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.

项目总结