Leveraging CHWs to Improve COVID-19 Testing and Mitigation Among CJIs Accessing a Corrections-focused CBO
NCT ID: NCT04878328
Last Updated: 2025-07-17
Study Results
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Basic Information
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COMPLETED
NA
250 participants
INTERVENTIONAL
2022-04-14
2025-05-22
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
SCREENING
NONE
Study Groups
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onsite Point-of-care (o-POC)
CHWs will reach out to participants to schedule O-PoC visits. At O-PoC visits, CHWs will provide: 1. COVID-19 education; 2. PoC Cepheid XpertXpressSARS-CoV-2PCR tests; 3. Needs assessments and facilitated access to masks and hygiene supplies; 4. Navigation to vaccination sites (when available) and single-room housing at Fortune's supportive housing sites and partnering shelters or alternative strategies that will maximize the ability to socially distance for those who test PCR positive; 5. Supportive counseling. Due to SCT's emphasis on social influence, external and internal social reinforcement, we propose our O-PoC intervention delivered by CHWs onsite at Fortune locations over a 12-month period will lead to increased uptake of mitigation behaviors.
Onsite Point-of-care
Guided by Social Cognitive Theory, O-PoC will employ CHWs with lived experience of incarceration to provide: 1) COVID-19 education; 2) SARS-CoV-2 testing with Cepheid XpertXpress PCR tests at Fortune facilities; 3) Needs assessments and facilitated access to masks and hygiene supplies; 4) Navigation to vaccination sites (when available) and single-room housing at Fortune's supportive housing sites and partnering shelters, or alternative strategies that will maximize the ability to socially distance for those who test PCR positive; 5) Supportive counseling.
Standard of Care (SOC)
The current standard of care (SoC) for SARS-CoV-2 testing for Fortune clients is referral to offsite community testing sites and informal, unstructured education. In the SoC arm, Fortune staff will provide clients with a list of offsite SARS-CoV-2 testing locations, which are published online and available to all NYC residents. Those without insurance are not subject to a copay. Participants in SoC will continue to receive Fortune's suite of services as they are delivered (remote and/or in-person) at the time of study participation.
No interventions assigned to this group
Interventions
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Onsite Point-of-care
Guided by Social Cognitive Theory, O-PoC will employ CHWs with lived experience of incarceration to provide: 1) COVID-19 education; 2) SARS-CoV-2 testing with Cepheid XpertXpress PCR tests at Fortune facilities; 3) Needs assessments and facilitated access to masks and hygiene supplies; 4) Navigation to vaccination sites (when available) and single-room housing at Fortune's supportive housing sites and partnering shelters, or alternative strategies that will maximize the ability to socially distance for those who test PCR positive; 5) Supportive counseling.
Eligibility Criteria
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Inclusion Criteria
* Greater than or equal to 18 years old
* Fluent in English or Spanish
* Resident of NYC
* Released from a jail or a prison system within 90 days
Exclusion Criteria
* Inability to complete study visits over 12 months
* Does not plan to reside in the NYC area for the next year
* Terminal illness
18 Years
ALL
No
Sponsors
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The Fortune Society
UNKNOWN
University of Bristol
OTHER
National Institute on Minority Health and Health Disparities (NIMHD)
NIH
Cepheid
INDUSTRY
Montefiore Medical Center
OTHER
Responsible Party
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Principal Investigators
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Matthew Akiyama, MD MSc
Role: PRINCIPAL_INVESTIGATOR
Albert Einstein College of Medicine Montefiore Medical Center
Locations
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Fortune Society
Long Island City, New York, United States
Montefiore Medical Center
The Bronx, New York, United States
Countries
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References
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Provided Documents
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Document Type: Informed Consent Form
Related Links
Access external resources that provide additional context or updates about the study.
Johns Hopkins University. COVID-19 Dashboard by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University (JHU)
Federal Bureau of Prisons - Inmate Ethnicity Statistics
The Marshall Project. A State-by-State Look at Coronavirus in Prisons
American Civil Liberties Union. COVID-19 Model Finds Nearly 100,000 More Deaths Than Current Estimates, Due to Failures to Reduce Jails
Prison Policy Initiative - Jails versus Prison
Covid-19: Testing Inequality in New York City
No COVID-19 tests available for prisoners at center of New York outbreak, court documents show
Audit of Brooklyn federal jail claims lack of COVID-19 tests may have masked size of outbreak New York Daily News.
Nelson J. House Appropriations Committee Approves '21 Funding for DOJ Programs
Cepheid. Sars-cov-2-test-development-information
Evidence-Based, Cost-Effective Interventions To Suppress The COVID-19 Pandemic: A Systematic Review
Facemasks and similar barriers to prevent respiratory illness such as COVID-19
The Institute for Health Metrics and Evaluation - Daily deaths during the pandemic
The National Reentry Resource Center. Reentry Services Directory
Estimating QALY losses associated with deaths in hospital (COVID-19)
Other Identifiers
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2021-12976
Identifier Type: -
Identifier Source: org_study_id
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