Telemedicine for unhealthy alcohol use in adults living with HIV in Alabama using common elements treatment approach: A hybrid clinical efficacy-implementation trial protocol.

Journal: Contemporary clinical trials communications

Volume: 33

Issue: 

Year of Publication: 

Affiliated Institutions:  Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA. School of Public Health, Johns Hopkins University, Baltimore, MD, USA. School of Public Health, Columbia University, New York, NY, USA. London School of Hygiene and Tropical Medicine, University of London, London, UK. Centre for Infectious Disease Research in Zambia, Lusaka, Zambia. School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.

Abstract summary 

Unhealthy alcohol use is an unaddressed barrier to achieving and maintaining control of the human immunodeficiency virus (HIV) epidemic. Integrated screening, treatment of common behavioral and mental health comorbidities, and telemedicine can improve alcohol treatment and HIV clinical and quality of life outcomes for rural and underserved populations.In a randomized controlled clinical trial, we will evaluate the effectiveness and implementation of telephone-delivered Common Elements Treatment Approach (T-CETA), a transdiagnostic cognitive behavioral therapy protocol, on unhealthy alcohol use, HIV, other substance use and mental health outcomes among predominantly rural adults with HIV receiving care at community clinics in Alabama.Adults with HIV receiving care at four selected community clinics in Alabama will receive a telephone-delivered alcohol brief intervention (BI), and then be assigned at random (stratified by clinic and sex) to no further intervention or T-CETA. Participants will be recruited after screening positively for unhealthy alcohol use or when referred by a provider. The target sample size is 308. The primary outcome will be change in the Alcohol Use Disorder Identification Test (AUDIT) at six- and 12-months post-enrollment. Additional outcomes include HIV (retention in care and viral suppression), patient-reported mental health (anxiety, depression, posttraumatic stress), and quality of life. A range of implementation measures be evaluated including T-CETA provider and client acceptability, feasibility, cost and cost-effectiveness.This trial will inform alcohol treatment within HIV care programs, including the need to consider comorbidities, and the potential impact of alcohol interventions on HIV and quality of life outcomes.

Authors & Co-authors:  Gagnon Kelly W KW Levy Sera S Figge Caleb C Wolford Clevenger Caitlin C Murray Laura L Kane Jeremy C JC Bosomprah Samuel S Sharma Anjali A Nghiem Van Thi Ha VTH Chitambi Chipo C Vinikoor Michael M Eaton Ellen E Cropsey Karen K

Study Outcome 

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Statistics
Citations :  Duko B., Ayalew M., Ayano G. The prevalence of alcohol use disorders among people living with HIV/AIDS: a systematic review and meta-analysis. Subst. Abuse Treat. Prev. Pol. 2019;14(1):1–9.
Authors :  13
Identifiers
Doi : 101123
SSN : 2451-8654
Study Population
Male,Female
Mesh Terms
Other Terms
Common elements treatment approach;HIV;Mental health;Telemedicine;Unhealthy alcohol use
Study Design
Study Approach
Country of Study
Publication Country
Netherlands