A Randomized Feasibility/Acceptability Trial of Acceptance and Commitment Therapy for People with HIV Who Drink at Unhealthy Levels.
Unhealthy alcohol use is prevalent among people with HIV (PWH) and associated with significant health-related consequences. We describe here a randomized feasibility/acceptability trial of a brief, telephone-delivered transdiagnostic acceptance and commitment therapy (ACT) intervention for PWH who d...
| Published in: | AIDS & Behavior Vol. 30; no. 6; pp. 1761 - 1777 |
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| Main Authors: | , , , , , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Springer Nature
Jun2026
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194868188&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194868188 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Jun2026 vid: 30 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 194868188 190541065 194868188 194868188 10.1007/s10461-025-04990-7 194868188 ppf: 1761 ppct: 16 formats: tig: atl: A Randomized Feasibility/Acceptability Trial of Acceptance and Commitment Therapy for People with HIV Who Drink at Unhealthy Levels. aug: au: Woolf-King, Sarah E. Dalton, Michelle R. Firkey, Madison Sheinfil, Alan Bucci, Veronica Estrada, Brianna Ramos, Jeremy Hahn, Judith A. Bricker, Jonathan Gump, Brooks Bendinskas, Kestutis G. Maisto, Stephen A. affil: https://ror.org/025r5qe02 Department of Psychology, Syracuse University, 13244, Syracuse, NY, USA sug: subj: Acceptance and Commitment Therapy HIV-Positive Persons Psychosocial Factors Alcohol Abuse Therapy Telehealth Patient Attitudes Evaluation Attitude to Medical Treatment Evaluation Research Subject Recruitment Research Subject Retention Treatment Outcomes Anxiety Prevention and Control Depression Prevention and Control Avoidance (Psychology) Prevention and Control Human Pilot Studies Comparative Studies Male Female Middle Age Funding Source Prospective Studies New York United States Self Report Audiorecording Interviews Descriptive Statistics Pretest-Posttest Control Group Design Behavior Therapy Biological Markers Psychological Tests Questionnaires Alcohol Drinking Prevention and Control Brief Symptom Inventory Summated Rating Scaling Alcohol Drinking Evaluation Random Assignment Middle Aged: 45-64 years Male Female ab: Unhealthy alcohol use is prevalent among people with HIV (PWH) and associated with significant health-related consequences. We describe here a randomized feasibility/acceptability trial of a brief, telephone-delivered transdiagnostic acceptance and commitment therapy (ACT) intervention for PWH who drink at unhealthy levels. This pilot trail was designed to match the procedures of a planned definitive RCT that will compare the ACT intervention to a brief alcohol intervention (BI). We randomly assigned PWH and unhealthy alcohol use 1:1 to either the ACT or the BI intervention and collected self-report and biomarker data post-treatment and again at 3-, 6-, and 12-months. The primary objectives of this pilot trial were to assess feasibility of recruitment, retention, and intervention delivery, and acceptability of intervention content. We also collected preliminary primary (alcohol use) and secondary (symptoms of anxiety, depression, and experiential avoidance) outcome data to examine general patterns of results at a purely descriptive level. In total, 192 participants were screened, 117 of whom were eligible, and 49 of whom were randomized to either the ACT (n = 24) or BI (n = 25) condition. Results provided evidence of feasibility and acceptability indicating that a definitive trial should proceed. Preliminary outcome data also suggested that ACT is a promising treatment for unhealthy alcohol use and co-morbid symptoms of depression, anxiety, and experiential avoidance. A definitive trial is currently underway and will determine the comparative efficacy of ACT versus BI for unhealthy alcohol use for PWH. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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