COVID-19 Testing and Linkage to Care with African American Church and Health Agency Partners

COVID-19 检测以及与非裔美国教会和卫生机构合作伙伴的护理联系

• 批准号: 10259191
• 负责人: Jannette Yvonne Berkley-Patton
• 金额: $ 143.97万
• 依托单位: UNIVERSITY OF MISSOURI KANSAS CITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-01-01 至 2023-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10259191
• 关键词: Address; Adult; African American; Behavior; Behavioral; Belief; Body Weight decreased; COVID-19; COVID-19 intervention; COVID-19 prevention; COVID-19 testing; COVID-19 vaccination; Caregivers; Caring; Cessation of life; Chronic; Church; Communities; Community Health Aides; Community Trial; Contact Tracing; Data; Diabetes Mellitus; Diabetes prevention; Dose; Education; Ethics; Evaluation; Event; Food; Future; Guidelines; HIV; HIV/STD; Health; Health Insurance; Health Promotion; Health Services Accessibility; Health behavior; Healthcare; Heart Diseases; High Prevalence; Hospitalization; Human immunodeficiency virus test; Individual; Institution; Insurance; Intervention; Intervention Studies; Kidney; Low income; Mediator of activation protein; Medical; Modeling; Obesity; Occupations; Outcome; Overweight; Participant; Persons; Planning Theory; Population; Poverty; Prevention; Prevention program; Process; Randomized; Reading; Religion and Spirituality; Reporting; Resources; Risk; Role; Services; Social Health Services; Social Work; Testing; Text Messaging; Training; Trust; Virus; Work; arm; attentional control; base; care systems; diabetic; digital; health care availability; healthcare community; high risk; implementation facilitators; improved; medical appointment; meetings; member; multilevel analysis; novel; online community; outreach services; preventive intervention; primary outcome; screening; secondary outcome; self help; sermons; social; social determinants; testing uptake; theories; therapy design; tool; uptake; vaccine delivery; virtual

PROJECT SUMMARY African Americans (AA) are disproportionately burdened by COVID19 across the spectrum of related cases, hospitalizations, and deaths compared to Whites. Many multilayered barriers increase risk for COVID19 among AA including poverty, essential jobs with increased virus exposure, cultural norms (eg, risk denial, medical/contact tracing mistrust), and limited access to healthcare and other services/resources. These barriers highlight the need for accessible, trusted COVID19 testing and linkage to care (LTC) services (eg, health, prevention programs, community resources, contact tracing) to help slow COVID19 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 COVID19 testing and LTC in hard hit AA communities. Yet, no controlled AA church-based studies exist on COVID19 testing interventions. The primary aim of this study is to fully test a culturally/religiously-tailored, church-based COVID19 testing and LTC intervention condition against a non- tailored intervention condition on COVID19 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. Sixteen churches (8 churches/arm; 45 church and 15 community members/church; N=960 total) will participate in the study. LTC use, contact tracing approval, and COVID19 prevention behaviors will also be examined at 6 months as secondary outcomes. Guided by the Theory of Planned Behavior and Socioecological Model, our community- engaged approach includes trained church leaders delivering a culturally, church-appropriate COVID19 Toolkit inclusive of digital tools: a) individual self-help materials and tailored text messages; b) in-person/virtual group seminars for caregivers of persons with COVID19; c) in-person/virtual church services with COVID19 related materials/activities (e.g., sermons, testimonials, responsive readings); and d) church-community level LTC services (eg, insurance, healthcare, prevention programs, community resources, contact tracing) provided virtually by community health workers, church-community-based re-opening guidelines, and church-based COVID19 testing events with health agencies. Examination of LTC use and contact tracing approval will aid in understanding intervention impact on COVID19 testing by addressing participant essential needs. 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 HIV testing and diabetes prevention interventions for the proposed study. This multilevel study could provide an effective, scalable model for increasing COVID19 testing, prevention, and LTC/contact tracing approval with AA churches in partnership with health agencies, and provide strategies to streamline delivery/uptake of future COVID-19 vaccination.

项目概要 在各种相关病例中，非裔美国人 (AA) 受到新冠肺炎 (COVID19) 的负担尤为严重， 与白人相比，住院率和死亡人数。许多多层屏障增加了人们感染新冠病毒的风险 AA 包括贫困、病毒暴露增加的基本工作、文化规范（例如，否认风险、 医疗/接触者追踪不信任），以及获得医疗保健和其他服务/资源的机会有限。这些 障碍凸显了对可访问、可信的新冠病毒检测以及与护理 (LTC) 服务的联系的需求（例如， 健康、预防计划、社区资源、接触者追踪），以帮助减缓新冠病毒 (AA) 的传播 社区。 AA教会是在AA社区中具有广泛影响力的机构，可能是一个理想的机构 在重灾区 AA 社区中扩大新冠病毒 (COVID19) 检测和长期护理 (LTC) 的覆盖范围。然而，没有受控的AA 存在基于教会的关于新冠病毒检测干预措施的研究。本研究的主要目的是全面测试 根据文化/宗教量身定制、基于教会的新冠病毒 (COVID19) 检测和长期护理 (LTC) 干预条件，针对非 针对 AA 教会成年成员 6 个月内的新冠病毒 (COVID19) 检测率量身定制的干预条件 他们所服务的社区成员。教会将根据成员规模、教派和过去进行匹配 参与教会健康干预研究，然后随机分配治疗条件。十六座教堂（8 教堂/手臂； 45 个教会和 15 个社区成员/教会；总共 N=960）将参加该研究。 LTC 使用、接触者追踪批准和 COVID19 预防行为也将在 6 个月后进行检查 次要结果。在计划行为理论和社会生态模型的指导下，我们的社区- 参与方法包括训练有素的教会领袖提供适合教会文化的新冠病毒工具包 包括数字工具：a) 个人自助材料和定制短信； b) 面对面/虚拟小组 为新冠肺炎患者的护理人员举办研讨会； c) 与新冠病毒相关的现场/虚拟教堂礼拜 材料/活动（例如布道、感言、回应性读物）； d) 教会-社区层面长期护理中心 提供的服务（例如保险、医疗保健、预防计划、社区资源、接触者追踪） 实际上由社区卫生工作者、基于教会社区的重新开放指南以及基于教会的 与卫生机构合作开展的新冠肺炎 (COVID19) 测试活动。检查 LTC 的使用和接触者追踪批准将有助于 通过满足参与者的基本需求来了解干预措施对新冠病毒检测的影响。潜在的 将评估与接受 COVID-19 检测相关的调解员/主持人，并进行流程评估 确定与提高新冠病毒检测率相关的实施促进因素、障碍和保真度。我们的 与我们的长期信仰和健康合作伙伴的持续会议使我们能够快速调整我们的 AA 教会 - 基于艾滋病毒检测和糖尿病预防干预措施的拟议研究。这项多层次的研究可以 提供有效、可扩展的模型，以增加新冠病毒 (COVID19) 检测、预防和长期护理人员 (LTC)/接触者追踪 与卫生机构合作获得 AA 教会的批准，并提供简化策略 未来提供/接种 COVID-19 疫苗。