Prado Patric V, Arechiga Carina, Marson Kara, Oviedo Yolanda, Vizcaíno Tatiana, Gomez Monica, Alvarez Arandu, Jimenez-Diecks Laura, Guevara Sindy, Nava Alexandra, Lopez Zully, Carrera Omar, Hypes Robert, Marquez Carina, Chamie Gabriel
Department of Medicine, University of California, San Francisco, San Francisco, CA 94110, United States.
Canal Alliance, San Rafael, CA 94901, United States.
JAMIA Open. 2024 Nov 11;7(4):ooae115. doi: 10.1093/jamiaopen/ooae115. eCollection 2024 Dec.
We sought to characterize indicators of digital literacy among persons testing for COVID-19 and community health workers (CHWs) providing testing via a digital platform in low-income, majority-Latino communities in California.
From March 2021 to March 2022, we trained CHWs to provide community-based COVID-19 testing that relied on a digital platform for registration, recording and reporting of results. Among community members, we examined factors associated with accessing test results digitally and time to results receipt. Among CHWs, we evaluated factors associated with self-reported difficulty using the digital platform and improvement post-training.
Overall, 5044 community members were tested for COVID-19. Accessing results digitally vs non-digitally was associated with younger age (Odds Ratio [OR]: 1.02 [95% Confidence Interval [CI], 1.01-1.03], for each year decrease), rural residence (OR:1.61 [95% CI, 1.30-1.99]), and providing an email address at registration (OR: 2.18 [95% CI, 1.80-2.65]). The likelihood of providing an email address at registration was increased among younger, non-Latino, English-speaking, female, and rural testers. Among persons accessing results digitally, median time from testing to result receipt was 41 min, with increased time associated with rural residence and older age. Among 42 CHWs surveyed, 29 (68%) reported technology-related challenges when providing testing: those reporting challenges were more likely to be older and rural CHWs. Rural CHWs were less likely to report technical skill improvement post-training.
Email provision may be an indicator of digital literacy among persons testing for COVID-19 in low-income, majority-Latino communities. Rural and older CHWs may need more intensive digital training.
Efforts to improve digital literacy in underserved communities are likely needed to realize the full potential of community-based health interventions that utilize digital platforms.
我们试图确定在加利福尼亚州低收入、拉丁裔占多数的社区中，接受新冠病毒检测的人群以及通过数字平台提供检测服务的社区卫生工作者（CHW）的数字素养指标。
2021年3月至2022年3月，我们培训社区卫生工作者提供基于社区的新冠病毒检测，该检测依赖数字平台进行登记、记录和报告检测结果。在社区成员中，我们研究了与通过数字方式获取检测结果及获取结果时间相关的因素。在社区卫生工作者中，我们评估了与自我报告的使用数字平台困难程度以及培训后改善情况相关的因素。
总体而言，5044名社区成员接受了新冠病毒检测。通过数字方式与非数字方式获取检测结果与年龄较小（每降低一岁，优势比[OR]：1.02[95%置信区间[CI]，1.01 - 1.03]）、农村居住（OR：1.61[95%CI，1.30 - 1.99]）以及在登记时提供电子邮件地址（OR：2.18[95%CI，1.80 - 2.65]）有关。在年龄较小、非拉丁裔、说英语、女性和农村的检测者中，登记时提供电子邮件地址的可能性增加。在通过数字方式获取检测结果的人群中，从检测到收到结果的中位时间为41分钟，农村居住和年龄较大与时间增加有关。在接受调查的42名社区卫生工作者中，29名（68%）报告在提供检测服务时存在与技术相关的挑战：报告有挑战的更可能是年龄较大和农村的社区卫生工作者。农村社区卫生工作者在培训后报告技术技能改善的可能性较小。
在低收入、拉丁裔占多数的社区中，提供电子邮件地址可能是接受新冠病毒检测人群数字素养的一个指标。农村和年龄较大的社区卫生工作者可能需要更密集的数字培训。
为充分发挥利用数字平台的社区卫生干预措施的潜力，可能需要努力提高服务不足社区的数字素养。
