BACKGROUND: Latino and Black families experience inequities in healthcare delivery, particularly during public health emergencies.
PURPOSE: To evaluate whether a nurse-led, household-based clinical practice model, the Nurse-Community-Family Partnership (NCFP) increased COVID-19 testing in an underserved, minoritized community as proof-of-concept for enhancing health service reach.
METHODS: In a parallel, assessor-blinded group RCT (August 2021–March 2023), 146 households (392 individuals; mean [SD] age 37.9 [20.0]; 257 [65.6%] female; 279 [71.2%] Latino; 94 [24.0%] Black) were randomized 2:1 to NCFP or standard of care and followed for 9 months. Analyses used multilevel and longitudinal logistic regression.
DISCUSSION: At 9 months, experimental participants (n = 256) had 2.69 times the odds (95 % CI 1.06-6.78) of any COVID-19 testing during the study and 3.16 times the odds of past-month testing (95 % CI 1.96-5.08), compared with controls (n = 136).
CONCLUSION: NCFP, a nurse-led, household-based clinical practice model, enhanced health service reach during a public health emergency.
A nurse-led clinical practice model to increase healthcare reach among underserved families during public health emergencies: A randomized controlled trial
Nursing Outlook, 73 (6), 102591. doi: 10.1016/j.outlook.2025.102591.