Reducing Unsafe Alcohol Use in HIV-Positive Individuals
| Status: | Completed |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - 65 |
| Updated: | 4/21/2016 |
| Start Date: | October 2006 |
| End Date: | October 2011 |
Reducing Unsafe Drinking in HIV Primary Care
The main aim of this study is to test an intervention to reduce unsafe drinking among
HIV-positive primary care patients. The intervention consists of a brief motivational
interview, which is combined with daily alcohol monitoring through the use of an interactive
voice response system IVR (automated telephone system). Subjects who receive the enhanced
motivational interview are expected to show greater improvements in drinking than
individuals who receive the standard motivational interview or view a DVD on HIV self-care.
HIV-positive primary care patients. The intervention consists of a brief motivational
interview, which is combined with daily alcohol monitoring through the use of an interactive
voice response system IVR (automated telephone system). Subjects who receive the enhanced
motivational interview are expected to show greater improvements in drinking than
individuals who receive the standard motivational interview or view a DVD on HIV self-care.
HIV infection is a widespread health problem in the U.S. Antiretroviral treatment has
increased longevity and changed the nature of risk factors for morbidity and mortality.
Alcohol consumption has become an increasingly serious health issue among HIV primary care
patients. Drinking is a key factor in progression to severe liver damage (especially those
co-infected with hepatitis), and liver disease is now one of the most common causes of death
among those with HIV. Excess drinking is also associated with medication noncompliance,
reduces the effect of antiretroviral treatment, and is linked to other health problems.
Therefore, helping HIV patients reduce unsafe drinking is crucial to their long-term health.
The intervention combines the brief MI, an established, evidence-based counseling approach,
with an innovative procedure designed to strengthen the effects of the MI. An effective,
easily implemented alcohol-reduction intervention could be incorporated into standard care
in HIV clinics helping prevent or slow the progress of some medical problems in HIV-infected
individuals, improve medication compliance, prolong lifespan and decrease risk behavior
associated with alcohol use.
Comparison(s): Enhanced brief motivational interview (including an IVR component for alcohol
self-monitoring purposes), brief motivational interview, viewing a DVD on HIV self-care.
increased longevity and changed the nature of risk factors for morbidity and mortality.
Alcohol consumption has become an increasingly serious health issue among HIV primary care
patients. Drinking is a key factor in progression to severe liver damage (especially those
co-infected with hepatitis), and liver disease is now one of the most common causes of death
among those with HIV. Excess drinking is also associated with medication noncompliance,
reduces the effect of antiretroviral treatment, and is linked to other health problems.
Therefore, helping HIV patients reduce unsafe drinking is crucial to their long-term health.
The intervention combines the brief MI, an established, evidence-based counseling approach,
with an innovative procedure designed to strengthen the effects of the MI. An effective,
easily implemented alcohol-reduction intervention could be incorporated into standard care
in HIV clinics helping prevent or slow the progress of some medical problems in HIV-infected
individuals, improve medication compliance, prolong lifespan and decrease risk behavior
associated with alcohol use.
Comparison(s): Enhanced brief motivational interview (including an IVR component for alcohol
self-monitoring purposes), brief motivational interview, viewing a DVD on HIV self-care.
Inclusion Criteria:
- Male and females 18 years of age or older.
- Participants have had 4 or more drinks on any day in the prior 30 days assessed via
standardized questions.
- Participants are referred to a study MI counselor by clinic staff as needing an
intervention for drinking
- Participants agree to random assignment and provide informed consent
Exclusion Criteria:
- Participants who are currently psychotic, suicidal or homicidal.
- Participants who have definite plans to leave the greater New York metropolitan area
within the study period.
- Participants who demonstrate gross cognitive impairment as evidenced on the
Halstead-Reitain Trails (A).
- Participants who do not speak English or Spanish, or have hearing impairments that
preclude use of the telephone.
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