RecruitingNot ApplicableNCT05503173

Telehealth for Pain and Unhealthy Drinking Among PLWH

Integrated Telehealth Intervention To Reduce Chronic Pain And Unhealthy Drinking Among People Living With HIV (PLWH)


Sponsor

Boston University

Enrollment

385 participants

Start Date

Mar 3, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

This randomized controlled trial is a between-groups design to compare the Motivational and Cognitive Behavioral Management for Alcohol and Pain (MCBMAP) Intervention to a Brief Advice and Information Control condition. Two-hundred and fifty participants who have HIV with moderate or greater chronic pain will be randomized for the trial. Recruitment will take place through digital media. A unique feature of this intervention trial is that most of the procedures will be conducted remotely which will minimize barriers of transportation and time for participants. Consent and baseline assessment will be completed remotely. Following baseline assessment, participants will complete two weeks of ecological momentary assessment (EMA) to assess alcohol use, chronic pain, physical function and mechanisms of behavior change for alcohol and pain management. Following the two-week phase, participants will be randomly assigned to either the intervention or control condition and meet the interventionist through videoconferencing. Participants will complete outcome assessment measures at 3- and 6-months post-baseline. Following the 3-month outcome assessment, participants will complete another two weeks of EMA.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This telehealth study is testing a remote program to help people living with HIV who also struggle with chronic pain and unhealthy drinking. The program is delivered entirely online (via Zoom), making it accessible from anywhere in the US. **You may be eligible if...** - You have confirmed HIV and are on antiretroviral therapy - You drink alcohol at unhealthy levels (more than 7 drinks/week for women or 14 for men, or binge drinking) - You have had moderate or worse chronic pain for at least 3 months - You own a smartphone and live in the US **You may NOT be eligible if...** - You have a diagnosis of bipolar disorder, schizoaffective disorder, or schizophrenia - Your medication dose for pain or alcohol/substance use has not been stable for at least 2 months 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

BEHAVIORALMCBMAP

MCBMAP integrates motivational interviewing (MI) and cognitive-behavioral skill training interventions for unhealthy drinking with cognitive-behavioral and self- management approaches for chronic pain. The intervention is delivered through internet-based videoconferencing and supplemented with web-based content to support the intervention. The initial treatment session provides a rationale for addressing alcohol and pain together in the context of HIV management, and initiates MI related to alcohol use. Participants receive 6 additional treatment sessions over the subsequent weeks.

OTHERBrief Advice and Information

Through videoconferencing an interventionist will provide participants psychoeducation about the effects of alcohol and pain on HIV symptoms, advice/recommendations to reduce alcohol use, and a list of local treatment resources for alcohol and chronic pain.


Locations(1)

Charles River Campus, Boston University, Psychology Department- remote study

Boston, Massachusetts, United States

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NCT05503173


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