Evidence map›Paper›PMID 41673599›Full record

Trial reportBMC public health2026

COVID-19 testing and vaccination uptake among Spanish-speaking Latine persons: impact of a novel social network intervention.

Sandy K Aguilar-Palma, Thomas P McCoy, Lilli Mann-Jackson, Jorge Alonzo, Amanda E Tanner, Mark A Hall, Alain G Bertoni, Laurie P Russell, Scott D Rhodes

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

9 authors.

Sandy K Aguilar-PalmaDepartment of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC, USA. saguilar@wakehealth.edu.
Thomas P McCoyCapstone College of Nursing, The University of Alabama, Tuscaloosa, AL, USA.
Lilli Mann-JacksonDepartment of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Jorge AlonzoDepartment of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Amanda E TannerDepartment of Public Health Education, University of North Carolina Greensboro, Greensboro, NC, USA.
Mark A HallDepartment of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Alain G BertoniDivision of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Laurie P RussellDepartment of Biostatistics and Data Science, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Scott D RhodesDepartment of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC, USA.

Funding

US National Institute of Minority Health and Health Disparities U01MD017431
6 · The paper itself

Abstract

backgroundCOVID-19 disproportionately affected Latine communities in the United States, particularly Spanish-speaking and immigrant Latines. Our community-based participatory research (CBPR) partnership developed and tested Nuestra Comunidad Saludable, a Spanish-language intervention harnessing community-based peer navigation and mHealth. The objective of this work is to test the intervention using a cluster randomized trial design to increase COVID-19 testing and vaccination among Spanish-speaking Latino communities in the United States.

methodsWe used a longitudinal, two-group randomized controlled trial design to evaluate the intervention. We recruited 20 peer navigators (Navegantes), each with -eight non-overlapping social network members, and randomly assigned them with their social networks to either the intervention or delayed-intervention group (10 Navegantes and 80 social network members per group) for a total of 160 social network participants at baseline. Data were collected from social network member participants at baseline and immediately post-intervention (six months after intervention-group Navegante training). Participant retention rate was 98.1%. Regression modeling was used to assess changes in testing and vaccination outcomes and intervention-related psychosocial determinants between baseline and follow-up.

resultsMean age of participants was 42 years (SD = 12.8); 77% identified as cisgender women; 85% spoke only or more Spanish than English; and 44% had beyond high school/GED equivalent educational attainment. At follow-up, there were no significant increases in ever having been tested or ever having been vaccinated. Both intervention and delayed-intervention groups experienced improvements in being up to date on recommended vaccine doses and in the number of doses received. Intervention participants reported improvements in some intervention-related psychosocial determinants such as increased testing intention (p<0.001), decreased testing barriers (p=0.034), and fewer number of testing barriers (p=0.043).

conclusionThe results of this intervention, including the high retention rates, increased intention to get tested, and reduced testing barriers reveal valuable insights for future efforts aimed at addressing the profound challenges faced by Spanish-speaking Latines in accessing COVID-19, in particular, and other healthcare resources, more generally. Peer navigation and mHealth hold promise for promoting community engagement and improving access to services and overall health outcomes for populations facing barriers to healthcare.

Indexed as

COVID-19COVID-19 TestingCOVID-19 VaccinesHispanic or LatinoSocial NetworkingVaccinationAdultCommunity-Based Participatory ResearchFemaleHumansLongitudinal StudiesMaleMiddle AgedUnited StatesCOVID-19 VaccinesCOVID-19Healthcare accessImmigrantsInterventionLatinesPreventionSpanish speakersTestingVaccination

Identifiers

PMID41673599
PMCPMC12997943

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.