Alcohol Use Disorder
Conditions
Brief summary
The primary objective of this study was to test whether motivational interviewing (MI) provided over the mobile phone would reduce alcohol use among adults, including people living with HIV/AIDS, visiting primary care in Kenya. Heavy alcohol users voluntarily consented to being randomized to one of three study arms: standard in-person MI, mobile MI, or waitlist control receiving no intervention for 1 month followed by mobile MI. Alcohol use problems were assessed using validated screeners and changes in alcohol use were assessed at 1 month and 6 months after receiving the intervention. The investigators hypothesized that alcohol use would reduce after MI treatment compared to waitlist control, there would be no difference between standard in-person MI and mobile MI, and these reductions would be sustained out to six months following the intervention.
Interventions
BEHAVIORALIn-Person Motivational Interviewing (MI)
This is a counseling intervention to support behavior change conducted in-person (face-to-face) between the investigator and the participant.
BEHAVIORALMobile Motivational Interviewing (MI)
This is a counseling intervention to support behavior change conducted entirely over the mobile phone between the investigator and the participant
Sponsors
Africa Institute of Mental and Brain Health (AFRIMEB)
University of Vermont
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Adults visiting the primary care clinic and screening positive for potential alcohol use problems.
Exclusion criteria
* Persons younger than 18 years old, with severe psychiatric morbidity, or cognitive impairment were not eligible for the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reduction in alcohol use score as measured by the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) from baseline to one (1) month. | 1 month | The investigators compared the change in AUDIT-C alcohol use score from baseline to one (1) month after the intervention between the investigators' three study arms. |
| Reduction in alcohol use score as measured by the Alcohol Use Disorders Identification Test (AUDIT) and AUDIT-C from baseline to six (6) months. | 6 months | The investigators compared the change in AUDIT and AUDIT-C alcohol use scores from baseline to six (6) months after the intervention between the investigators' two active study arms: 1) In-Person Motivational Interviewing (MI) and 2) Mobile MI. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Reduction in alcohol use score as measured by the AUDIT and AUDIT-C moderated by HIV co-morbidity from baseline to one (1) month and from baseline to six (6) months. | 1 and 6 months | The investigators compared the change in AUDIT and AUDIT-C alcohol use scores over time moderated by HIV status. |
| Reduction in alcohol use score as measured by the AUDIT moderated by mental health co-morbidity, as measured by the Achenbach System of Empirically Based Assessments (ASEBA) Adults Self-Report, from baseline to six (6) months. | 6 months | The investigators compared the change in AUDIT alcohol use scores over time moderated by ASEBA mental health diagnoses. |
Outcome results
None listed