Health Condition 1: Z918- Other specified personal risk factors, not elsewhere classified Health Condition 2: A150- Tuberculosis of lung
Conditions
Interventions
Intervention1: Counseling for Alcohol Problem (CAP) - It includes Cognitive Behavioral Therapy (CBT) and Motivational Enhancement Therapy (MET): In the CAP intervention, 4 session of combined CBT/MET
Sponsors
National Institute on Alcohol Abuse and Alcoholism NIAAA National Institutes of Health NIH
BJ Govt Medical College
Eligibility
Inclusion criteria
Inclusion criteria: Active TB, 18+ years Starting TB treatment, Known HIV status, AUDIT score more than equal to 8 if male, AUDIT score more than equal to 4 if female
Exclusion criteria
Exclusion criteria: already in alcohol treatment severe medical illness, cognitive dysfunction or active psychosis, pregnant
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| - Intervention will result in a greater reduction in drinking days, heavy drinking days and drinks per drinking day, and lower levels of PEth (which is dried blood spot test to confirm alcohol use). - Intervention will result in 1) decreased TB treatment default, failure or death (primary), 2) increased TB medication adherence, 3) increased retention in TB care; and among PWH/TB, 4) increased HIV-RNA suppression and 5) increased ART adherence and 6) increased retention in HIV care. Timepoint: Measured at 6 and 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| To understand multi-level factors that influence alcohol reduction intervention integration into these clinical settings. a) evaluate patient, provider and organizational barriers and facilitators to integrated alcohol treatment in TB and HIV/TB settings, and b) measure incremental costs from health system and societal perspectives, and to estimate their incremental cost-effectiveness, compared to treatment as usual. Timepoint: during the study period for 5 years | — |
Countries
India
Contacts
Public ContactProf Shashikala Sangle
B.J. Government Medical College and Sassoon General Hospital
Outcome results
None listed