Alcohol Use Disorder, HIV
Conditions
Brief summary
3-arm type 1 pilot implementation-efficacy trial for people with alcohol use disorders to examine the preliminary effectiveness and feasibility of an adapted 2-session, computerized and person delivered relapse prevention intervention.
Detailed description
This study will develop a brief counseling intervention for people with HIV who have resumed alcohol use or resumed hazardous alcohol use after a minimum of 3 years of alcohol abstinence or 'lower risk' alcohol use. The investigators will develop a 2session person delivered and a 2-session computer delivered intervention which the investigators will then compare with the usual treatment for alcohol counseling offered at the HIV clinic. The investigators will also study the acceptability and feasibility of implementing both types of counseling in the clinic.
Interventions
BEHAVIORALRelapse Prevention Intervention
2 session intervention to address relapse prevention among people with HIV who have an alcohol use disorder
Sponsors
Johns Hopkins University
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Intervention model description
one group will receive computer delivered relapse prevention intervention (RPI); one group will receive person delivered relapse prevention intervention; one group will receive usual care
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Confirmed diagnosis of HIV * Aged 18 years or older * Must be enrolled in clinical care at Johns Hopkins HIV Clinic. In addition, meet the following alcohol use criteria: 1. lifetime alcohol use disorder 2. patient reported outcomes (PRO) assessment collected by the Center for AIDS Research (CFAR) Network of Clinical Systems as part of usual clinical care that show in the last 3 years: periods of no or lower risk drinking (e.g. women/men who are drinking \<11/22 drinks per week) and periods of lapse to higher levels of drinking (=\>11/22 drinks per week for women/men) 3. current PRO showing alcohol abstinence or alcohol use at \<11/22 drinks per week for women/men.
Exclusion criteria
* Acutely suicidal, homicidal, psychotic or otherwise unable to provide informed consent * Non-English speaking because interventions are currently available in English only
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in time to relapse | 6 and 12 months | Time to return to any alcohol use or any at risk alcohol use after intervention. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Alcohol use pattern as assessed by change in number of drinking days | Baseline, 6 and 12 months | Number of drinking days. |
| Alcohol use pattern as assessed by change in number of heavy drinking days | Baseline, 6 and 12 months | Number of heavy drinking days. |
| Alcohol use pattern as assessed by change in number of drinks per drinking day | Baseline, 6 and 12 months | Number of drinks per drinking day. |
| Alcohol use pattern as assessed by change in number of days abstinent | Baseline, 6 and 12 months | Number of days abstinent. |
Countries
United States
Contacts
CONTACTHeidi Hutton, PhD
PRINCIPAL_INVESTIGATORHeidi Hutton, PhD
Johns Hopkins School of Medicine
Outcome results
None listed