RecruitingNot ApplicableNCT06367348

An Economic and Relationship-strengthening Intervention to Reduce Alcohol Use in Malawi

Mlambe: A Randomized Controlled Trial of an Economic and Relationship-Strengthening Intervention to Reduce Alcohol Use in Malawi

Sponsor

University of California, San Francisco

Enrollment

500 participants

Start Date

Feb 14, 2025

Study Type

INTERVENTIONAL

Conditions

Alcohol Abuse HIV/AIDS

Summary

With a full-scale randomized control trial, the investigators will evaluate the efficacy and cost effectiveness of Mlambe, an economic and relationship-strengthening intervention that provides incentivized saving accounts, financial literacy training, and relationship skills education to break the cycle of poverty around drinking, strengthen couple support and communication, and reduce heavy drinking among HIV-affected married couples with a partner who drinks alcohol in Malawi.

Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study in Malawi is testing whether an economic support and relationship-strengthening program can help reduce alcohol use in couples where one or both partners drink heavily and are living with HIV. **You may be eligible if...** - You are in a married or cohabitating relationship - At least one partner has screened positive for risky alcohol use in the past 3 months - Both partners have been on HIV treatment (ART) for at least 6 months - You have disclosed your HIV status to your partner **You may NOT be eligible if...** - There has been severe intimate partner violence in the past 3 months, or participation would put either person's safety at risk - Either partner is unwilling to participate or cannot consent 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

BEHAVIORALMlambe

A combined economic and relationship-strengthening intervention. Sessions consist of incentivized savings accounts, financial literacy training, and relationships skills building, including couple communication.