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IGHID 12230 - An Implementation Trial of an Experiential Brief Alcohol Intervention for HIV Prevention

Active Not RecruitingNA

Sponsor: University of North Carolina, Chapel Hill

Conditions: HIV-1-infection, Unhealthy Alcohol Use

Interventions: Facilitation (FAC), Experiential Brief Alcohol Intervention (EBAI)

Countries: Vietnam

This study is a hybrid type 3, cluster randomized implementation trial to examine effective strategies to scale up the Brief Alcohol Intervention (BAI) in ART clinics in Vietnam. One arm will receive only facilitation for BAI implementation. Facilitation is a flexible strategy that helps clinics to address common barriers, such as counselor skills, competing priorities, and resource deficits. In the other arm, in addition to facilitation, clinic staff, irrespective of their own alcohol use, will be offered the BAI themselves as experiential learning (EBAI) to address their own alcohol-related attitudes and behaviors. Clinic staff responsible for delivering the BAI to patients will also be offered 3 consolidation activities to integrate their own experiences with their delivery of the BAI.

Eligibility overview

Sex: ALL

Age: 18 Years to —

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria

Inclusion Criteria:

PWH cohort participants

* Person living with HIV at any stage of HIV infection
* Currently attending the study ART clinic at any ART stage (initiating or receiving ART)
* AUDIT-C score \>=4 for men or \>=3 for women
* \>= 18 years of age
* Willing to provide informed consent, which includes consenting to interview and collection of dried blood spots

Clinic staff participants:

* Work at the ART clinic as a clinic director, physician, nurse, or counselor
* Willing to provide informed consent

Exclusion Criteria:

PWH cohort participants:

* Psychological disturbance preventing participation
* Cognitive impairment
* Threatening behavior
* Unwilling to provide locator information Note: If a participant screens positive with the AUDIT-C and is identified to be at substantial risk for alcohol withdrawal based on the Mini International Neuropsychiatric Interview (MINI) and Clinical Institute Withdrawal Assessment of Alcohol Scale (CIWA) will be referred for treatment. They will not be eligible for enrollment until after alcohol withdrawal concerns are addressed.
* These participants may be rescreened, consented, and enrolled after treatment.

Clinic staff participants:

* Psychological disturbance, cognitive impairment, or threatening behavior

Locations (1)

Hanoi, Vietnam