Reducing Unsafe Alcohol Use in HIV-Positive Individuals
|Alcohol Abuse||Behavioral: Enhanced Motivational Interview Behavioral: Standard Motivational Interview or viewing DVD|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
|Official Title:||Reducing Unsafe Drinking in HIV Primary Care|
- Alcohol consumption in the last 30 days, assessed at baseline and repeatedly during follow-up so that change can be analyzed. [ Time Frame: Baseline, 30, 60 days (end-of-treatment), 3, 6, 12 months ]As measured by number of drinks per drinking day and percentage of days abstinent.
|Study Start Date:||October 2006|
|Study Completion Date:||October 2011|
|Primary Completion Date:||October 2011 (Final data collection date for primary outcome measure)|
Active Comparator: 1 - enhanced MI
Enhanced brief motivational interview (including an IVR component for alcohol self-monitoring purposes)
Behavioral: Enhanced Motivational Interview
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).
Active Comparator: 2- standard MI
The intervention consists of a standard motivational interview or viewing a DVD on HIV self-care.
Behavioral: Standard Motivational Interview or viewing DVD
Brief motivational interview, viewing 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.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00371969
|United States, New York|
|New York State Psychiatric Institute/ St. Vincent's Hospital|
|New York, New York, United States, 10032|
|Study Director:||Selvija G. Marovic, PhD||New York State Psychiatric Institute (NYSPI)|