Decreased Alcohol Consumption in an Implementation Study of Computerized Brief Intervention among HIV Patients in Clinical Care.
This prospective, nonrandomized implementation study evaluated a computerized brief intervention (CBI) for persons with HIV (PWH) and heavy/hazardous alcohol use. CBI was integrated into two HIV primary care clinics. Eligible patients were engaged in care, ≥ 18 years old, English speaking, endorsed...
| Published in: | AIDS & Behavior Vol. 25; no. 12; pp. 4074 - 4085 |
|---|---|
| Main Authors: | , , , , , , , , , |
| Format: | clinical trial research tables/charts Journal Article |
| Published: |
Springer Nature
Dec2021
|
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=153651634&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 153651634 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Dec2021 vid: 25 iid: 12 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 153651634 150324244 153651634 153651634 10.1007/s10461-021-03295-9 153651634 ppf: 4074 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Decreased Alcohol Consumption in an Implementation Study of Computerized Brief Intervention among HIV Patients in Clinical Care. aug: au: McCaul, Mary E. Hutton, Heidi E. Cropsey, Karen L. Crane, Heidi M. Lesko, Catherine R. Chander, Geetanjali Mugavero, Michael J. Kitahata, Mari M. Lau, Bryan Saag, Michael S. affil: Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, 550 N Broadway, Suite 115, 21205, Baltimore, MD, USA sug: subj: Alcohol Abuse Therapy Implementation Science Computers and Computerization HIV-Positive Persons Patient Care Plans Cognitive Therapy Primary Health Care Human Adolescence Adult Middle Age Aged Aged, 80 and Over Clinical Trials Alcohol-Related Disorders Treatment Outcomes Descriptive Statistics Confidence Intervals African Americans Binge Drinking Socioeconomic Factors Scales Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over ab: This prospective, nonrandomized implementation study evaluated a computerized brief intervention (CBI) for persons with HIV (PWH) and heavy/hazardous alcohol use. CBI was integrated into two HIV primary care clinics. Eligible patients were engaged in care, ≥ 18 years old, English speaking, endorsed heavy/hazardous alcohol use on the Alcohol Use Disorders Identification Test-C (AUDIT-C). Two 20-min computerized sessions using cognitive behavioral techniques were delivered by a 3-D avatar on touch screen tablets. Of 816 eligible AUDIT-C scores, 537 (66%) resulted in CBI invitation, 226 (42%) of invited patients enrolled, and 176 (78%) of enrolled patients watched at least one session. CBI enrollment was associated with a significant average reduction of 9.1 drinks/week (95% CI − 14.5, − 3.6) 4–12 months post-enrollment. Among those who participated in one or both sessions, average reduction in drinks/week was 11.7 drinks/week (95% CI − 18.8, − 4.6). There was corresponding improvement in AUDIT-C scores. Overall patients reported high levels of intervention satisfaction, particularly among older and Black patients. These promising results point to a practical intervention for alcohol reduction in this vulnerable patient population with elevated rates of heavy/hazardous drinking. Future research should examine strategies to increase initial engagement, strengthen intervention effects to increase the number of patients who achieve non-hazardous drinking, and examine the duration of therapeutic effects. pubtype: Academic Journal doctype: clinical trial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|