{"doi":"10.1016/j.cct.2022.106783","title":"Implementing expanded COVID-19 testing in Massachusetts community health centers through community partnerships: Protocol for an interrupted time series and stepped wedge study design","abstract":"BACKGROUND: Community Health Centers (CHCs) are a critical source of care for low-income and non-privately insured populations. During the pandemic, CHCs have leveraged their infrastructure and role as a trusted source of care to engage the communities they serve in COVID-19 testing. METHODS: To directly address the impact that COVID-19 has had on historically marginalized populations in Massachusetts, we designed a study of community-engaged COVID-19 testing expansion: (1) leveraging existing partnerships to accelerate COVID-19 testing and rapidly disseminate effective implementation strategies; (2) incorporating efforts to address key barriers to testing participation in communities at increased risk for COVID-19; (3) further developing partnerships between communities and CHCs to address testing access and disparities; (4) grounding the study in the development of a shared ethical framework for advancing equity in situations of scarcity; and (5) developing mechanisms for communication and science translation to support community outreach. We use a controlled interrupted time series design, comparing number of COVID-19 tests overall and among people identified as members of high-risk groups served by intervention CHCs compared with six matched control CHCs in Massachusetts, followed by a stepped wedge design to pilot test strategies for tailored outreach by CHCs. CONCLUSIONS: Here, we describe a community-partnered strategy to accelerate COVID-19 testing in historically marginalized populations that provides ongoing resources to CHCs for addressing testing needs in their communities. The study aligns with principles of community-engaged research including shared leadership, adequate resources for community partners, and the flexibility to respond to changing needs over time.","journal":"Contemporary Clinical Trials","year":2022,"id":271710,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":12,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9517,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":937580,"name":"Leslie Pelton-Cairns","orcid":null,"position":1,"is_corresponding":false},{"id":245453,"name":"Elsie M. Taveras","orcid":"0000-0001-6158-2807","position":2,"is_corresponding":false},{"id":937581,"name":"Susan Dargon-Hart","orcid":null,"position":3,"is_corresponding":false},{"id":510557,"name":"Daniel A. Gundersen","orcid":"0000-0003-2543-9231","position":4,"is_corresponding":false},{"id":416390,"name":"Rebekka M. Lee","orcid":"0000-0002-5863-7907","position":5,"is_corresponding":false},{"id":51663,"name":"Barbara E. Bierer","orcid":"0000-0001-6448-8170","position":6,"is_corresponding":false},{"id":937582,"name":"Erica Lawlor","orcid":null,"position":7,"is_corresponding":false},{"id":62201,"name":"Regina C. LaRocque","orcid":"0000-0003-4558-0339","position":8,"is_corresponding":false},{"id":395341,"name":"Julia L. Marcus","orcid":"0000-0002-8552-414X","position":9,"is_corresponding":false},{"id":937118,"name":"Madeline E. Davies","orcid":"0000-0002-2405-8181","position":10,"is_corresponding":false},{"id":332605,"name":"Karen M. Emmons","orcid":"0000-0002-0685-6446","position":11,"is_corresponding":false},{"id":416391,"name":"Gina Kruse","orcid":"0000-0002-6681-220X","position":0,"is_corresponding":true}],"reference_count":14,"raw_metadata":null,"created_at":"2026-07-19T00:27:39.717534Z","pmid":"35533978","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}