HealthCall:Brief Intervention to Reduce Non-injecting Drug Use in HIV Primary Care Clinics
| Status: | Completed |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 6/16/2018 |
| Start Date: | June 2011 |
| End Date: | August 2016 |
HealthCall: Brief Intervention to Reduce Drug Use in HIV Primary Care
Among HIV-infected individuals, non-injection drug use (NIDU) is associated with poor HIV
medication adherence, greater HIV/AIDS risk behaviors, and increasing non-AIDS mortality.
Thus reducing NIDU among HIV infected individuals is critical to their survival and to
limiting the spread of HIV. We propose to study the efficacy of a technologically enhanced
brief intervention (HealthCall) to reduce NIDU in HIV primary care patients that demands
little from busy medical staff and is well accepted by patients. In a 3-arm randomized
clinical trial will test the efficacy of (a) Motivational Interviewing (MI)+HealthCall; (b)
MI-only; and (c) a control condition (advice + DVD HIV health education) in reducing NIDU.
medication adherence, greater HIV/AIDS risk behaviors, and increasing non-AIDS mortality.
Thus reducing NIDU among HIV infected individuals is critical to their survival and to
limiting the spread of HIV. We propose to study the efficacy of a technologically enhanced
brief intervention (HealthCall) to reduce NIDU in HIV primary care patients that demands
little from busy medical staff and is well accepted by patients. In a 3-arm randomized
clinical trial will test the efficacy of (a) Motivational Interviewing (MI)+HealthCall; (b)
MI-only; and (c) a control condition (advice + DVD HIV health education) in reducing NIDU.
Inclusion Criteria:
- All research volunteers will be 18 and older and HIV positive. We will include
participants whose primary drug is non-injection use of cocaine, opioids including
heroin, or methamphetamines and current use in the past 30 days > 4 days. Participants
will need to complete a medically supervised detoxification if such detoxification is
required.
Exclusion Criteria:
- Excluded are research volunteers for whom participation would not be clinically
appropriate, who clearly could not participate. Psychotic, suicidal or homicidal
patients require clinical management that is too intensive for this study, and we have
no evidence that MI+HealthCall would be effective among injection drug users. Leaving
New York precludes follow-up. Gross psychomotor/cognitive impairments that may hinder
patients' HealthCall use. Hearing and severe vision impairments that preclude
telephone use precludes randomization to MI+HealthCall.
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