Ackerman, Maxwell

Akiyama, Matthew

Vickerman, Peter T

Walker, Josephine G

English

Background:Many of the largest COVID-19 outbreaks in the United States have occurred at carceral facilities. Criminal legal system (CLS)-involved individuals typically face structural barriers accessing medical care post-release. Improving COVID-19 testing and education for CLS-involved individuals could improve health outcomes for this vulnerable population and the communities to which they return. Community-based organizations (CBO) and community health workers (CHWs) fill care gaps by connecting CLS-involved individuals with essential re-entry services. The MOSAIC study will: 1) test an onsite CHW-led SARS-CoV-2 testing and education intervention in a reentry CBO and 2) model the cost-effectiveness of this intervention compared to standard care.Methods:We will recruit 250 CLS-involved individuals who have left incarceration in the prior 90 days. Participants will be randomized to receive onsite Point-of-Care testing and education (O-PoC) or Standard of Care (SoC). Over one year, participants will complete quarterly questionnaires and biweekly short surveys through a mobile application, and be tested for SARS-CoV-2 quarterly, either at the CBO (O-PoC) or an offsite community testing site (SoC). O-PoC will also receive COVID-19 mitigation counseling and education from the CHW. Our primary outcome is the proportion of SARS-CoV-2 tests performed with results received by participants. Secondary outcomes include adherence to mitigation behaviors and cost-effectiveness of the intervention.Discussion:The MOSAIC study will offer insight into cost effective strategies for SARS-CoV-2 testing and education for CLS-involved individuals. The study will also contribute to the growing literature on CHW's role in health education, supportive counseling, and building trust between patients and healthcare organizations

Holmes, Connor S.

Antigua, Jordy Rojas

Explore Bristol Research

Mitigation Through On-Site Testing &amp; Education Among Formerly Incarcerated Individuals Against Covid-19 – The MOSAIC Study:Design and Rationale

https://research-information.bris.ac.uk/files/385095367/MOSAIC_Design_and_Rationale_manuscript_Final_rev_2_clean_3_.pdf

Mitigation Through On-Site Testing &amp; Education Among Formerly Incarcerated Individuals Against Covid-19 – The MOSAIC Study: Design and Rationale

Mitigation Through On-Site Testing & Education Among Formerly Incarcerated Individuals Against Covid-19 – The MOSAIC Study: Design and Rationale

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Explore Bristol Research

Mitigation Through On-Site Testing &amp; Education Among Formerly Incarcerated Individuals Against Covid-19 – The MOSAIC Study: Design and Rationale

Abstract

Similar works

Full text

Available Versions

Explore Bristol Research

Mitigation Through On-Site Testing & Education Among Formerly Incarcerated Individuals Against Covid-19 – The MOSAIC Study: Design and Rationale