Evidence map›Paper›PMID 38449317›Full record

Trial reportThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2024

Critical lessons from a pragmatic randomized trial of home-based COVID-19 testing in rural Native American and Latino communities.

Eliza Webber, Sonia Bishop, Paul K Drain, Virgil Dupuis, Lorenzo Garza, Charlie Gregor, Laurie Hassell, Geno Ibarra, Larry Kessler, Linda Ko and 8 more

Open access · hybridAbstract readRandomized Controlled TrialMulticenter StudyPragmatic Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 31% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
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

18 authors at 5 institutions in 1 country.

Eliza WebberCenter for American Indian and Rural Health Equity, Montana State University, Bozeman, Montana, USA.ORCID 0000-0003-1258-0068
Sonia BishopDivision of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Paul K DrainDepartment of Global Health, University of Washington, Seattle, Washington, USA.
Virgil DupuisExtension Office, Salish Kootenai College, Pablo, Montana, USA.
Lorenzo GarzaFamily and Community Engagement, Sunnyside School District, Sunnyside, Washington, USA.
Charlie GregorInstitute of Translational Health Sciences, University of Washington, Seattle, Washington, USA.
Laurie HassellInstitute of Translational Health Sciences, University of Washington, Seattle, Washington, USA.
Geno IbarraDivision of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Larry KesslerInstitute of Translational Health Sciences, University of Washington, Seattle, Washington, USA.
Linda KoDivision of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.ORCID 0000-0002-1090-6637
Alison LambertDepartment of Medicine, University of Washington, Seattle, Washington, USA.
Victoria LyonDivision of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA.
Carly RoweInstitute of Translational Health Sciences, University of Washington, Seattle, Washington, USA.
Michael SingletonInstitute of Translational Health Sciences, University of Washington, Seattle, Washington, USA.
Matthew ThompsonInstitute of Translational Health Sciences, University of Washington, Seattle, Washington, USA.
Teresa WarneCenter for American Indian and Rural Health Equity, Montana State University, Bozeman, Montana, USA.
Wendy WestbroekExtension Office, Salish Kootenai College, Pablo, Montana, USA.
Alexandra AdamsCenter for American Indian and Rural Health Equity, Montana State University, Bozeman, Montana, USA.
University of Washington · USFred Hutch Cancer Center · USMontana State University · USSalish Kootenai College · USProvidence Regional Medical Center Everett · US

Funding

Translational Biomarkers CoreP20GM104417 · NIGMS · MONTANA STATE UNIVERSITY - BOZEMAN · PI ADAMS, ALEXANDRA K. · 2014 to 2023
$23.1M
NIGMS NIH HHS P20 GM104417NIGMS NIH HHS P20GM104417NIH HHS
6 · The paper itself

Abstract

purposeNative Americans and Latinos have higher COVID-19 infection and mortality rates and may have limited access to diagnostic testing. Home-based testing may improve access to care in rural and underserved populations. This study tests the effect of community health worker (CHW) support on accessibility, feasibility, and completion of COVID-19 home testing among Native American and Latino adults living on the Flathead Reservation in Montana and in Yakima Valley, Washington.

methodsA two-arm, multisite, pragmatic randomized controlled trial was conducted using block randomization stratified by site and participant age. Active arm participants received CHW assistance with online COVID-19 test kit registration and virtual swabbing support. The passive arm participants received standard-of-care support from the kit vendor. Logistic regression modeled the association between study arm and test completion (primary outcome) and between study arm and test completion with return of valid test results (secondary outcome). Responses to posttest surveys and interviews were summarized using deductive thematic analysis.

findingsOverall, 63% of participants (n = 268) completed COVID-19 tests, and 50% completed tests yielding a valid result. Active arm participants had higher odds of test completion (odds ratio: 1.66, 95% confidence interval [1.01, 2.75]). Differences were most pronounced among adults ≥60 years. Participants cited ease of use and not having to leave home as positive aspects, and transportation and mailing issues as negative aspects of home-based testing.

conclusionsCHW support led to higher COVID-19 test completion rates, particularly among older adults. Significant testing barriers included language, educational level, rurality, and test kit issues.

Indexed as

COVID-19COVID-19 TestingHispanic or LatinoIndians, North AmericanRural PopulationAdultAgedCommunity Health WorkersFemaleHealth Services AccessibilityHome Care ServicesHumansMaleMiddle AgedMontanaWashingtoncommunity‐based participatory researchCOVID‐19home‐based testingLatinoNative American

Identifiers

PMID38449317
PMCPMC11575696
OpenAlexW4392559972

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.