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.

项目总结