# Center for American Indian and Rural Health Equity

> **NIH NIH P20** · MONTANA STATE UNIVERSITY - BOZEMAN · 2021 · $1,115,953

## Abstract

Project Summary
The COVID-19 pandemic has disproportionately affected American Indian (AI) and Latino communities, and
these groups also have increased risk of poor prognosis due to high rates of chronic disease such as diabetes,
cardiovascular disease, and cancer. In the northwestern United States, AI and Latino communities already
face significant disparities in health care access, which have been further exacerbated by the COVID-19
pandemic. In the proposed study, Protecting Our Community: A Pragmatic Randomized Trial of Home-Based
COVID Testing with American Indian and Latino Communities, we will leverage our long-term community-
based participatory research partnerships to test the hypothesis that home-based testing will be feasible,
impactful, and better-accepted using active delivery of test kits by trusted community health educators in two
vulnerable, high-risk rural communities. Our two long-term partner communities are the Flathead Indian
Reservation of the Confederated Salish and Kootenai Tribes in Montana, and the Yakima Valley of
Washington, a large Latino community. We will determine the cultural, social, behavioral, and economic
barriers to home-based SARS-CoV-2 testing; culturally adapt and enhance home-testing educational materials
and create home-testing instructional graphics and YouTube videos; conduct a 2-arm pragmatic randomized
trial of active (delivered by community health educator) vs. passive (mailed) home-based testing kits (n =
200/community) for testing completion; and create model community-driven testing protocols that can have
significant impact for increasing home-based testing uptake among AI and Latino communities nationally. This
work will enable underserved AI and Latino communities to take full advantage of the coming wave of rapid
point-of-care home tests and decrease the significant impact of COVID-19 in their communities.

## Key facts

- **NIH application ID:** 10255113
- **Project number:** 3P20GM104417-07S1
- **Recipient organization:** MONTANA STATE UNIVERSITY - BOZEMAN
- **Principal Investigator:** Alexandra K. Adams
- **Activity code:** P20 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $1,115,953
- **Award type:** 3
- **Project period:** 2020-11-17 → 2023-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10255113

## Citation

> US National Institutes of Health, RePORTER application 10255113, Center for American Indian and Rural Health Equity (3P20GM104417-07S1). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10255113. Licensed CC0.

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