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Co-creating a Theory of Change to advance COVID-19 testing and vaccine uptake in underserved communities.
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Stadnick, Nicole A; Cain, Kelli L; Oswald, William; Watson, Paul; Ibarra, Marina; Lagoc, Raphael; Ayers, Lawrence O; Salgin, Linda; Broyles, Shelia L; Laurent, Louise C; Pezzoli, Keith; Rabin, Borsika. - : eScholarship, University of California, 2022
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Abstract:
ObjectivesTo describe the use of a Theory of Change to meaningfully engage community members from or support underserved communities in two National Institutes of Health-funded implementation science projects aimed at promoting equitable access to COVID-19 testing and vaccination for underserved communities.Study settingBoth projects focused on Latino, Black, and immigrant and refugee communities in South/Central San Diego and/or individuals accessing care at a federally qualified health center near the US/Mexico border during December 2020-April 2021.Study designBy using a participatory action research design, Community Advisory Boards (CABs) were established for each project with 11 and 22 members. CAB members included community organizers, promotores de salud (community health workers), clinic providers and administrators, and public health researchers. The CABs were guided through a seven-session Theory of Change process, focused on identifying necessary conditions that must exist to eliminate COVID-19 disparities along with specified actions to create those conditions and a blueprint for assessing the impact of those actions.Data collectionEach session lasted 2h hosted virtually and was augmented by interactive web-based activities. There was a live interpreter who facilitated the participation of Spanish-speaking CAB members. A Theory of Change for each project was completed in approximately 4months.Principal findingsNine necessary conditions were identified related to (1) accessible and available services; (2) culturally and linguistically competent programming; (3) investment in trusted community and faith leaders; (4) social safety nets to provide ancillary services. Corresponding actions to create these conditions and measures to indicate success in creating these conditions were operationalized by the CAB.ConclusionsWhile resource-intensive, a CAB-led Theory of Change process yielded a rich opportunity to engage diverse groups that typically are not invited to inform these processes.
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Keyword:
Clinical Research; community engagement; COVID-19; Health Policy & Services; Health Services; Immunization; implementation; methods; Policy and Administration; Prevention; Public Health and Health Services; Rural Health; testing; Theory of Change; vaccination
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URL: https://escholarship.org/uc/item/2n04j0rv
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Supplemental materials for paper: The Critical Review to Practical Inquiries of Action Research Framework ...
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Advance Translation—The Remedy to Improve Translatability of Source Questionnaires? Results of a Think-Aloud Study ...
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Advance Translation—The Remedy to Improve Translatability of Source Questionnaires? Results of a Think-Aloud Study ...
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Identifying Ability and Nonability Groups: Incorporating Response Times Using Mixture Modeling ...
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Identifying Ability and Nonability Groups: Incorporating Response Times Using Mixture Modeling ...
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Learning Analytics: A Classroom Response System’s impact on Summative Assessment
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In: SoTL Commons Conference (2022)
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Emphasizing Multilingualism in Teacher Education Courses: Teacher Candidates’ Responses to Translanguaging Pedagogy
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In: SoTL Commons Conference (2022)
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The Effects of Diabetes Self-Management Education on Quality of Life for Persons With Type 1 Diabetes: A Systematic Review of Randomized Controlled Trials ...
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The Effects of Diabetes Self-Management Education on Quality of Life for Persons With Type 1 Diabetes: A Systematic Review of Randomized Controlled Trials ...
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Translate Wisely! An Evaluation of Close and Adaptive Translation Procedures in an Experiment Involving Questionnaire Translation
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In: International journal of sociology ; 51 ; 2 ; 135-162 (2022)
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What Constitutes a Local Public Sphere? Building a Monitoring Framework for Comparative Analysis
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In: Media and Communication ; 9 ; 3 ; 85-96 ; Spaces, Places, and Geographies of Public Spheres (2022)
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Generating Samples of Diasporic Minority Populations: A Chilean Example
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In: Targeting International Audiences: Current and Future Approaches to International Broadcasting Research ; 3 ; CIBAR Proceedings ; 138-149 ; Conference of International Broadcasters' Audience Research Services (CIBAR) ; XX (2022)
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Engaging diverse community members to enhance analysis and interpretation: processing qualitative interview data
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In: Fam Med Community Health (2022)
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The Language of Power: An Investigation of How the Macropolitics of Education Policy Affects the Micropolitics of Schooling English Learners
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In: Theses and Dissertations--Education Sciences (2022)
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Evaluation of the Availability and Utilization Status of Texts in Core Subjects in Primary Schools’ Libraries
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In: Library Philosophy and Practice (e-journal) (2022)
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Social Justice in the Language Classroom Series: Argentina
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In: Early College Folio (2021)
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La lecture contrôlée et assistée par l’analyse statistique des données textuelles : comment et pourquoi interroger un corpus numérique ?
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In: ISSN: 0994-6632 ; Le Français dans le monde. Recherches et applications ; https://hal.archives-ouvertes.fr/hal-03143287 ; Le Français dans le monde. Recherches et applications, CLE International / Français dans le monde, 2021, Langue et pratiques numériques: nouveaux repères, nouvelles littératies en didactique des langues, pp.84-100 (2021)
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From disparate disciplines to unity in diversity How the PARTHENOS project has brought European humanities Research Infrastructures together
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In: ISSN: 1753-8548 ; EISSN: 1755-1706 ; International Journal of Humanities and Arts Computing ; https://hal.inria.fr/hal-03402145 ; International Journal of Humanities and Arts Computing, Edinburgh University Press, 2021, 15 (1-2), pp.101-116. ⟨10.3366/ijhac.2021.0264⟩ (2021)
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Educating for Global Competence: Co-Constructing Outcomes in the Field: An Action Research Project
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In: All Antioch University Dissertations & Theses (2021)
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