Table 1. Hypothesized barriers faced by low-income, Latinx COVID-19 positive individuals and description of intervention components to address potential barriers.
| COM-B Domain | Barriers Targeted | Description of intervention components |
|---|---|---|
| Psychologic capability (Knowledge and decision processes) | • Lack of knowledge about: • COVID-19 symptoms and illness progression. • How COVID-19 spreads. • How to keep family/household members safe. • How/where household members can get tested. |
• T2C Providers and CHWs provide: • Information on COVID-19 specific symptoms and what to monitor for. • Information on how to prevent spread of COVID-19 including appropriate use of PPE, hygiene and cleaning procedures, and isolation procedures. • Linkage to care about where to go for evaluation if worsening of symptoms. • Instruction about where household members can go to get tested for COVID-19. |
| Physical opportunity (Environmental context and resources) | • Lack of health insurance and/or linkage to primary health care. • Lack of access to food, PPE and cleaning supplies during isolation and quarantine. • Lack of financial security. • Lack of language concordant services and resources. |
• T2C Providers provide: • Information and support to enroll in insurance and establish primary healthcare services. • T2C CHWs provide: • Home-based deliveries of essential goods (food, masks, cleaning supplies). • Food vouchers at end of isolation period. • T2C Providers and CHWs are bilingual and all information and materials are provided in Spanish in a culturally relevant manner. |
| Social opportunity (Social influences) | • Lack of social support and loneliness during isolation and quarantine. | • T2C Providers and CHWs are bilingual and all information and materials are provided in Spanish in a culturally relevant manner. • T2C CHWs provide ongoing social support throughout the isolation period. |
| Automatic motivation (Emotion and reinforcement) | • Fear and/or anxiety of disclosing contacts and/or having household members undergo testing. • Fear and/or anxiety attending health facility for immediate or future healthcare. • Stigma associated with being COVID-19 positive. |
• T2C Providers and CHWs: • Emphasize confidential, pleasant, and non-judgmental experience. • Provide support for health-related decisions. • T2C CHWs: • Act as a credible source for information. • Make discrete home deliveries using unmarked cars. |