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.

项目概要 许多多层障碍增加了 AA 中感染 COVID-19 的风险，包括贫困、重要工作和 病毒暴露增加、文化规范（例如，否认风险、医疗/接触者追踪不信任）、慢性健康 条件以及获得医疗保健和其他服务/资源的机会有限。这些障碍凸显了需要 可访问、可信的 COVID-19 检测以及与抗病毒治疗和护理服务（LTC；例如健康、 预防计划、社区资源、接触者追踪）和社区资源（例如食物、租金 援助）以帮助减缓 COVID-19 在 AA 社区的传播。 AA 教会是一个拥有广泛的机构 在 AA 社区中具有影响力，可能是扩大 COVID-19 检测治疗 (TTT) 覆盖范围的理想环境 对重灾区 AA 社区进行 LTC 干预。然而，目前还没有基于 AA 教会的对照研究 COVID-19 TTT 干预。这项研究的主要目的是充分测试文化/宗教定制的、 基于教会的 COVID-19 TTT 与 LTC 干预条件相对于非定制教育条件 成人 AA 教会成员及其社区成员在 6 个月内的 COVID-19 快速检测率 服务。教会将根据会员规模、宗派和过去参与教会健康的情况进行匹配 干预研究，然后随机分配治疗条件。十二座教堂（每支 6 座教堂；55 座教堂 和 20 名社区成员/教会；总共 N=900）将参加该研究。抗病毒和接触者追踪 意图和使用也将在 6 个月时作为次要结果进行检查。其他类型的 COVID-19 还将评估测试和与护理使用的联系。以计划行为理论为指导 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提供 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 以及自动/定制的短信； b) 事工团体教育信息； c) 虚拟/实体教堂 提供与 COVID-19 相关的材料/活动的服务（例如讲道、牧师示范快速自我测试、 感言、公告）； d) 教会-社区层面与护理 (LTC) 服务的联系（例如接触者追踪、 治疗、医疗保健、社区资源）由作为社区卫生工作者的接触追踪者提供 （CHW）。干预教会将举办 2 场 COVID-19 TTT 活动，并将为会员提供带回家的活动 COVID-19 快速自检套件。与接受 COVID-19 检测相关的潜在调解员/调解员将是 评估，以及过程评估，以确定实施的促进因素、障碍和与相关的保真度 提高新冠病毒检测率。我们与我们的长期信仰和健康合作伙伴正在进行的会议是 使我们能够快速调整基于 AA 教会的 COVID-19 检测、HIV 检测和糖尿病预防 对拟议研究的干预措施。这项新颖的研究是第一个全面测试 COVID-19 TTT 干预的研究 AA 教堂。它可以提供一个基于理论的、多层次的可扩展模型，帮助 AA 教会交付 与卫生机构合作伙伴进行广泛的 COVID-19 快速检测并促进治疗。