Faithful Response II: COVID-19 Rapid Test-to-Treat with African American Churches

忠实响应 II：与非裔美国教会一起进行 COVID-19 快速检测治疗

• 批准号: 10845416
• 负责人: Jannette Yvonne Berkley-Patton
• 金额: $ 98.05万
• 依托单位: UNIVERSITY OF MISSOURI KANSAS CITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-11-01 至 2024-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10845416
• 关键词: Address; Adult; African American population; Antiviral Agents; Appointment; Behavior; Behavioral; Belief; Black church; Body Weight decreased; COVID-19; COVID-19 disparity; COVID-19 risk; COVID-19 test; COVID-19 testing; COVID-19 treatment; Caring; Cessation of life; Chronic; Church; Communities; Community Health Aides; Community Trial; Contact Tracing; Data; Development; Diabetes Mellitus; Diabetes prevention; Diagnostic Reagent Kits; Dose; Education; Educational Materials; Ethics; Event; Faith; Food; Future; HIV; HIV/STD; Health; Health Insurance; Health Personnel; Health Promotion; Health Services; Health behavior; Healthcare; Home; Hospitalization; Human immunodeficiency virus test; Hypertension; Individual; Institution; Intervention; Intervention Studies; Low income; Mediator; Medical; Modeling; Occupations; Outcome; Overweight; Participant; Persons; Planning Theory; Population; Populations at Risk; Poverty; Prevention program; Randomized; Religion; Resources; Risk; Role; Services; Social Work; Technology; Testing; Tracer; Training; Trust; Underserved Population; Viral; Virus; Waiting Lists; Work; academic standard; arm; care systems; diabetic; digital tool; experience; health care availability; high risk; human old age (65+); hypertensive; implementation facilitators; intervention delivery; meetings; member; novel; outreach; outreach services; preventive intervention; primary outcome; process evaluation; rapid test; rapid testing; response; secondary outcome; self help; self testing; sermons; severe COVID-19; social; social determinants; tailored text messaging; testing uptake; theories; therapy design; tool; treatment services; uptake; virtual

PROJECT SUMMARY Many multilayered barriers increase risk for COVID-19 among AA including poverty, essential jobs with increased virus exposure, cultural norms (eg, risk denial, medical/contact tracing mistrust), chronic health conditions, and limited access to healthcare and other services/resources. These barriers highlight the need for accessible, trusted COVID-19 testing and linkage to antiviral treatment and care services (LTC; e.g., health, prevention programs, community resources, contact tracing) and to community resources (e.g., food, rent assistance) to help slow COVID-19 spread in AA communities. The AA church is an institution with extensive influence in AA communities and may be an ideal setting for increasing reach of COVID-19 test-to-treat (TTT) interventions with LTC in hard hit AA communities. Yet, no controlled AA church-based studies exist on COVID-19 TTT interventions. The primary aim of this study is to fully test a culturally/religiously-tailored, church-based COVID-19 TTT with LTC intervention condition against a non-tailored education condition on COVID-19 rapid testing rates at 6 months with adult AA church members and the community members they serve. Churches will be matched on membership size, denomination and past participation in church health intervention studies, then randomized to treatment condition. Twelve churches (6 churches per arm; 55 church and 20 community members/church; N=900 total) will participate in the study. Antiviral and contact tracing intentions and use will also be examined at 6 months as secondary outcomes. Other types of COVID-19 testing and linkage to care use will also be assessed. Guided by the Theory of Planned Behavior and Socioecological Model, our community-engaged approach includes trained church leaders delivering a culturally, church-appropriate COVID-19 TTT Toolkit inclusive of digital tools: a) individual self-help materials and automated/tailored text messages; b) ministry group educational information; c) virtual/in-person church services with COVID-19 related materials/activities (e.g., sermons, pastors modeling rapid-self testing, testimonials, bulletins); and d) church-community level linkage to care (LTC) services (e.g., contact tracing, treatment, healthcare, community resources) provided by contact tracers serving as community health workers (CHW). Intervention churches will host 2 COVID-19 TTT events and will also provide members with take-home COVID-19 rapid self-test kits. Potential mediators/moderators related to receipt of COVID-19 testing will be evaluated, and a process evaluation to determine implementation facilitators, barriers, and fidelity related to increasing COVID19 testing rates. Our ongoing meetings with our long-term faith and health partners is enabling us to quickly adapt our AA church-based COVID-19 testing, HIV testing and diabetes prevention interventions for the proposed study. This novel study is the first to fully test a COVID-19 TTT intervention in AA churches. It could provide a theory-based, multilevel scalable model for equipping AA churches to deliver wide-reaching COVID-19 rapid testing and promote treatment with health agency partners.

项目摘要 许多多层障碍增加了AA中COVID-19的风险，包括贫困，基本工作以及 病毒的暴露增加，文化规范（例如，否认风险，医疗/接触信念），慢性健康 条件以及有限的医疗保健和其他服务/资源的访问权限。这些障碍突出了需要 可访问的，值得信赖的Covid-19测试和与抗病毒治疗和护理服务的联系（LTC；例如，健康， 预防计划，社区资源，联系跟踪）和社区资源（例如，食品，租金 协助）帮助慢速Covid-19在AA社区中传播。 AA教堂是一个广泛的机构 在AA社区中的影响，可能是增加Covid-19的测试对治疗（TTT）的理想环境（TTT） 与LTC的干预措施在艰难的AA社区中。然而，尚无基于AA教会的受控研究 COVID-19 TTT干预措施。这项研究的主要目的是充分测试文化/宗教守护的， 基于教会的COVID-19 TTT具有LTC干预条件，但针对非限制教育条件 COVID-19与成人AA教会成员和社区成员6个月的快速测试率，他们 服务。教会将与会员人数，教派和过去参与教会健康的匹配 干预研究，然后随机分配到治疗条件。十二个教堂（每臂6个教堂； 55教堂 和20名社区成员/教堂； n = 900）将参与研究。抗病毒和接触跟踪 意图和使用也将在6个月作为次要结果进行检查。其他类型的Covid-19 还将评估与护理使用的测试和联系。在计划行为理论和 社会生态模型，我们的社区参与方法包括训练有素的教会领袖 在文化上，适合教会的covid-19 TTT工具包包括数字工具：a）个人自助材料 和自动/量身定制的短信； b）事工团体教育信息； c）虚拟/面对面教堂 与COVID-19相关材料/活动的服务（例如，讲道，牧师建模快速自我测试， 推荐，公告）； d）教会社区级别与护理服务（LTC）服务（例如，联系跟踪， 治疗，医疗保健，社区资源）由接触示踪剂提供的社区卫生工作者提供 （CHW）。干预教堂将举办2个Covid-19 TTT活动，还将为成员提供带回家 COVID-19-Rapid Self Test套件。与接收COVID-19测试有关的潜在介体/主持人将是 评估和过程评估，以确定与 提高COVID19测试率。我们与我们的长期信仰和健康伙伴的持续会议是 使我们能够快速调整基于AA的Covid-19测试，HIV测试和预防糖尿病 拟议研究的干预措施。这项新型研究是第一个完全测试COVID-19 TTT干预措施的研究 教堂。它可以提供基于理论的多层次可扩展模型，以配备AA教堂提供 广泛的Covid-19-19迅速测试并促进与卫生机构合作伙伴的治疗。