Alcohol Misuse, HIV, Stigma
Conditions
Keywords
Behavioral Intervention, Young Adults with HIV
Brief summary
The Spanish language Healthy Choices intervention pilot study (N=45) holds direct relevance to the United States and federal priorities related to improving HIV outcomes to reduce transmission using implementation science models. If Healthy Choices is found to have a clinical signal of impact, our team is committed to testing the intervention in the United States and training Spanish speaking HIV care navigators on the intervention, specifically in the southern United States where Spanish speaking populations are concentrated, namely in Alabama, Texas, New Mexico, Arizona, Nevada, and Florida.
Detailed description
Three specific aims will guide this work. Aim 1: Elucidate barriers and implementation strategies for the Healthy Choices intervention. Aim 2: Adapt and contextually translate the Healthy Choices intervention for Spanish contexts. Aim 3: Pilot test Healthy Choices with implementation strategies for feasibility and acceptability (N=45). By testing Healthy Choices in the Dominican Republic, we can move quickly with recruitment, ultimately maximizing benefit to Americans. If this study is successful and Healthy Choices is feasible and acceptable, we will have the preliminary data necessary for a full-scale hybrid type 1 effectiveness-implementation randomized controlled clinical trial of the Spanish language Healthy Choices intervention that can be tested in Spanish speaking communities in the United States. This record is for the scientific work detailed in Aim 3, specifically the 2:1 allocation pilot randomized controlled trial.
Interventions
BEHAVIORALHealthy Choices
Healthy Choices is a 4-session counseling intervention. Each session is \~30 minutes, and all Healthy Choices sessions are completed in 2 months. Sessions occur in a community setting selected by the YPWH and can be facilitated by a trained peer navigator. Sessions include specific strategies to overtly communicate acceptance and support autonomy to reduce stigma and increase motivational statements, known as change talk. Information or advice is given in Motivational Interviewing-consistent and developmentally appropriate ways. The peer navigator is trained to de-emphasize counter change talk in decisional balance and non-selective reflection
OTHERTime Attention Control
Counseling on diet and nutrition in the same 4 session format.
Sponsors
Florida State University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Intervention model description
Complete a 2:1 randomization of 45 young people with HIV (YPWH) with 30 to Healthy Choices and 15 to a non-HIV time attention control.
Eligibility
Sex/Gender
ALL
Age
18 Years to 29 Years
Healthy volunteers
No
Inclusion criteria
* Aged 18-29 years * Have HIV * Live in the Dominican Republic * Speak Spanish * Are unsuppressed * Report being stigmatized in the past 6 months * Report problem alcohol use in the past 6 months * Can provide informed consent
Exclusion criteria
* Doe not meet the inclusion criteria.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of the Intervention | Within 6 Month Post-Enrollment | Feasibility by the Feasibility of Intervention Measure (9 items) |
| Acceptability of the Intervention | Within 6 Month Post-Enrollment | Acceptability derived from the Acceptability of Intervention Measure (12 items) |
Countries
United States
Contacts
CONTACTHenna Budhwani, PhD, MPH
PRINCIPAL_INVESTIGATORHenna Budhwani, PhD, MPH
Florida State University
Outcome results
None listed