Department of Biomedical and Health Informatics, School of Medicine, University of Missouri-Kansas City, Kansas City, MO, USA.
Department of Psychology, Stetson University, DeLand, FL, USA.
AIDS Behav. 2019 Jan;23(1):76-90. doi: 10.1007/s10461-018-2240-0.
The updated National HIV/AIDS Strategy recommends widespread HIV education and testing and calls the faith community to assist in these efforts. Yet, limited information exist on church-based HIV testing interventions. This study examined feasibility and assessed HIV testing outcomes of Taking It to the Pews (TIPS), a multilevel HIV education and testing intervention. Four African American churches were matched and randomized to TIPS or a standard-information control arm. Intervention churches delivered the religiously-tailored TIPS Tool Kit, which included educational materials to individuals and ministry groups; pastoral activities (e.g., sermons preached, receipt of HIV testing role-modeled), responsive readings, and church bulletin inserts in church services; and HIV testing during church services and church outreach events. All churches delivered 2-3 tools/month and coordinated 3 HIV testing events. At 12 months, significant increases in receipt of HIV testing (59% vs. 42%, p = 0.008), and particularly church-based testing (54% vs. 15%, p < 0.001), relative to controls were found. TIPS has great potential to increase reach, feasibility, and impact of HIV testing in African American churches.
更新后的《国家艾滋病病毒/艾滋病战略》建议广泛开展艾滋病教育和检测，并呼吁信仰团体协助开展这些工作。然而，关于基于教堂的艾滋病检测干预措施的信息有限。本研究考察了 Taking It to the Pews（TIPS）的可行性，并评估了其艾滋病检测结果，TIPS 是一种多层次的艾滋病教育和检测干预措施。四所非裔美国人教堂进行了匹配和随机分组，分别接受 TIPS 或标准信息对照臂的干预。干预教堂提供了针对宗教的 TIPS 工具包，其中包括个人和宗教团体的教育材料；牧师活动（例如布道、接受艾滋病检测榜样）、响应式读物以及教堂服务中的教堂公告插页；以及在教堂服务和教堂外展活动期间进行艾滋病检测。所有教堂每月提供 2-3 种工具，并协调 3 次艾滋病检测活动。在 12 个月时，与对照组相比，接受艾滋病检测的比例显著增加（59% 对 42%，p=0.008），特别是在教堂进行的检测（54% 对 15%，p<0.001）。TIPS 具有很大的潜力，可以增加在非裔美国人教堂中进行艾滋病检测的覆盖面、可行性和影响。
