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

This project was a prospective, mixed-methods cohort study of children who were eligible, enrolled, or who previously participated in the Nebraska Migrant Education Program (MEP) and their families who consented to enroll in an mHealth-targeted, in-home SARS-CoV-2 testing and community aid program. Participant caregivers performed 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 prompted enrolled students and family members to perform in-home nasal swab antigen testing and reported their results to the study team. Positive household challenges surveys prompted families to indicate their interest in receiving assistance from a community navigator. Follow-up qualitative interviews of students and adult family members occurred 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.