dbGaP Study Accession: phs003595
NIH Institute/Center: NIMHD
RADx Data Program: RADx-UP
Release Date: 09/13/2024
DOI: 10.60773/9br0-er28
Study Description: Many multilayered barriers increase risk for COVID-19 among AA including poverty, essential jobs with increased virus exposure, cultural norms (e.g., 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 was 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 were 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) participated in the study. Antiviral and contact tracing intentions and use were examined at 6 months as secondary outcomes. Other types of COVID-19 testing and linkage to care use were also assessed. Guided by the Theory of Planned Behavior and Socioecological Model, the community-engaged approach included 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 hosted 2 COVID-19 TTT events and provided members with take-home COVID-19 rapid self-test kits. Potential mediators/moderators related to receipt of COVID-19 testing were evaluated, and a process evaluation was done to determine implementation facilitators, barriers, and fidelity related to increasing COVID-19 testing rates. This novel study was the first to fully test a COVID-19 TTT intervention in AA churches. It provided 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.
Updated Date: 03/29/2024
Principal Investigator: Berkley-Patton, Jannette
Has Data Files: Yes
Study Domain: At-Home or Over-the-Counter (OTC) Self-Testing; Community Outreach Programs; Comorbidities; Diagnostic Testing; Rapid Diagnostic Test (RDT); Testing Rate or Uptake
Data Collection Method: Survey
Keywords: Building Trust Amongst Marginalized Communities; Individual-Level Data; Influencing Factors; Mediation Analysis; Proof-of-Concept Model
Study Design: Longitudinal Cohort
Multi-Center Study: No
Data Types: Questionnaire or Survey
Study Start Date: 11/01/2022
Study End Date: 10/31/2024
Species: Human
Estimated Cohort Size: 900
Study Population Focus: Adults; African Americans; Racial or Ethnic Minorities; Underserved or Vulnerable Populations
Acknowledgement Statement: This study was supported through funding, 3U01MD018310-01S1, for the National Institute on Minority Health and Health Disparities (NIMHD) as part of the RADx-UP program. Approved users should acknowledge the provision of data access by dbGaP for accession phs003595.v1.p1, and the NIH RADx Data Hub. Approved users should also acknowledge the specific version(s) of the dataset(s) obtained from the NIH RADx Data Hub.
Funding Opportunity Announcement (FOA) Number: RFA-OD-22-006
NIH Grant or Contract Number(s): 3U01MD018310-01S1
Consent/Data Use Limitations: General Research Use
Variable Name | Label |
---|---|
nih_record_id | User ID |
nih_race | What is your race? |
nih_ethnicity | Are you of Hispanic or Latino origin? May include Spanish origin. |
nih_age | What is your age? |
nih_sex | What is your biological sex assigned at birth? |
nih_education | What is the highest level of education you have achieved outside or in the United States? |
nih_zip | What is your zip code? |
nih_employment | Please specify your employment status. |
nih_insurance | What kind of health insurance do you have? |
nih_disability | Do you have a disability, including serious physical or mental conditions, that interfere with your ability to carry out daily activities? |
nih_deaf | Are you deaf or do you have serious difficulty hearing? |
nih_blind | Are you blind or do you have serious difficulty seeing, even when wearing glasses? |
nih_memory | Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions? |
nih_walk_climb | Do you have serious difficulty walking or climbing stairs? |
nih_dress_bathe | Do you have difficulty dressing or bathing? |
nih_errand | Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor's office or shopping? |
nih_vape_freq | Vaping Frequency: Do you now use electronic cigarettes every day, some days, rarely, or not at all? |
nih_cig_smoke_freq | Nicotine Frequency: Do you now smoke cigarettes? |
nih_smoking_yn | Do you use any tobacco/nicotine products (including cigarettes, cigars, e-cigarettes, etc)? |
nih_history_smoking | History of Smoking |
nih_alcohol_yn | Alcohol use (Yes or No) |
nih_lifetime_use_alcohol | In your entire life, have you had at least 1 drink of any kind of alcohol, not counting small tastes or sips? (Yes or No) |
nih_alcohol_frequency | How often did you have a drink containing alcohol ? |
nih_asthma | Asthma |
nih_cancer_past_yr | Cancer diagnosis and/or treatment within the past 12 months |
nih_cardiovascular_disease | Cardiovascular disease |
nih_chronic_kidney_disease | Chronic kidney disease |
nih_diabetes | Diabetes |
nih_hypertension | Hypertension |
nih_mental_health_disorder | Mental health disorder |
nih_sickle_cell_disease | Sickle cell disease |
nih_pregnancy | Pregnancy status |
nih_immunocompromised | Immunocompromised condition |
nih_autoimm | Autoimmune disease |
nih_copd | Chronic obstructive pulmonary disease (COPD) |
nih_chronic_lung | Other chronic lung disease |
nih_depression | Depression |
nih_alc_sub_abuse | Alcohol or substance use disorder |
nih_iv_drug_use | Intravenous drug use |
nih_other_chronic_cond | Other chronic condition |
nih_cough | Cough |
nih_fever_chills | Fever or Chills |
nih_diff_breath | Shortness of breath or difficulty breathing |
nih_headache | Headache |
nih_muscle_ache | Muscle ache |
nih_olfactory | New loss of taste or smell |
nih_fatigue | Excessive fatigue |
nih_nausea_vomiting_diarrhea | Nausea, vomiting, or diarrhea |
nih_abdom_pain | Abdominal pain |
nih_skin_rash | Skin rash |
nih_throat_congestion_nose | Sore throat, congestion or runny nose |
nih_other_symp | Other |
nih_health_status | Would you say that (your) health in general is excellent, very good, good, fair, or poor? |
nih_height | What is your height in inches? |
nih_weight | What is your weight in pounds? |
age_yrs | Age For babies less than 1 year old, do not write the age in months. Write 0 as the age. (Years) |
bio_sex_birth_2 | What was your sex assigned at birth on your birth certificate? |
cc_asthma_2 | Asthma |
cc_asud_2 | Alcohol or substance use disorder |
cc_autoimm_2 | Autoimmune disease |
cc_cancer_2 | Cancer diagnosis and/or treatment within the past 12 months |
cc_chronickd_2 | Chronic kidney disease (CKD) |
cc_clung_2 | Other chronic lung disease |
cc_copd_2 | Chronic obstructive pulmonary disease (COPD) |
cc_cvd_2 | Cardiovascular disease (CVD or heart disease) |
cc_depression_2 | Depression |
cc_diabetes_2 | Diabetes |
cc_hypertension_2 | Hypertension (HTN, high blood pressure) |
cc_imm_2 | Immunocompromised condition |
cc_intrav_2 | Intravenous drug use |
cc_otherchroniccond_2 | Other chronic condition |
cc_othermh_2 | Other mental health disorder |
cc_sickle_2 | Sickle Cell Anemia |
covid_abpain_2 | Abdominal Pain |
covid_cough_2 | Cough |
covid_diffbreath_2 | Shortness of breath or difficulty breathing |
covid_fever_2 | Fever or chills |
covid_headache_2 | Headache |
covid_myalgia_2 | Muscle or body aches |
covid_nausea_2 | Feeling sick to your stomach or vomiting, diarrhea |
covid_olfactory_2 | New loss of taste or smell |
covid_other_2 | Other |
covid_runnynose_2 | Sore throat, congestion or runny nose |
covid_skinrash_2 | Skin Rash |
current_employment_status | We would like to know about what you do -- are you working now, looking for work, retired, keeping house, a student, or something else? |
disability_blind_2 | Are you blind, or do you have serious difficulty seeing, even when wearing glasses? |
disability_deaf_2 | Are you deaf, or do you have serious difficulty hearing? |
disability_decisions_2 | Because of a physical, mental, or emotional condition, do you have serious difficulty concentrating, remembering, or making decisions? (5 years of age or older) |
disability_dress_2 | Do you have difficulty dressing or bathing? (5 years of age or older) |
disability_errands_2 | Because of a physical, mental, or emotional condition, do you have difficulty doing errands alone such as visiting a doctor's office or shopping? (15 years of age or older) |
disability_walking_2 | Do you have serious difficulty walking or climbing stairs? (5 years of age or older) |
hi_coverage_type | What is the primary kind of health insurance or health care plan that you have now? (Exclude plans that pay for only one type of Service (such as, nursing home care, accidents, family planning, or dental care) and plans that only provide extra cash when hospitalized. ) |
lifetime_use_alcohol | In your entire life, have you had at least 1 drink of any kind of alcohol, not counting small tastes or sips? |
pregnancy_status | Are you currently pregnant? |
race_ethn_hispanic | Are you of Hispanic, Latino, or Spanish origin? |
self_reported_disability | Do you have a disability that interferes with your ability to carry out daily activities? Examples of daily activities include walking, climbing stairs, shopping, balancing a checkbook, bathing or dressing. |
self_reported_height_feet | Feet |
self_reported_height_inches | Inches |
self_reported_weight_lbs | How much do you weigh without clothes or shoes? If you are currently pregnant, how much did you weigh before your pregnancy? |
smoker_cur_stat_2 | Do you now smoke cigarettes? |
vaper_cur_stat | Do you now use electronic cigarettes every day, some days, rarely, or not at all? |
zip_code | Zip Code |
alcohol_date_mdy | - |
alcohol_daysperweek | - |
angry | - |
ashamed | - |
close_community | - |
cocaine_use_2 | - |
consentdt_mdy | - |
consent_given | - |
consent_ident | - |
consent_recontact | - |
consent_zip_2 | - |
covid_barrier___1 | - |
covid_barrier___2 | - |
covid_barrier___3 | - |
covid_barrier___4 | - |
covid_barrier___5 | - |
covid_barrier___6 | - |
covid_barrier___7 | - |
covid_barrier___8 | - |
covid_barrier___9 | - |
covid_barrier___98 | - |
covid_barrier___99 | - |
covid_fatique_2 | - |
covid_had | - |
covid_iso_chal___1 | - |
covid_iso_chal___2 | - |
covid_iso_chal___3 | - |
covid_iso_chal___4 | - |
covid_iso_chal___5 | - |
covid_iso_chal___6 | - |
covid_iso_chal___7 | - |
covid_iso_chal___8 | - |
covid_iso_chal___9 | - |
covid_iso_chal___98 | - |
covid_iso_chal___99 | - |
covid_pandemic_challenges_abod_2 | - |
covid_pandemic_challenges_food_2 | - |
covid_pandemic_challenges_wate_2 | - |
covid_risk | - |
covid_test_approval | - |
covid_test_collect_datetime | - |
covid_test_collection_setting | - |
covid_test_date_mdy | - |
covid_tested_30 | - |
covid_test_performed_location | - |
covid_test_result | - |
covid_test_result_datetime | - |
covid_test_result_sent_datetime | - |
covid_test_specimen_collector | - |
covid_test_specimen_type | - |
covid_test_study_setting | - |
covid_test_type | - |
covid_treatment_loc___1 | - |
covid_treatment_loc___2 | - |
covid_treatment_loc___3 | - |
covid_treatment_loc___4 | - |
covid_treatment_loc___5 | - |
covid_treatment_loc___6 | - |
covid_treatment_loc___7 | - |
covid_treatment_loc___8 | - |
covid_treatment_loc___99 | - |
covid_tst_reas | - |
covid_vaccine | - |
cov_pan_chal_hlth_2 | - |
cov_pan_chal_med_2 | - |
cov_pan_chlng_trans_2 | - |
cov_tst_mthd_2 | - |
cursed | - |
disability_date_mdy | - |
doc_reccomend_vacc | - |
ecstasy_use | - |
edu_years_of_school | - |
eligible_plans | - |
employed_ew | - |
employed_healthcare_2 | - |
family_income | - |
fi_afford_balanced_meals | - |
fi_change_diet | - |
fi_change_diet_frequency | - |
fi_eat_less | - |
fi_food_money_frequency | - |
fi_high_quality_2 | - |
fi_hungry | - |
financial_community | - |
financial_family | - |
financial_food | - |
financial_healthcare | - |
financial_housing | - |
financial_internet | - |
financial_medications | - |
financial_transportation | - |
financial_utilities | - |
flu_vaccinehistind_2 | - |
flu_vaccine_season_3 | - |
future_challenge | - |
gender_identity_term_2 | - |
hallu_use_2 | - |
heroin_use_2 | - |
hi_loss_covid | - |
hlthstat_date_mdy | - |
household_congregate_3 | - |
household_famgen_3 | - |
household_homeless | - |
household_isolate | - |
housing_concern | - |
housing_date_mdy | - |
housing_insecurity | - |
iden_date_mdy | - |
idrug_use_2 | - |
index | - |
ineligible_plans | - |
isolate_maintain_job | - |
jobloss_covid19_2 | - |
language_home___1 | - |
language_home___10 | - |
language_home___11 | - |
language_home___12 | - |
language_home___13 | - |
language_home___14 | - |
language_home___15 | - |
language_home___16 | - |
language_home___17 | - |
language_home___18 | - |
language_home___19 | - |
language_home___2 | - |
language_home___20 | - |
language_home___21 | - |
language_home___22 | - |
language_home___23 | - |
language_home___24 | - |
language_home___25 | - |
language_home___26 | - |
language_home___27 | - |
language_home___28 | - |
language_home___29 | - |
language_home___3 | - |
language_home___30 | - |
language_home___31 | - |
language_home___32 | - |
language_home___33 | - |
language_home___34 | - |
language_home___35 | - |
language_home___36 | - |
language_home___37 | - |
language_home___38 | - |
language_home___39 | - |
language_home___4 | - |
language_home___40 | - |
language_home___41 | - |
language_home___42 | - |
language_home___43 | - |
language_home___44 | - |
language_home___45 | - |
language_home___46 | - |
language_home___5 | - |
language_home___6 | - |
language_home___7 | - |
language_home___8 | - |
language_home___9 | - |
language_home___90 | - |
language_home___99 | - |
language_pref | - |
lc_diagnosis | - |
lc_effects___0 | - |
lc_effects___1 | - |
lc_effects___2 | - |
lc_effects___3 | - |
lc_effects___4 | - |
lc_effects___5 | - |
lc_effects___6 | - |
lc_effects___99 | - |
lc_effects_family | - |
lc_effects_life | - |
lc_know_condition | - |
lc_symp_bloodsugar | - |
lc_symp_brainfog | - |
lc_symp_breathing | - |
lc_symp_dailyfunct | - |
lc_symp_dailyfunct_weeks | - |
lc_symp_duration | - |
lc_symp_fatigue | - |
lc_symp_headache | - |
lc_symp_heartbeat | - |
lc_symp_menstrual | - |
lc_symp_mood | - |
lc_symp_resolve | - |
lc_symp_sleep | - |
lc_symp_stroke | - |
lc_symptoms_other | - |
lc_symp_trt_yesno | - |
marital_status | - |
mari_use_2 | - |
mari_use_smk_2 | - |
mari_use_vap_2 | - |
med_hx_date_mdy | - |
meth_use_2 | - |
neighborhood_firestation | - |
obs | - |
pdrg_use_2 | - |
positivemonth_covidtest_2 | - |
positiveyear_covidtest_3 | - |
preferred_contact_method_2 | - |
punish | - |
quarantine_maintain_job | - |
race_ethn_asian_detail_3___1 | - |
race_ethn_asian_detail_3___10 | - |
race_ethn_asian_detail_3___11 | - |
race_ethn_asian_detail_3___12 | - |
race_ethn_asian_detail_3___13 | - |
race_ethn_asian_detail_3___14 | - |
race_ethn_asian_detail_3___15 | - |
race_ethn_asian_detail_3___16 | - |
race_ethn_asian_detail_3___17 | - |
race_ethn_asian_detail_3___18 | - |
race_ethn_asian_detail_3___19 | - |
race_ethn_asian_detail_3___2 | - |
race_ethn_asian_detail_3___20 | - |
race_ethn_asian_detail_3___21 | - |
race_ethn_asian_detail_3___22 | - |
race_ethn_asian_detail_3___3 | - |
race_ethn_asian_detail_3___4 | - |
race_ethn_asian_detail_3___5 | - |
race_ethn_asian_detail_3___6 | - |
race_ethn_asian_detail_3___7 | - |
race_ethn_asian_detail_3___8 | - |
race_ethn_asian_detail_3___9 | - |
race_ethn_asian_detail_3___99 | - |
race_ethn_asian_detail_other | - |
race_ethn_asian_detail_other.1 | - |
race_ethn_hispanic_detail_2___1 | - |
race_ethn_hispanic_detail_2___2 | - |
race_ethn_hispanic_detail_2___3 | - |
race_ethn_hispanic_detail_2___4 | - |
race_ethn_hispanic_detail_2___5 | - |
race_ethn_hispanic_detail_2___6 | - |
race_ethn_hispanic_detail_2___7 | - |
race_ethn_hispanic_detail_2___99 | - |
race_ethn_islander_detail_2___1 | - |
race_ethn_islander_detail_2___10 | - |
race_ethn_islander_detail_2___11 | - |
race_ethn_islander_detail_2___12 | - |
race_ethn_islander_detail_2___13 | - |
race_ethn_islander_detail_2___14 | - |
race_ethn_islander_detail_2___2 | - |
race_ethn_islander_detail_2___3 | - |
race_ethn_islander_detail_2___4 | - |
race_ethn_islander_detail_2___5 | - |
race_ethn_islander_detail_2___6 | - |
race_ethn_islander_detail_2___7 | - |
race_ethn_islander_detail_2___8 | - |
race_ethn_islander_detail_2___9 | - |
race_ethn_islander_detail_2___99 | - |
race_ethn_race___1 | - |
race_ethn_race___15 | - |
race_ethn_race___2 | - |
race_ethn_race___3 | - |
race_ethn_race___4 | - |
race_ethn_race___5 | - |
race_ethn_race___99 | - |
recentmonth_covidtest_2 | - |
recentresult_covidtest | - |
recentyear_covidtest_3 | - |
redcap_event_name | - |
redcap_repeat_instance | - |
redcap_repeat_instrument | - |
self_reported_health_status_assessment | - |
self_reported_height_coded | - |
self_reported_weight_units_2 | - |
self_rpt_mental_hlth_stat | - |
serious_disease_parent | - |
sex_orient_id | - |
smoker_number | - |
sociodem_date_mdy | - |
support_advice | - |
support_badday | - |
support_helpneed | - |
support_listen | - |
support_problems | - |
support_useful | - |
sym_date_mdy | - |
tell | - |
test_accesseasy_2 | - |
test_accesswhere_2 | - |
test_date_mdy | - |
tested_for_covid | - |
tested_positive_for_covid | - |
testing_died | - |
testing_hosp | - |
testing_sick | - |
test_intent_2 | - |
test_pbenearound_2 | - |
test_pbeneexposed_2 | - |
test_pbenepos_2 | - |
test_pbenesafe_2 | - |
test_pbenework_2 | - |
test_pbeneworry_2 | - |
test_percvaccuneg_2 | - |
test_percvaccupos_2 | - |
test_priskcontact_2 | - |
test_priskhlthcare_2 | - |
test_priskknow_2 | - |
test_prisklater_2 | - |
test_prisknohelp_2 | - |
test_prisknosymp_2 | - |
test_priskouch_2 | - |
test_resneg_2___1 | - |
test_resneg_2___2 | - |
test_resneg_2___3 | - |
test_resneg_2___4 | - |
test_resneg_2___99 | - |
test_respos_2___1 | - |
test_respos_2___2 | - |
test_respos_2___3 | - |
test_respos_2___4 | - |
test_respos_2___99 | - |
trust_coll_2 | - |
trust_cortf_2 | - |
trust_doc_2 | - |
trust_fam_2 | - |
trust_flead_2 | - |
trust_news_2 | - |
trust_social_2 | - |
trust_usgov_2 | - |
vacc_date_mdy | - |
vaccine_children_concerns___1 | - |
vaccine_children_concerns___10 | - |
vaccine_children_concerns___11 | - |
vaccine_children_concerns___12 | - |
vaccine_children_concerns___13 | - |
vaccine_children_concerns___14 | - |
vaccine_children_concerns___15 | - |
vaccine_children_concerns___16 | - |
vaccine_children_concerns___17 | - |
vaccine_children_concerns___18 | - |
vaccine_children_concerns___2 | - |
vaccine_children_concerns___3 | - |
vaccine_children_concerns___4 | - |
vaccine_children_concerns___5 | - |
vaccine_children_concerns___6 | - |
vaccine_children_concerns___7 | - |
vaccine_children_concerns___8 | - |
vaccine_children_concerns___9 | - |
vaccine_children_concerns___99 | - |
vaccine_concerns_3___1 | - |
vaccine_concerns_3___10 | - |
vaccine_concerns_3___2 | - |
vaccine_concerns_3___3 | - |
vaccine_concerns_3___4 | - |
vaccine_concerns_3___5 | - |
vaccine_concerns_3___6 | - |
vaccine_concerns_3___7 | - |
vaccine_concerns_3___8 | - |
vaccine_concerns_3___9 | - |
vaccine_concerns_3___96 | - |
vaccine_concerns_3___99 | - |
vaccine_conven_2 | - |
vaccine_dose | - |
vaccine_effective_2 | - |
vaccine_free_2 | - |
vaccine_last_dte | - |
vaccine_literacy | - |
vaccine_no_pain_2 | - |
vaccine_reasons_3___1 | - |
vaccine_reasons_3___10 | - |
vaccine_reasons_3___11 | - |
vaccine_reasons_3___2 | - |
vaccine_reasons_3___3 | - |
vaccine_reasons_3___4 | - |
vaccine_reasons_3___5 | - |
vaccine_reasons_3___6 | - |
vaccine_reasons_3___7 | - |
vaccine_reasons_3___8 | - |
vaccine_reasons_3___9 | - |
vaccine_reasons_3___96 | - |
vaccine_reasons_3___99 | - |
vaccine_safe_2 | - |
work_closecont_2 | - |
work_ppe_2 | - |
work_ppe_date_mdy | - |
work_wash_2 | - |