Adaptation of a Community Clinical Linkages Intervention to the COVID-19 Pandemic: A Community Case Study

Kiera Coulter, Maia Ingram, Abby Lohr, Carlos Figueroa, Gloria Coronado, Cynthia Espinoza, Maria Esparza, Stacey Monge, Maria Velasco, Lee Itule-Klasen, Magdalena Bowen, Ada Wilkinson-Lee, Scott Carvajal

Research output: Contribution to journalArticlepeer-review


In this community case study, we describe the process within an academic-community partnership of adapting UNIDOS, a community health worker (CHW)-led community-clinical linkages (CCL) intervention targeting Latinx adults in Arizona, to the evolving landscape of the COVID-19 pandemic. Consistent with community-based participatory research principles, academic and community-based partners made decisions regarding changes to the intervention study protocol, specifically the intervention objectives, participant recruitment methods, CHW trainings, data collection measures and management, and mode of intervention delivery. Insights from this case study demonstrate the importance of community-based participatory research in successfully modifying the intervention to the conditions of the pandemic and also the cultural background of Latinx participants. This case study also illustrates how a CHW-led CCL intervention can address social determinants of health, in which the pandemic further exposed longstanding inequities along racial and ethnic lines in the United States.

Original languageEnglish (US)
Article number877593
JournalFrontiers in Public Health
StatePublished - Jun 22 2022


  • COVID-19
  • adaptation
  • community health worker
  • community-based participatory research
  • community-clinical linkages

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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