RecruitingNot ApplicableNCT04955795

Telemedicine for Unhealthy Alcohol Use in Persons Living With HIV Using CETA

Telemedicine for Unhealthy Alcohol Use in Persons Living With HIV Using Common Elements Treatment Approach

Sponsor

University of Alabama at Birmingham

Enrollment

308 participants

Start Date

May 4, 2023

Study Type

INTERVENTIONAL

Conditions

HIV Alcohol Problem

Summary

This study is designed to examine the efficacy of a brief intervention plus a cognitive-behavioral intervention compared to brief intervention alone to address unhealthy alcohol use and comorbid mental health symptoms to improve HIV outcomes among people living with HIV in Alabama.

Eligibility

Min Age: 18 YearsMax Age: 99 Years

Plain Language Summary

Simplified for easier understanding

This study is testing whether delivering a brief behavioral counseling program (called CETA — Common Elements Treatment Approach) via telemedicine (phone or video) can help people living with HIV reduce unhealthy alcohol use. People with HIV who drink heavily are at greater risk for complications, and this study aims to provide accessible support through community health clinics in Alabama. **You may be eligible if...** - You are 18 or older - You are living with HIV - You receive HIV care at one of the participating community clinics in Alabama - A brief alcohol screening survey shows you are drinking at an unhealthy level (AUDIT score 4+ for women, 8+ for men) **You may NOT be eligible if...** - You cannot use a mobile phone due to cognitive or physical limitations - You are unable to speak sufficient English to participate in counseling or consent - You have active suicidal thoughts or psychosis - You are at risk for serious alcohol withdrawal or seizures from stopping drinking Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALAlcohol Brief Intervention (BI)

The BI we will use was based on CETA's substance use module and was designed for one-on-one delivery. It is comprised of 6 elements (i.e. assessment, understanding impacts, exploring change, goal setting, identifying the reasons, and skill building) including a 2-week alcohol timeline follow back assessment, which is completed by the therapist. BI will be provided by a trained research assistant who has completed consent, enrollment, and randomized procedures with the client.

BEHAVIORALCommon Elements Treatment Approach (CETA) via Telemedicine

CETA consists of nine key elements (i.e. engagement and education; safety assessment and planning; psychoeducation/introduction; substance use reduction; behavioral activation; cognitive coping/restructuring; relaxation; exposure; and problem solving) that address common mental health problems such as trauma, PTSD, depression, and anxiety. Participants randomized to CETA will be assigned to a CETA provider (clinical psychology or social work graduate student or master's degree substance abuse counselor). Enrolled participants will be discussed at weekly supervision meetings. An individualized treatment plan will be designed for each participant including type and order of CETA modules. The counselor will contact the participant by phone to schedule CETA sessions and follow up any missed appointments. Counselors, who will also be given a unique ID# for documentation and analysis, will carry 3-10 active CETA cases at a time depending on their experience level.