Primary Care-Based Interventions to Reduce Alcohol Use Among HIV Patients
HIV, Acquired Immunodeficiency Syndrome, Alcoholism
About this trial
This is an interventional treatment trial for HIV focused on measuring HIV, Acquired Immunodeficiency Syndrome, Alcoholism, Alcoholic Intoxication, Substance-Related Disorders, Intervention Studies, Primary Health Care, therapy, prevention & control
Eligibility Criteria
Inclusion Criteria:
- Adults ages 18 and over seeking HIV services at the KPNC San Francisco medical center
- Report of any unhealthy drinking in the previous year (≥ 3 drinks in a day or 7+ per week for women and ≥ 4 drinks in a day or 14+ per week for men) and,
- Report of web access at time of recruitment
Exclusion Criteria:
Clinical recommendation from providers that patients are not appropriate due to:
- Acute psychiatric problems; OR
- Inability to understand consent procedures
Sites / Locations
- Kaiser Permanente Northern California San Francisco Medical Center; 2238 Geary Blvd
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Other
Motivational Interviewing
Email Feedback
Usual Care
The intervention consists of one 45-minute in-person session followed by two 20-minute telephone sessions.The first telephone MI session will occur approximately 10 days after the in-person session. The second call will occur 30 days after the first call. The same research clinician will conduct both the in-person session and phone sessions. The calls will include a review of material covered in the initial session, questions on alcohol use, open-ended questions regarding patients' current motivational level, and a review of the patient's initial goals regarding alcohol consumption and will last about 20 minutes. If after six months hazardous drinking is noted, three more motivational interviewing phone sessions will be delivered by the research clinician.
Each participant will receive up to three detailed emails, (if participants respond to a first, initial email with information on alcohol use risks). The initial and subsequent emails will be brief in length, and will include specific information on hazardous drinking levels, standard drink size; as well as advice to reduce drinking to non-hazardous levels. Each email will conclude with contact numbers for patients to receive further information and assistance if needed, including information on how to easily access SU treatment; and will encourage participants to respond to the research clinician with questions. If after six months hazardous drinking is detected, up to 3 more detailed emails will be delivered to the participant.
Participants in this arm will receive routine primary care services only. Usual care in this health care setting may include alcohol screening, brief intervention and referral to treatment (SBIRT) delivered by usual care clinic staff