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Table 2 Summary of the Sequential, Multiple Assignment, Randomized Trial (SMART) design

From: Scaling and sustaining COVID-19 vaccination through meaningful community engagement and care coordination for underserved communities: hybrid type 3 effectiveness-implementation sequential multiple assignment randomized trial

Standard of Care

Multi-component health program

Aligned with patient-centered medical home components and quality-of-care measures

Community Weaver led Co-Creation

Overarching strategy

Care coordination

mHealth Outreach

• Routine immunization efforts

• Annual physical exam

• Eligibility: defined medical conditions (e.g., uncontrolled diabetes, hypertension), high health services utilization (e.g., > 5 medications), social determinants of health and referred by care team

Community outreach led by Community Weavers via SMS and voice messages about COVID-19 vaccines (importance, reminders, how to access) and preventive services engagement (importance, reminders, how to access) in languages spoken by patients (i.e., Spanish, Arabic, Vietnamese)

 

Care Coordination

 

Inclusive of standard of care coordination with added focus on completing outstanding preventive services (e.g., HbA1c, blood pressure screenings, mammograms, colorectal cancer screening)

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Implementation Science

ISSN: 1748-5908