Journal of Public Health Management and Practice最新文献

{"title":"Partnerships Between the Air and Army National Guard and State and Local Health Departments During the COVID-19 Pandemic.","authors":"Jaymie Brooks Dumproff, Amandari Kanagaratnam, Beth Resnick, Crystal Watson","doi":"10.1097/PHH.0000000000002400","DOIUrl":"10.1097/PHH.0000000000002400","url":null,"abstract":"<p><strong>Objective: </strong>To describe the Air and Army National Guard's (NG) role during the COVID-19 pandemic.</p><p><strong>Methods: </strong>Qualitative interviews were conducted with Air and Army National Guard (NG) medical service members and state and local health department (HD) staff who partnered with the NG during the pandemic. To ensure geographic and political diversity, participants were recruited from each of the 10 FEMA regions, including Republican, Democratic, and Swing states.</p><p><strong>Findings: </strong>From August 2023 to April 2024, 20 semistructured interviews were conducted across 10 states. Respondents described partnerships between states and the NG for medical and nonmedical support including COVID-19 testing, vaccination, medical supply distribution, and vulnerable population assistance. Respondents described an overall positive perception of the NG partnership and identified best practices to prepare for future emergencies.</p><p><strong>Conclusions: </strong>The NG served as a force multiplier to increase the capacity of HDs. States that had previously trained with the NG were better prepared to collaborate during the response.</p><p><strong>Policy implications: </strong>This study highlights the essential assistance the NG provides to HDs during a public health emergency and provides best practices for future partnerships.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"935-942"},"PeriodicalIF":1.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Recruitment Approaches in Community-Based HIV Prevention Research: Insights From an Innovation Tournament.","authors":"Amelia E Van Pelt, Elizabeth Casline, Byrd G M Cook, Gregory Phillips, Jorge Cestou, Brian Mustanski, Rinad S Beidas","doi":"10.1097/PHH.0000000000002392","DOIUrl":"10.1097/PHH.0000000000002392","url":null,"abstract":"<p><strong>Context: </strong>Participatory methods facilitate end-user engagement with research and rely on strategies that successfully recruit community participants. An innovation tournament successfully crowdsourced ideas for the implementation of long-acting, injectable preexposure prophylaxis among sexual minority men (SMM) in Chicago. Evaluation of the success of recruitment strategies will provide insights on this community-facing participatory approach.</p><p><strong>Objective: </strong>This work evaluated the reach and cost of the recruitment strategies deployed during the innovation tournament.</p><p><strong>Design: </strong>Advertisement methods involved (1) physical (eg, flyers), (2) digital (eg, social media), and (3) in-person (eg, tabling). Recruitment locations were informed by partner organizations, and geospatial distribution of HIV prevalence and key population demographics. QR codes and URLs were developed for each advertisement type and location to enable systematic tracking of the source of ideas. Descriptive statistics were calculated.</p><p><strong>Setting: </strong>Chicago, Illinois.</p><p><strong>Participants: </strong>Participants for the innovation tournament included community members in Chicago (≥13 year old). Recruitment strived to engage SMM, particularly Black and Latino individuals. Individuals involved in recruitment efforts included the research team, graphic designer, and community-based partners.</p><p><strong>Main outcome measures: </strong>Reach was defined as the number of ideas submitted in the tournament. Cost was calculated from administrative data.</p><p><strong>Results: </strong>Seventy-three ideas were submitted from 5 recruitment locations (eg, sexually transmitted infection clinics) and from relevant key populations (eg, 60% Chicago residents and sexual minorities). Physical advertisements on public transportation yielded the greatest number of submissions (31%). The digital advertisements from community-based organization listserv/emails produced the ideas with the highest scores, whereas advertisements on public transportation generated ideas with the lowest scores. Cost-effectiveness varied across locations. Public transportation had the highest costs per submission, whereas digital advertising incurred the lowest costs.</p><p><strong>Conclusions: </strong>This work can inform future recruitment efforts to maximize the success of participatory research within the community. Findings provide insight into cost-effective recruitment strategies that yield high reach.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"E224-E237"},"PeriodicalIF":1.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148701806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using the Delphi Process in the Development of the Partnering to Build Understanding of Genomics Responsibly Community Health Worker (PREFER CHW) Research Education Program.","authors":"Marie Smith, Vickie Reed, Ashley Evans Knowell, Tamika Williams, Sarah Covington Kolb, Greg Green, Cassandra Wright Glenn, Brea Burke, Laurie Hoffma, Kelsey Jaeger, Charkarra Anderson-Lewis, Paula S Ramos, Paige Menking, Jaslyn Grullon, Ingrid Wagner, Yue Guan, Audrey McCrary-Quarles, Susan Mayfield Johnson, Caitlin G Allen","doi":"10.1097/PHH.0000000000002432","DOIUrl":"10.1097/PHH.0000000000002432","url":null,"abstract":"<p><strong>Context: </strong>Community Health Workers (CHWs) are increasingly involved in genomics-related communication and research engagement, yet few genomics training programs are tailored to their roles, learning needs, or community contexts.</p><p><strong>Objective: </strong>To refine and build consensus on the content, structure, and applicability of the PaRtnEring to build understanding oF gEnomics Responsibly (PREFER) CHW Genomics Research Education Program using a multiround Delphi process.</p><p><strong>Design: </strong>A 3-round Delphi study incorporating quantitative ratings and qualitative feedback to evaluate and revise curriculum modules and activities.</p><p><strong>Setting: </strong>Five CHW partner training sites across the Southeastern United States.</p><p><strong>Participants: </strong>Twenty-four individuals, including CHWs, CHW trainers, and genetics content experts. CHWs and CHW trainers comprised 83% of the panel.</p><p><strong>Intervention: </strong>An iterative refinement of a 10-module genomics education curriculum covering topics such as Genetics 101, Family History, Genetic Counseling and Testing, CHW Roles, Genetics Research, Ethical/Legal/Social Issues, and Communicating About Genomics.</p><p><strong>Main outcome measures: </strong>Clarity of learning objectives, use of adult learning theory, anticipated knowledge gain, and appropriateness of module-specific workbook activities, assessed using the Kirkpatrick Model and predefined consensus threshold of ≥75% agreement.</p><p><strong>Results: </strong>In Round 1, Genetics 101 and CHW Roles scored below the 75% consensus threshold. Round 2 focus groups identified needs for simplified scientific content, strengthened integration of CHW roles, and expanded real-world examples. In Round 3, 18 full assessments showed improved agreement across modules, although gaps remained in adult learning integration for selected modules. The final curriculum achieved consensus on clarity and anticipated knowledge gain across all modules.</p><p><strong>Conclusions: </strong>The Delphi process effectively refined the PREFER curriculum and ensured alignment with CHW needs. CHWs played a central role throughout development, directly shaping content, structure, and cultural relevance. The resulting curriculum offers a feasible, community-aligned approach to building CHW capacity in genomics communication and research engagement.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"890-901"},"PeriodicalIF":1.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Training Needs and Preferred Delivery Modes Among Child Nutrition Professionals: Results From a National Survey.","authors":"Ruaa Al Juboori, Mackinsey K Shahan, Keith Rushing","doi":"10.1097/PHH.0000000000002421","DOIUrl":"10.1097/PHH.0000000000002421","url":null,"abstract":"<p><strong>Context: </strong>Child nutrition (CN) professionals must meet ongoing United States Department of Agriculture (USDA) nutrition standards and professional training requirements, yet national evidence on priority training topics and preferred delivery formats across roles is limited.</p><p><strong>Objective: </strong>To identify high priority training needs and preferred delivery modes among School Nutrition (SN) and Child and Adult Care Food Program (CACFP) professionals nationwide.</p><p><strong>Design: </strong>Cross sectional, web-based survey.</p><p><strong>Setting: </strong>United States; survey distributed through the Institute of Child Nutrition national contact database (emails sent November 7 to December 5, 2023).</p><p><strong>Participants: </strong>A total of 777 CN professionals including SN management/other staff, SN frontline staff/workers, and CACFP professionals.</p><p><strong>Intervention if applicable: </strong>Not applicable.</p><p><strong>Main outcome measures: </strong>Respondents selected high-need training topics to complete within the next 2 years and indicated preferred delivery mode (in-person live, live virtual, or self-paced online) for each selected topic.</p><p><strong>Results: </strong>Training priorities and delivery preferences differed by role and topic. SN management/other respondents most often preferred in-person live training for operational and complex topics such as food production (17.8%) and program management (17.6%), while live virtual training was most frequently preferred for special diets (19.0%). Self-paced online formats were most frequently preferred for compliance-oriented topics including civil rights (23.1%) and food safety/Hazard Analysis and Critical Control Point (22.2%). SN frontline staff/workers most often preferred self-paced online training for USDA meal pattern requirements (26.6%) and civil rights (22.9%), and live virtual training for special diets (17.4%). CACFP professionals most often preferred self-paced online training for USDA meal pattern requirements (30.7%) and health and safety (29.1%), with live virtual training commonly preferred for administration/paperwork (24.4%) and special diets (24.4%).</p><p><strong>Conclusions: </strong>CN professionals report role and topic-specific training needs and distinct delivery preferences, supporting flexible, differentiated training pathways (eg, in-person for hands on operations; self-paced online for standardized compliance content) to strengthen implementation of USDA standards.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"E247-E256"},"PeriodicalIF":1.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Connecting Primary Care and Community Services: A New Framework for Comprehensive Osteoarthritis Care.","authors":"Julia Chevan, Elizabeth Erck, Heather Murphy, Elizabeth A Fallon, Anika L Foster, Cheryl Schott, Erica L Odom","doi":"10.1097/PHH.0000000000002406","DOIUrl":"10.1097/PHH.0000000000002406","url":null,"abstract":"<p><strong>Abstract: </strong>Osteoarthritis affects 33.2 million US adults and drives substantial primary care utilization. Despite evidence supporting nonpharmacologic interventions, implementation remains challenging due to limited clinical-community coordination. We conducted a project in which we used existing evidence and developed an integrated primary care and community implementation framework for comprehensive osteoarthritis management through (1) landscape assessment; (2) expert panel input; (3) design sessions; and (4) iterative consultation. The resulting \"Public Health Framework for Collaborative Osteoarthritis Management and Wellbeing\" integrates existing clinical practice guidelines, electronic health record screening tools, structured referral pathways, and Community Care Hubs that coordinate access to evidence-based programs and social resources. This approach could serve as a model for managing other chronic conditions requiring clinical-community integration.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"860-869"},"PeriodicalIF":1.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"State and Local Funding for Parks and Recreation Is Associated With Healthy Environments and Behaviors Across the United States.","authors":"Marilyn E Wende, S Morgan Hughey, Farnaz Hesam Shariati, Andrew T Kaczynski","doi":"10.1097/PHH.0000000000002389","DOIUrl":"10.1097/PHH.0000000000002389","url":null,"abstract":"<p><strong>Abstract: </strong>This study examined how state and local parks and recreation funding relates to county-level access to exercise opportunities, physical inactivity, and obesity, and how these associations differed in metropolitan versus nonmetropolitan areas. A cross-sectional analysis of all US counties (n = 3142) linked 2021 Census expenditure data with 2021 County Health Rankings measures. Generalized estimating equations assessed associations between expenditures and each outcome. Results showed that parks and recreation spending accounted for an average of 1.1% of state-local budgets (range: 0.4%-2.5%). Each 1% increase in expenditures was associated with significantly greater access to exercise opportunities and lower rates of physical inactivity and obesity. Such associations were strongest in metropolitan counties. In conclusion, increased investment in parks and recreation may improve community access to active environments and reduce physical inactivity and obesity. Future research should explore parks and recreation funding allocations in more detail and across a broader range of health outcomes.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"929-934"},"PeriodicalIF":1.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medicaid Reimbursement and Other Funding Strategies for Community Health Workers: Perspectives of Employer Organizations in Indiana.","authors":"Michael L Scanlon, Jasmine T Jackson, Melissa R Thomas, Debra K Litzelman","doi":"10.1097/PHH.0000000000002408","DOIUrl":"10.1097/PHH.0000000000002408","url":null,"abstract":"<p><strong>Objective: </strong>To investigate challenges and opportunities related to Medicaid reimbursement and other funding strategies for community health workers (CHW) among employers in Indiana.</p><p><strong>Design: </strong>Qualitative study using in-depth interviews with organizational and program leaders in 2024. Analysis used a framework approach.</p><p><strong>Setting: </strong>Indiana.</p><p><strong>Participants: </strong>Leaders from 8 Indiana-based CHW employer organizations, including health systems, federally qualified health centers (FQHCs), local health department, and community-based organization, supplemented by leaders of 3 non-Indiana-based organizations engaged in CHW policy, research, or advocacy elsewhere in the United States.</p><p><strong>Main outcome measure: </strong>Organizational perspectives on CHW workforce funding, specifically Medicaid reimbursement, and alternative funding approaches.</p><p><strong>Results: </strong>We found that CHW employers relied on short-term grant funding but that there was diversity in funding approaches. Only 1 of 8 Indiana-based CHW employers billed Medicaid for CHW services, with barriers to Medicaid reimbursement related to low reimbursement rates, complex billing procedures, limited billable activities, and structural exclusion to Medicaid reimbursement for some providers like FQHCs. Alternative funding approaches identified by employers included reforms to the current Medicaid policy, moving towards value-based payment models, pursuing braided funding approaches, and advocating with organizational leadership based on return-on-investment from CHW activities. Non-Indiana-based stakeholders highlighted additional strategies that could be pursued in Indiana to enhance sustainability, including managed care incentives or requirements for employing CHWs and dedicated workforce development partner organizations that can support CHW employers in building and sustaining their CHW workforces.</p><p><strong>Conclusions: </strong>Insights from this study revealed current structural and policy challenges that CHW employers face in Indiana and can inform reforms to build a more sustainable CHW workforce to serve diverse health and community settings.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"E238-E246"},"PeriodicalIF":1.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13596188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148580141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"State Preemption and Local Laws Related to Youth Tobacco Access and Impacts on Cigarette Purchases and Expenditures in US Counties (2004-2021).","authors":"Rishika Chakraborty, Yan Wang, Y Tony Yang, Yan Li, Chong Sabrina Zhang, Jing-Jer Chen, Debra H Bernat, Carla J Berg","doi":"10.1097/PHH.0000000000002415","DOIUrl":"10.1097/PHH.0000000000002415","url":null,"abstract":"<p><strong>Context: </strong>The association between preemption of local youth tobacco access laws and cigarette purchases remain uncertain, particularly considering existing state/local tobacco laws.</p><p><strong>Objective: </strong>To assess state preemption and local laws related to youth access to tobacco in relation to cigarette purchases and expenditures from 2004-2021 and explore differential impacts among sociodemographic subpopulations, particularly communities with more youth.</p><p><strong>Design: </strong>Longitudinal.</p><p><strong>Setting: </strong>The United States.</p><p><strong>Participants: </strong>Two thousand nine hundred forty-two counties.</p><p><strong>Methods: </strong>Data on state youth access preemption and state smoke-free, cigarette taxes, and licensing laws (CDC's STATE system); local youth access laws (American Nonsmokers' Rights Foundation); county-level cigarette purchases and expenditures (NielsenIQ Consumer Panel); and sociodemographics (American Community Survey) were obtained. Multilevel linear models examined the associations between state preemption and local laws related to youth access and county-level cigarette purchases and expenditures, controlling for state smoke-free, taxation, and licensing laws, county-level sociodemographics, and state as a fixed effect. Analyses assessed interactions between preemption and sociodemographic subgroups.</p><p><strong>Results: </strong>Greater state smoke-free law coverage (Purchases: ß = -102 980, P < .001; Expenditures: ß = -143 617, P < .001) and higher cigarette taxes (Purchases: ß = -530 968, P < .001; Expenditures: ß = -783 441, P < .001) were associated with fewer purchases and lower expenditures; neither preemption nor local laws were associated. However, interactions were found between preemption law status and percentage of residents younger than 18 years (Purchases: ß = 5 477 332, P < .001; Expenditures: ß = 15 400 000, P = .01), such that there were greater purchases and expenditures in counties with more youth residents, but the increases were steeper in counties in states with (vs. without) preemption on youth access.</p><p><strong>Conclusions: </strong>While smoke-free laws and cigarette taxes remain strongly associated with fewer cigarette purchasing, state preemption may be linked to disproportionately higher purchasing in counties with larger youth populations. Policies limiting preemption and strengthening local authority, alongside comprehensive state measures, may complement comprehensive state tobacco control measures in communities with larger youth populations.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"953-964"},"PeriodicalIF":1.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148707903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advancing Governmental Public Health Workforce Well-being: Lessons From a Maryland Pilot Test.","authors":"Paulani Mui, Ruth Maiorana, Beth Resnick","doi":"10.1097/PHH.0000000000002434","DOIUrl":"10.1097/PHH.0000000000002434","url":null,"abstract":"<p><strong>Abstract: </strong>Prioritizing employee well-being is critical to retaining and sustaining a strong, prepared, and effective public health workforce. The Putting Our People First: Discussion Guide for Public Health Agencies to Advance Worker Well-being, a customizable tool to address worker needs and promote a culture of well-being, was pilot tested with 3 Maryland local health departments. Although employees across the 3 pilot agencies shared a strong public health mission orientation and commitment to their work and the communities they serve, key priority areas identified to advance a culture of well-being included internal communications, leadership, and organizational infrastructure and policies. This report shares lessons from Maryland's pilot sites and highlights how the guide can be adapted to local context, with insights that can be scaled across public health agencies to foster a culture of well-being and better support and sustain a strong, effective workforce to deliver essential services and respond to community needs.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"854-859"},"PeriodicalIF":1.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13596186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148585841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Rapid Public Health Response to a Pandemic: Results of the Massachusetts COVID-19 Community Tracing Collaborative.","authors":"Emily B Wroe, Shefali Oza, Heather A Fay, Steven Kadish, Taylor Brock-Fisher, Kwonjune J Seung, Joia Mukherjee, Cecilia Dunn, Kevin Cranston, Jana Ferguson, Meagan Burns, Ryan Burke, Emily I Dally, Sheila M Davis, Amanda Kearns, Caitlyn K Bradburn, Louis Gutierrez, Kelly Driscoll, Christopher Pilkington, Keir Buckhurst, Amy Watkins, John C Welch, Catherine M Brown","doi":"10.1097/PHH.0000000000002394","DOIUrl":"10.1097/PHH.0000000000002394","url":null,"abstract":"<p><strong>Context: </strong>The first COVID-19 case in Massachusetts was identified in January 2020, marking the start of an unprecedented pandemic that resulted in more than 20,000 deaths statewide. In response, Massachusetts rapidly developed and launched the Community Tracing Collaborative (CTC), the nation's first large-scale statewide contact tracing support system.</p><p><strong>Program: </strong>Beginning in April 2020, the CTC, an entirely virtual operation, recruited and trained more than 4000 lay staff to conduct outreach to COVID-19 cases and contacts. CTC services included case investigation and contact tracing; referral for social supports such as food and other resources; outbreak investigation and response; and referrals for testing and treatment.</p><p><strong>Evaluation: </strong>We conducted a cohort analysis of COVID-19 cases and close contacts referred to the CTC, as well as contacts identified by CTC staff during tracing activities, between May 1, 2020, and October 31, 2021. We calculated the proportions of cases and contacts with successful initial interviews and, among those, successful completion of isolation or quarantine.</p><p><strong>Results: </strong>During the study period, the CTC supported 551,797 cases and 304,928 contacts. Among individuals served, 8.6% identified as Black, 22.0% as Hispanic, 50.8% as female, and 11.6% as non-English speaking. Overall, 79.3% had a successful initial interview outcome, and among these, 72.6% successfully completed isolation or quarantine.</p><p><strong>Conclusions: </strong>The CTC demonstrated that a large-scale, integrated case investigation and contact tracing program with embedded supportive services can be rapidly deployed and sustained, even in an unprecedented public health emergency.</p>","PeriodicalId":47855,"journal":{"name":"Journal of Public Health Management and Practice","volume":" ","pages":"880-889"},"PeriodicalIF":1.7,"publicationDate":"2026-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148714172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}