mitigation counseling and education from the CHW. Our primary outcome is the proportion of SARS-CoV-2 tests performed with results received by participants. Secondary outcomes include adherence to mitigation behaviors and cost-effectiveness of the intervention. Discussion: The MOSAIC study will offer insight into cost effective strategies for SARS-CoV-2 testing and education for CLS-involved individuals. The study will also contribute to the growing literature on CHW's role in health education, supportive counseling, and building trust between patients and healthcare organizations.
KW - Community health workers (CHWs)
KW - Criminal legal system (CLS)-involved individual
KW - Mitigation
KW - SARS-CoV-2
UR - http://www.scopus.com/inward/record.url?scp=85180114559&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85180114559&partnerID=8YFLogxK
U2 - 10.1016/j.cct.2023.107406
DO - 10.1016/j.cct.2023.107406
M3 - Article
C2 - 38097063
AN - SCOPUS:85180114559
SN - 1551-7144
VL - 136
JO - Contemporary Clinical Trials
JF - Contemporary Clinical Trials
M1 - 107406
ER -