Evidence map›Paper›PMID 35411533›Full record

ArticleJournal of general internal medicine2022

Community Health Worker Perspectives on Engaging Unhoused Peer Ambassadors for COVID-19 Vaccine Outreach in Homeless Encampments and Shelters.

Kristen Choi, Ruby Romero, Priyanka Guha, Gunner Sixx, Allison D Rosen, Ashley Frederes, Jacqueline Beltran, Julissa Alvarado, Brooke Robie, Lindsey Richard and 6 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. COVID-19 Vaccine Hesitancy among U.S. Veterans Experiencing Homelessness in Transitional Housing.International journal of environmental research and public health · 2022
    Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 3 institutions in 1 country.

Kristen ChoiUCLA School of Nursing, Los Angeles, CA, USA. krchoi@ucla.edu.ORCID 0000-0001-5453-1091
Ruby RomeroDivision of General Internal Medicine and Health Services Research, Department of Medicine, UCLA David Geffen School of Medicine, Los Angeles, CA, USA.
Priyanka GuhaHousing for Health, Los Angeles County Department of Health Services, Los Angeles, CA, USA.
Gunner SixxHousing for Health, Los Angeles County Department of Health Services, Los Angeles, CA, USA.
Allison D RosenDepartment of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA, USA.
Ashley FrederesDepartment of Community Health Sciences, UCLA Fielding School of Public Health, Los Angeles, CA, USA.
Jacqueline BeltranDepartment of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA, USA.
Julissa AlvaradoDepartment of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA, USA.
Brooke RobieHousing for Health, Los Angeles County Department of Health Services, Los Angeles, CA, USA.
Lindsey RichardHousing for Health, Los Angeles County Department of Health Services, Los Angeles, CA, USA.
Anthony ColemanHousing for Health, Los Angeles County Department of Health Services, Los Angeles, CA, USA.
Adam RiceHousing for Health, Los Angeles County Department of Health Services, Los Angeles, CA, USA.
Marisol RosalesHousing for Health, Los Angeles County Department of Health Services, Los Angeles, CA, USA.
Angel BaezHousing for Health, Los Angeles County Department of Health Services, Los Angeles, CA, USA.
Emily ThomasHousing for Health, Los Angeles County Department of Health Services, Los Angeles, CA, USA.
Chelsea L ShoverDivision of General Internal Medicine and Health Services Research, Department of Medicine, UCLA David Geffen School of Medicine, Los Angeles, CA, USA.
Los Angeles County Department of Health Services · USUCLA Health · USUniversity of California, Los Angeles · US

Funding

Stakeholder-Partnered Implementation Research and Innovation Translation (SPIRIT) programK12HS026407 · AHRQ · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI GOULD, MICHAEL K, ONG, MICHAEL K · 2018 to 2022
$3.7M
Adoption and scale-up of long-acting medications for opioid use disorder by U.S. clinicians.K01DA050771 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SHOVER, CHELSEA LEIGH · 2021 to 2025
$893k
AHRQ HHS K12 HS026407David Geffen School of Medicine, University of California, Los Angeles HE-0025NIDA NIH HHS K01 DA050771
6 · The paper itself

Abstract

backgroundCOVID-19 vaccination is a priority for people experiencing homelessness. However, there are barriers to vaccine access driven in part by mistrust towards clinicians and healthcare. Community health workers (CHWs) and Peer Ambassadors (PAs) may be able to overcome mistrust in COVID-19 vaccine outreach. An unhoused PA program for COVID-19 vaccine outreach by CHWs was implemented in Los Angeles using a participatory academic-community partnership.

objectiveThe purpose of this study was to evaluate CHW perspectives on an unhoused PA COVID-19 vaccine outreach program in Los Angeles.

designThis study used a participatory community conference and qualitative focus groups to understand CHW perspectives on the PA program. The one-day conference was held in November 2021.

participantsOf the 42 conference participants, 19 CHWs participated in focus groups for two-way knowledge exchange between CHWs and researchers. APPROACH: Four focus groups were held during the conference, with 4-6 CHWs per group. Each group had a facilitator and two notetakers. Focus group notes were then analyzed using content analysis to derive categories of findings. CHWs reviewed the qualitative analysis to ensure that findings represented their experiences with the PA program. KEY

resultsThe five categories of findings from focus groups were as follows: (1) PAs were effective liaisons to their peers to promote COVID-19 vaccines; (2) CHWs recognized the importance of establishing genuine trust and equitable working relationships within CHW/PA teams; (3) there were tradeoffs of integrating unhoused PAs into the existing CHW workflow; (4) CHWs had initial misgivings about the research process; and (5) there were lingering questions about the ethics of "exploiting" the invaluable trust unhoused PAs have with unhoused communities.

conclusionsCHWs were in a unique position to empower unhoused PAs to take a leadership role in reaching their peers with COVID-19 vaccines and advocate for long-term employment and housing needs.

Indexed as

COVID-19Ill-Housed PersonsCommunity Health WorkersCOVID-19 VaccinesHousingHumansQualitative ResearchCOVID-19 Vaccines

Identifiers

PMID35411533
PMCPMC8999995
OpenAlexW4223500063

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.