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      Community-Engaged Bidirectional Crisis and Emergency Risk Communication With Immigrant and Refugee Populations During the COVID-19 Pandemic

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          Abstract

          Objectives:

          This study was conducted to assess an intervention that was created by a community–academic partnership to address COVID-19 health inequities. We evaluated a community-engaged bidirectional pandemic crisis and emergency risk communication (CERC) framework with immigrant and refugee populations during the COVID-19 pandemic.

          Methods:

          A 17-year community-engaged research partnership adopted a CERC framework in March 2020 to address COVID-19 prevention, testing, and socioeconomic impacts with immigrant and refugee groups in southeast Minnesota. The partnership used bidirectional communication between communication leaders and their social networks to refine messages, leverage resources, and advise policy makers. We conducted a mixed-methods evaluation for intervention acceptability, feasibility, reach, adaptation, and sustainability through multisource data, including email communications, work group notes, semistructured interviews, and focus groups.

          Results:

          The intervention reached at least 39 000 people in 9 months. It was implemented as intended and perceived efficacy was high. Frequent communication between community and academic partners allowed the team to respond rapidly to concerns and facilitated connection of community members to resources. Framework implementation also led to systems and policy changes to meet the needs of immigrant and refugee populations.

          Conclusions:

          Community-engaged CERC is feasible and sustainable and can reduce COVID-19 disparities through shared creation and dissemination of public health messages, enhanced connection to existing resources, and incorporation of community perspectives in regional pandemic mitigation policies.

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          Most cited references44

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          Is Open Access

          OpenSAFELY: factors associated with COVID-19 death in 17 million patients

          COVID-19 has rapidly impacted on mortality worldwide. 1 There is unprecedented urgency to understand who is most at risk of severe outcomes, requiring new approaches for timely analysis of large datasets. Working on behalf of NHS England we created OpenSAFELY: a secure health analytics platform covering 40% of all patients in England, holding patient data within the existing data centre of a major primary care electronic health records vendor. Primary care records of 17,278,392 adults were pseudonymously linked to 10,926 COVID-19 related deaths. COVID-19 related death was associated with: being male (hazard ratio 1.59, 95%CI 1.53-1.65); older age and deprivation (both with a strong gradient); diabetes; severe asthma; and various other medical conditions. Compared to people with white ethnicity, black and South Asian people were at higher risk even after adjustment for other factors (HR 1.48, 1.29-1.69 and 1.45, 1.32-1.58 respectively). We have quantified a range of clinical risk factors for COVID-19 related death in the largest cohort study conducted by any country to date. OpenSAFELY is rapidly adding further patients’ records; we will update and extend results regularly.
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            Is Open Access

            Process evaluation of complex interventions: Medical Research Council guidance

            Process evaluation is an essential part of designing and testing complex interventions. New MRC guidance provides a framework for conducting and reporting process evaluation studies
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              Community-based participatory research contributions to intervention research: the intersection of science and practice to improve health equity.

              Community-based participatory research (CBPR) has emerged in the last decades as a transformative research paradigm that bridges the gap between science and practice through community engagement and social action to increase health equity. CBPR expands the potential for the translational sciences to develop, implement, and disseminate effective interventions across diverse communities through strategies to redress power imbalances; facilitate mutual benefit among community and academic partners; and promote reciprocal knowledge translation, incorporating community theories into the research. We identify the barriers and challenges within the intervention and implementation sciences, discuss how CBPR can address these challenges, provide an illustrative research example, and discuss next steps to advance the translational science of CBPR.
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                Author and article information

                Journal
                Public Health Rep
                Public Health Rep
                PHR
                spphr
                Public Health Reports
                SAGE Publications (Sage CA: Los Angeles, CA )
                0033-3549
                1468-2877
                13 January 2022
                Mar-Apr 2022
                : 137
                : 2
                : 352-361
                Affiliations
                [1 ]Division of Community Internal Medicine, Mayo Clinic, Rochester, MN, USA
                [2 ]Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, MN, USA
                [3 ]Center for Clinical and Translational Science, Mayo Clinic, Rochester, MN, USA
                [4 ]Center for Health Equity and Community Engagement Research, Mayo Clinic, Rochester, MN, USA
                [5 ]Language Services, Mayo Clinic, Rochester, MN, USA
                [6 ]Somali American Social Services Association, Rochester, MN, USA
                [7 ]Intercultural Mutual Assistance Association, Rochester, MN, USA
                [8 ]Alliance of Chicanos, Hispanics and Latin Americans, Rochester, MN, USA
                [9 ]Division of Infectious Diseases, Mayo Clinic, Rochester, MN, USA
                Author notes
                [*]Mark L. Wieland, MD, MPH, Mayo Clinic School of Medicine, Division of Community Internal Medicine, 200 First St SW, Rochester, MN 55905, USA. Email: wieland.mark@ 123456mayo.edu
                Author information
                https://orcid.org/0000-0001-6166-3949
                Article
                10.1177_00333549211065514
                10.1177/00333549211065514
                8900245
                35023414
                83cad4d5-7917-4eed-a4b6-b7e18640d21f
                © 2022, Association of Schools and Programs of Public Health All rights reserved
                History
                Funding
                Funded by: National Center for Advancing Translational Sciences, FundRef https://doi.org/10.13039/100006108;
                Award ID: UL1 TR000135
                Categories
                Research
                Custom metadata
                ts1
                March/April 2022

                risk communication,immigrant and refugee health,community-based participatory research,community-engaged research,covid-19

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