improving the collaborative health of minority covid-19 survivor and carepartner dyads

Conditions: SARS- CoV-2; Cardiovascular Diseases; Chronic Kidney Diseases; Diabetes Mellitus, Type 2; Chronic Disease; Stroke

Summary: this study tests the efficacy of a dyadic intervention to mitigate the adverse health consequences of severe acute respiratory syndrome coronavirus 2 (sars- cov-2 )(covid-19) in african american (aa) adults with pre-existing chronic health conditions and their informal carepartners (ic). socioeconomically disadvantaged, older, and black/african american from rural regions are burdened with greater rates of chronic diseases such as diabetes, hypertension, chronic kidney disease, cardiovascular disease, and stroke.

this study tests the efficacy of a dyadic intervention to mitigate the adverse health consequences of sars- cov-2 (covid-19) in african american (aa) adults with pre-existing chronic health conditions and their informal carepartners (ic). socioeconomically disadvantaged, older, and black/african american from rural regions are burdened with greater rates of chronic diseases such as diabetes, hypertension, chronic kidney disease, cardiovascular disease, and stroke. those chronic diseases contribute to more severe health consequences and higher rates of mortality from covid-19. poc are also more likely to be impacted by social and structural determinants of health (ssdh), such as barriers to health care access, discrimination, and lack of social support, that negatively impact quality of life (qol) and effective chronic disease self- management behaviors. to provide the fullest health benefits to participants with chronic conditions in the wake of the covid-19 pandemic, it is critical that we design interventions targeting ssdh for improved chronic disease self-management, health, functioning, qol. this study will utilize an embedded mixed methods design paired with an efficacy randomized controlled trial (rct). our icings fam (integrating community-based intervention under nurse guidance with families) is a registered nurse (rn)-community health worker (chw)-delivered, telehealth intervention (14-weeks) that targets compounding racial- and pandemic-related stressors for improved chronic illness management and future disease risk mitigation in adult aa covid-19 survivor/ic dyads.

Eligibility criteria:
inclusion criteria: covid-19 survivor inclusion criteria * african american * male and female * living in a medically underserved area and/or a designated rural area of south carolina * ≥ 18 years and above * a history of a covid-19-associated hospitalization, er or urgent care visit since march 11th, 2020 * a previous diagnosis of one or more of the following conditions: type 2 diabetes, hypertension, cardiovascular disease, chronic kidney disease, or stroke (\>3 months) -carepartner inclusion criteria * male and female * ≥ 18 years and above * must live on the same property or community, preferably within a 40-mile radius of the survivor * primarily responsible for care provision and/or care/social support in the home (i.e., is not paid for services) exclusion criteria: * survivor and carepartner exclusion criteria • enrolled in related clinical trials

Keywords: health inequities rural black/african american dyads structural determinants of health quality of life