Data_Sheet_3_Development and design of a culturally tailored intervention to address COVID-19 disparities among Oregon's Latinx communities: A community case study.PDF

BackgroundLatinx communities are disproportionately affected by COVID-19 compared with non-Latinx White communities in Oregon and much of the United States. The COVID-19 pandemic presents a critical and urgent need to reach Latinx communities with innovative, culturally tailored outreach and health promotion interventions to reduce viral transmission and address disparities. The aims of this case study are to (1) outline the collaborative development of a culturally and trauma-informed COVID-19 preventive intervention for Latinx communities; (2) describe essential intervention elements; and (3) summarize strengths and lessons learned for future applications.
MethodsBetween June 2020 and January 2021, a multidisciplinary team of researchers and Latinx-serving partners engaged in the following intervention development activities: a scientific literature review, a survey of 67 Latinx residents attending public testing events, interviews with 13 leaders of community-based organizations serving Latinx residents, and bi-weekly consultations with the project's Public Health and Community Services Team and a regional Community and Scientific Advisory Board. After launching the intervention in the field in February 2021, bi-weekly meetings with interventionists continuously informed minor iterative refinements through present day.
ResultsThe resulting intervention, Promotores de Salud, includes outreach and brief health education. Bilingual, trauma-informed trainings and materials reflect the lived experiences, cultural values, needs, and concerns of Latinx communities. Interventionists (21 Promotores) were Latinx residents from nine Oregon counties where the intervention was delivered.
ConclusionsSharing development and intervention details with public health researchers and practitioners facilitates intervention uptake and replication to optimize the public health effect in Oregon's Latinx communities and beyond.

背景：与美国俄勒冈州及美国大部分地区的非拉丁裔白人社区相比，拉丁裔社区受到新冠病毒病（COVID-19）的不成比例的严重影响。新冠疫情亟需针对拉丁裔社区开展创新性、适配文化的外展服务与健康促进干预措施，以降低病毒传播并缓解健康差距。本案例研究的目标为：（1）概述针对拉丁裔社区的、兼具文化适配性与创伤知情的新冠预防干预措施的协同开发过程；（2）阐明该干预措施的核心要素；（3）总结该干预措施的优势与可用于未来实践的经验教训。

方法：2020年6月至2021年1月期间，由研究人员与服务拉丁裔社区的合作方组成的多学科团队开展了以下干预开发活动：系统的科学文献综述、对67名参与公共检测活动的拉丁裔居民开展问卷调查、对13家服务拉丁裔居民的社区组织负责人进行访谈，以及每两周与项目的公共卫生与社区服务团队、区域社区与科学咨询委员会进行磋商。2021年2月该干预措施正式落地实施后，项目团队每两周与干预实施人员开展会议，持续进行小幅迭代优化，直至今日。

结果：最终形成的干预措施为健康宣传员（Promotores de Salud）项目，涵盖外展服务与简短健康教育内容。该项目提供双语、创伤知情的培训与材料，充分体现了拉丁裔社区的生活经历、文化价值观、需求与关切。本次干预的实施人员（共21名健康宣传员）均为来自实施干预的俄勒冈州9个县的拉丁裔居民。

结论：将干预措施的开发与实施细节分享给公共卫生研究人员与从业者，有助于该干预措施的推广与复制，从而优化俄勒冈州乃至全美拉丁裔社区的公共卫生健康效益。