Mobile Health-Targeted SARS-CoV-2 Testing and Community Interventions to Maximize Migrant Children's School Attendance During the COVID-19 Pandemic

Prospective, mixed-methods cohort study of children who are eligible, enrolled, or who previously participated in the Nebraska Migrant Education Program (MEP) and their families who consent to enroll in an mHealth-targeted, in-home SARS-CoV-2 testing and community aid program. Participant caregivers will perform household-level SARS-CoV-2 infection risk screening at least twice weekly and surveys for social determinants of health challenges (household challenges) every other week. Positive SARS-CoV-2 risk screens will prompt enrolled students and family members to perform in-home nasal swab antigen testing and report their results to the study team. Positive household challenges surveys will prompt families to indicate their interest in receiving assistance from a community navigator. Follow-up qualitative interviews of students and adult family members will occur for families with positive responses on mHealth screening, positive SARS-CoV-2 antigen test results, and for families who decline to perform testing when prompted.

本研究为一项前瞻性混合方法队列研究，研究对象为符合入组条件、已入组或曾参与内布拉斯加州移民教育项目（MEP）的儿童，以及同意加入移动医疗（mHealth）靶向家庭新冠病毒（SARS-CoV-2）检测与社区援助项目的家属。参与者的看护人员需至少每周开展两次家庭层面的新冠病毒感染风险筛查，并每两周提交一次关于健康挑战相关社会决定因素（家庭困境）的调查问卷。当新冠病毒感染风险筛查结果呈阳性时，将提示入组学生及家属开展家庭鼻腔拭子抗原检测，并向研究团队上报检测结果。若家庭困境调查问卷结果呈阳性，将提示家属表明是否愿意接受社区导航员的援助。针对移动医疗筛查结果呈阳性、新冠病毒抗原检测结果呈阳性的家庭，以及被提示检测却拒绝接受检测的家庭，研究团队将对其子女及成年家属开展定性随访访谈。