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.