Engaging Same-Day Peer Ambassadors to Increase Coronavirus Disease 2019 Vaccination Among People Experiencing Unsheltered Homelessness in Los Angeles County: A Hybrid Feasibility-Evaluation Study
| Autor: | Chelsea L Shover, Allison Rosen, José Mata, Brooke Robie, Julissa Alvarado, Ashley Frederes, Ruby Romero, Jacqueline Beltran, Anna Bratcher, Alicia H Chang, Kristen R Choi, Candelaria Garcia, Steven Shoptaw, Priyanka Guha, Lindsey Richard, Gunner Sixx, Angel Baez, Anthony Coleman, Sarah Harvell, Shirnae Jackson, Caroline Lee, Joanna Swan, Kenny Torres, Emily Uyeda Kantrim, Maya McKeever, Anh Nguyen, Adam Rice, Marisol Rosales, Jordan Spoliansky, Elizabeth Bromley, Heidi Behforouz, Lillian Gelberg, Pamina M Gorbach, Anne W Rimoin, Emily H Thomas |
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| Rok vydání: | 2022 |
| Předmět: |
Adult
Vaccines Homelessness & ID Supplement COVID-19 Vaccines Adolescent Prevention Vaccination Clinical Trials and Supportive Activities COVID-19 Homelessness Peer education Biological Sciences Los Angeles Medical and Health Sciences Microbiology Vaccine Related Good Health and Well Being Infectious Diseases Clinical Research Ill-Housed Persons Humans Feasibility Studies Immunology and Allergy Immunization |
| Zdroj: | The Journal of infectious diseases, vol 226, iss Suppl 3 J Infect Dis |
| ISSN: | 1537-6613 0022-1899 |
| DOI: | 10.1093/infdis/jiac291 |
| Popis: | Background This study aimed to evaluate the feasibility and acceptability of engaging unhoused peer ambassadors (PAs) in coronavirus disease 2019 (COVID-19) vaccination efforts to reach people experiencing unsheltered homelessness in Los Angeles County. Methods From August to December 2021, vaccinated PAs aged ≥18 years who could provide informed consent were recruited during vaccination events for same-day participation. Events were held at encampments, service providers (eg, housing agencies, food lines, and mobile showers), and roving locations around Los Angeles. PAs were asked to join outreach alongside community health workers and shared their experience getting vaccinated, receiving a $25 gift card for each hour they participated. Postevent surveys evaluated how many PAs enrolled and how long they participated. In October 2021, we added a preliminary effectiveness evaluation of how many additional vaccinations were attributable to PAs. Staff who enrolled the PAs estimated the number of additional people vaccinated because of talking with the PA. Results A total of 117 PAs were enrolled at 103 events, participating for an average of 2 hours. At events with the effectiveness evaluation, 197 additional people were vaccinated over 167 PA hours ($21.19 gift card cost per additional person vaccinated), accounting for >25% of all vaccines given at these events. Discussion Recruiting same-day unhoused PAs is a feasible, acceptable, and preliminarily effective technique to increase COVID-19 vaccination in unsheltered settings. The findings can inform delivery of other health services for people experiencing homelessness. |
| Databáze: | OpenAIRE |
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