ASSESSING HIV SCREENING IN AFRICAN AMERICAN CHURCHES

评估非裔美国教会的艾滋病毒筛查

• 批准号: 8659693
• 负责人: Jannette Yvonne Berkley-Patton
• 金额: $ 68.46万
• 依托单位: UNIVERSITY OF MISSOURI KANSAS CITY
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-05-01 至 2019-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8659693
• 关键词: AIDS/HIV problem; Acquired Immunodeficiency Syndrome; Adult; Affect; African American; Behavior; Church; Communities; Community Trial; Controlled Study; Dose; Education; Evaluation; Event; Female; Government; Guidelines; HIV; HIV diagnosis; Health; Health Services Accessibility; Human immunodeficiency virus test; Individual; Institution; Intervention; Intervention Studies; Mediator of activation protein; Medical; Methods; Modeling; Outcome; Participant; Planning Theory; Population; Process; Public Health; Randomized; Risk; Role; Services; Source; Staging; Telephone; Testing; Text; Woman; Work; aged; arm; base; cost; design; dosage; efficacy testing; health organization; high risk; improved; male; member; men; novel; outreach; public health relevance; screening; secondary outcome; self help; sermons; sex risk; social; theories; tool

DESCRIPTION (provided by applicant): CDC's HIV screening guidelines encourage routine screening of all individuals aged 13 to 64 in medical settings. However, many African Americans (AAs) have limited access to health care and barriers to HIV services may prohibit some from seeking HIV screening. The African American church is an institution with extensive influence in Black communities and may be an ideal setting for increasing reach of HIV screening beyond traditional medical settings; yet, no controlled studies exist on HIV interventions in AA churches. The primary aim of this study is to fully test a culturally/religiously-tailored, church-based HIV screening intervention against a standard HIV information intervention on HIV screening rates at 6 and 12 months with adult AA church members and community members who use church outreach services. In this two-arm clustered, randomized community trial, churches will be matched on SES, membership size, and denomination, then randomized to treatment condition. It is projected that 14 churches (7 churches per arm; 110 church and community members per church; 1,540 participants total) will be required to detect significant increases in HIV screening in the intervention arm. Intervention content is guided by the Theory of Planned Behavior (TPB). Intervention delivery will be guided by a Community Engagement and Social-Ecological approach. This approach includes church leaders delivering culturally/religiously-appropriate HIV education and screening materials (e.g., sermon guides, HIV screening testimonials, church bulletins) and activities (e.g., pastors modeling receipt of HIV screening, HIV screening events) from a church-based HIV Tool Kit through multilevel church outlets (community-wide, church-wide services, ministry and outreach groups, individual) to increase intervention reach and dosage. It was hypothesized that this church-based HIV screening intervention will significantly increase HIV screening rates vs a standard HIV information intervention in AA church-populations at 6 and 12 months. The role of potential mediators and moderators related to receipt of HIV screening will be evaluated and a process evaluation to determine modifiable implementation fidelity, facilitators, barriers, and costs related to increasing church-based HIV testing rates will be conducted. This intervention study could provide an effective, scalable model for HIV screening interventions in AA churches.

描述（由申请人提供）：CDC 的 HIV 筛查指南鼓励在医疗机构中对所有 13 岁至 64 岁的个人进行常规筛查。然而，许多非裔美国人 (AA) 获得医疗保健的机会有限，而且艾滋病毒服务方面的障碍可能会阻止一些人寻求艾滋病毒筛查。非裔美国人教会是一个在黑人社区具有广泛影响力的机构，可能是在传统医疗机构之外扩大艾滋病毒筛查范围的理想场所；然而，目前还没有关于 AA 教会艾滋病毒干预措施的对照研究。 本研究的主要目的是针对成年 AA 教会成员和使用教会外展服务的社区成员在 6 个月和 12 个月时对艾滋病毒筛查率的标准艾滋病毒信息干预进行全面测试。在这项双臂集群、随机社区试验中，教会将根据社会经济地位、会员规模和教派进行匹配，然后随机分配治疗条件。预计将需要 14 个教会（每个教会 7 个教会；每个教会 110 名教会和社区成员；总共 1,540 名参与者）来检测艾滋病毒筛查的显着增加 在干预臂中。干预内容以计划行为理论（TPB）为指导。干预措施的实施将以社区参与和社会生态方法为指导。这种方法包括教会领袖通过多层次的教会渠道（社区范围、教会范围的服务、事工和外展团体、个人）从基于教会的艾滋病毒工具包提供适合文化/宗教的艾滋病毒教育和筛查材料（例如，讲道指南、艾滋病毒筛查见证、教会公告）和活动（例如，牧师模拟接受艾滋病毒筛查、艾滋病毒筛查活动），以扩大干预范围和 剂量。据推测，与 AA 教会人群中的标准 HIV 信息干预相比，这种基于教会的 HIV 筛查干预措施将在 6 个月和 12 个月时显着提高 HIV 筛查率。将评估与艾滋病毒筛查相关的潜在调解者和调节者的作用，并进行过程评估，以确定与提高教会艾滋病毒检测率相关的可修改的实施保真度、促进因素、障碍和成本。这项干预研究可以为 AA 教会的艾滋病毒筛查干预提供有效的、可扩展的模型。