ASSESSING HIV SCREENING IN AFRICAN AMERICAN CHURCHES

描述（由申请人提供）：CDC的HIV筛查指南鼓励在医疗环境中对所有13至64岁的个人进行常规筛查。然而，许多非洲裔美国人（AA）获得医疗保健的机会有限，艾滋病毒服务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，可能是一个理想的环境，增加超越传统医疗环境的艾滋病毒筛查的覆盖面;然而，没有对照研究存在于AA教会的艾滋病毒干预措施。 本研究的主要目的是充分测试一个文化/宗教定制的，基于教会的艾滋病毒筛查干预对艾滋病毒筛查率在6个月和12个月的标准艾滋病毒信息干预与成人AA教会成员和社区成员谁使用教会外展服务。在这项双臂聚类随机社区试验中，教会将在SES，成员规模和面额上进行匹配，然后随机分配到治疗条件。预计将需要14个教会（每个分支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著增加 干预内容以计划行为理论为指导。干预措施的提供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提供文化/宗教上适当的艾滋病毒教育和筛查材料（例如，布道指南、艾滋病毒筛查证明、教会公报）和活动（例如，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（艾滋病毒筛查、艾滋病毒筛查活动）中获得艾滋病毒筛查信息，以增加干预的覆盖面和剂量。据推测，这种以教会为基础的艾滋病毒筛查干预将显着增加艾滋病毒筛查率与标准的艾滋病毒信息干预AA教会人口在6个月和12个月。将评估与接受艾滋病毒筛查相关的潜在调解人和主持人的作用，并进行流程评估，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、促进者、障碍和成本。这项干预研究可以提供一个有效的，可扩展的模式，艾滋病毒筛查干预AA教会。

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.