Document text
Principal Investigator: Matthew Akiyama
Organization: ALBERT EINSTEIN COLLEGE OF MEDICINE
Fiscal Year: 2024
Award: $636,855
Funding agency: National Institute on Minority Health and Health Disparities
Abstract.
The United States (U.S.) has experienced higher mortality than any other nation due to COVID-19 with nearly
13.5 million cases and over 268,103 deaths. Due to the limited ability to socially distance, poor ventilation, and
limited hygiene supplies, U.S. prisons and jails have observed explosive transmission of SARS-CoV-2
accounting for the 10 largest U.S. outbreaks. Because 95% of criminal justice-involved individuals reenter society
COVID-19 transmission extends beyond those who are currently incarcerated. As justice-involved individuals
reenter the community, they face high rates of homelessness, and many others live in other congregate settings
such as converted hotels and halfway houses. The increased risk of SARS-CoV-2 while incarcerated coupled
with the likelihood of living in congregate settings after incarceration, create conditions ripe for rapid COVID-19
transmission that will be critical to address in order to gain control of COVID-19 in the U.S. The goal of this study
is to test the impact and cost-effectiveness of an intervention to mitigate SARS-CoV-2 transmission among
justice-involved individuals recently released from incarceration. We will conduct a randomized trial to compare
the effectiveness of an onsite Point-of-Care SARS-CoV-2 testing and education intervention with community
health workers (CHWs) as a central component compared to the standard of care at a community-based
organization (CBO) that provides services to justice-involved individuals in New York City. We will measure costs
of testing, education, and navigation, and explore the cost-effectiveness of the onsite Point-of-Care intervention
compared to the standard of care. Our specific aims are to: 1) Test the effectiveness of an onsite PoC SARS-
CoV-2 intervention in a corrections-focused CBO; 2) Model the cost-effectiveness of an onsite PoC SARS-CoV-
2 intervention among CJIs compared to SoC. Because testing, education, and navigation will be provided by
CHWs in a culturally-sensitive environment and test results will be received in minutes (rather than days), we
hypothesize that O-PoC will be associated with improved testing uptake and receipt of test results, mitigation
behaviors (mask wearing, hand hygiene, social distancing), and those who attend more O-PoC sessions will
have better adherence to mitigation behaviors.
Terms: <2019 novel corona virus><2019 novel coronavirus><2019-nCoV><AIDS Virus><Accounting><Acquired Immune Deficiency Syndrome Virus><Acquired Immunodeficiency Syndrome Virus><Address><Adherence><Antigens><Behavior><COVID point of care><COVID testing><COVID-19><COVID-19 infection><COVID-19 point of care><COVID-19 testing><COVID-19 transmission><COVID-19 virus><COVID-19 virus infection><COVID-19 virus transmission><COVID19 infection><COVID19 testing><COVID19 virus><CV-19><Cell Phone><Cellular Phone><Cellular Telephone><Cessation of life><Client><CoV-2><CoV2><Communities><Community Health Aides><Contracting Opportunities><Contracts><Coronaviridae><Coronavirus><Coronavirus Infectious Disease 2019><Cost Analyses><Cost Analysis><Cost Measures><Cost metrics><Counseling><Coupled><Criminal Justice><Data Sources><Death><Disease Outbreaks><Dose><Economics><Education><Education for Intervention><Educational Achievement><Educational Intervention><Educational Status><Educational aspects><Effectiveness of Interventions><Endemic Diseases><Environment><Face><Fortune><General Population><General Public><Goals><HCV infection><HIV><Halfway Houses><Hand><Healthcare><Hepatitis C><Hepatitis C virus infection><Hepatitis, Viral, Non-A, Non-B, Parenterally-Transmitted><Hepatitus C><Homelessness><Housing><Human Immunodeficiency Viruses><Hygiene><Illinois><Immunocompromised><Immunocompromised Host><Immunocompromised Patient><Immunosuppressed Host><Imprisonment><Individual><Infection><Instruction Intervention><Intervention><Intervention Strategies><Jail><Justice><LAV-HTLV-III><Lived experience><Lived experiences><Low Prevalence><Lymphadenopathy-Associated Virus><Masks><Medical><Mobile Phones><Modeling><Needle-Exchange Programs><Needs Assessment><New York City><On-Line Systems><Online Systems><Outbreaks><Outcome><Participant><Persons><Physical distancing><Play><Prisons><Public Health><Questionnaires><Randomization trial><Randomized><Records><Risk><Risk Factors><Role><SARS 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