Engaging Same-Day Peer Ambassadors to Increase Coronavirus Disease 2019 Vaccination Among People Experiencing Unsheltered Homelessness in Los Angeles County: A Hybrid Feasibility-Evaluation Study
Open Access
- 7 October 2022
- journal article
- research article
- Published by Oxford University Press (OUP) in The Journal of Infectious Diseases
- Vol. 226 (Supplement), S346-S352
- https://doi.org/10.1093/infdis/jiac291
Abstract
This study aimed to evaluate the feasibility and acceptability of engaging unhoused peer ambassadors (PAs) in coronavirus disease 2019 (COVID-19) vaccination efforts to reach people experiencing unsheltered homelessness in Los Angeles County. From August to December 2021, vaccinated PAs aged ≥18 years who could provide informed consent were recruited during vaccination events for same-day participation. Events were held at encampments, service providers (eg, housing agencies, food lines, and mobile showers), and roving locations around Los Angeles. PAs were asked to join outreach alongside community health workers and shared their experience getting vaccinated, receiving a $25 gift card for each hour they participated. Postevent surveys evaluated how many PAs enrolled and how long they participated. In October 2021, we added a preliminary effectiveness evaluation of how many additional vaccinations were attributable to PAs. Staff who enrolled the PAs estimated the number of additional people vaccinated because of talking with the PA. A total of 117 PAs were enrolled at 103 events, participating for an average of 2 hours. At events with the effectiveness evaluation, 197 additional people were vaccinated over 167 PA hours ($21.19 gift card cost per additional person vaccinated), accounting for >25% of all vaccines given at these events. Recruiting same-day unhoused PAs is a feasible, acceptable, and preliminarily effective technique to increase COVID-19 vaccination in unsheltered settings. The findings can inform delivery of other health services for people experiencing homelessness.Keywords
Funding Information
- UCLA David Geffen School of Medicine COVID-19 Research Fund (HE-0025)
- Centers for Disease Control and Prevention
- Los Angeles County Department of Public Health (6 NU50CK000498-01-09, 6 NU50CK000498-02-04)
- Agency for Healthcare Research and Quality
- National Institute on Drug Abuse (K01-DA050771)
- Agency for Healthcare Research and Quality
- Patient-Centered Outcomes Research Institute (K12HS26407-01)
- NIH
This publication has 26 references indexed in Scilit:
- Common trust and personal safety issues: A systematic review on the acceptability of health and social interventions for persons with lived experience of homelessnessPLOS ONE, 2019
- Mortality Among Unsheltered Homeless Adults in Boston, Massachusetts, 2000-2009JAMA Internal Medicine, 2018
- Factors Associated with Immunization Opinion Leadership among Men Who Have Sex with Men in Los Angeles, CaliforniaInternational Journal of Environmental Research and Public Health, 2018
- Peer navigators to promote engagement of homeless African Americans with serious mental illness in primary carePsychiatry Research, 2017
- Using Peer Navigators to Address the Integrated Health Care Needs of Homeless African Americans With Serious Mental Illness.Psychiatric Services, 2017
- Experts by Experience: Peer Support and its Use with the HomelessCommunity Mental Health Journal, 2017
- Going with the Grain of Cognition: Applying Insights from Psychology to Build Support for Childhood VaccinationFrontiers in Psychology, 2016
- Peer Navigators and Integrated Care to Address Ethnic Health Disparities of People with Serious Mental IllnessSocial Work in Public Health, 2014
- Recruiting Hard-to-Reach Drug-Using Men Who Have SexWith Men into an Intervention Study: Lessons Learned and Implications for Applied ResearchSubstance Use & Misuse, 2009
- Encyclopedia of EpidemiologyPublished by SAGE Publications ,2008