- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02709759
Behavioral Interventions to Reduce Heavy Drinking Among MSM in HIV Primary Care
July 27, 2021 updated by: Christopher W. Kahler, Brown University
The purpose of the present study is to conduct a fully-crossed 2 X 2 X 2 factorial randomized controlled trial with a diverse sample of 224 MSM recruited from 2 urban HIV primary care clinics (one in the Northeast and one in the South).
The first study factor will compare brief advice (BA) vs. a motivational intervention (MI) that contains detailed personalized normative and HIV-specific feedback.
The second factor compares an interactive text messaging (ITM) intervention vs. no text messaging.
The final factor compares intervention of low intensity and duration (two sessions over 1 month) to extended intervention (EI) entailing 5 sessions over 9 months.
Study Overview
Status
Active, not recruiting
Conditions
Intervention / Treatment
Detailed Description
Heavy drinking in HIV-infected patients can lead to low antiretroviral therapy adherence and poor virologic control, greater sexual risk taking, increased risk of liver disease, and decreased cognitive function.
Therefore, reductions in drinking may have particularly positive and widespread effects in HIV-infected patients.
Men who have sex with men (MSM) continue to represent the majority of new HIV infections, and HIV-infected MSM have rates of hazardous drinking as high as 33%.
Therefore, developing and testing interventions to reduce heavy drinking in HIV-infected MSM is a very high public health priority.
There have been relatively few alcohol interventions tested that focus on MSM, and only two have addressed drinking in HIV-infected MSM.
Although recent studies indicate that behavioral interventions can reduce heavy drinking in HIV-infected patients, much remains unknown about the efficacy of different approaches to behavioral intervention and their unique and combined effects.
The purpose of the present study is to conduct a fully-crossed 2 X 2 X 2 factorial randomized controlled trial with a diverse sample of 224 MSM recruited from 2 urban HIV primary care clinics (one in the Northeast and one in the South).
The first study factor will compare brief advice (BA) vs. a motivational intervention (MI) that contains detailed personalized normative and HIV-specific feedback.
The second factor compares an interactive text messaging (ITM) intervention vs. no text messaging.
The final factor compares intervention of low intensity and duration (two sessions over 1 month) to extended intervention (EI) entailing 5 sessions over 9 months.
BA and MI will be delivered by a core set of interventionists from a central location using a webcam-enabled telemedicine system, which can facilitate larger-scale implementation.
The design will allow us to test the hypothesis that MI compared to BA, ITM compared to no ITM, and EI compared to no EI, will result in significantly greater reductions in number of alcoholic drinks consumed and number of heavy drinking days at 6- and 12-month follow-ups.
Secondary outcomes include engagement in unprotected anal intercourse, ART adherence and viral suppression, CD4 cell count, liver function tests, and neurocognitive function.
We also will test the hypothesis that the effects of MI, ITM, and EI on drinking will be moderated by alcohol use disorder status and readiness to change drinking such that these interventions will be relatively more efficacious in those with a current disorder and those with low readiness.
The study will provide crucial evidence regarding which intervention approaches, alone or in combination, are likely to be most efficient to implement on a large scale in HIV care settings.
Study Type
Interventional
Enrollment (Anticipated)
224
Phase
- Phase 2
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Massachusetts
-
Boston, Massachusetts, United States
- Fenway Health
-
-
Rhode Island
-
Providence, Rhode Island, United States, 02912
- Center for Alcohol and Addiction Studies, Brown University
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
Male
Description
Inclusion Criteria:
- be at least 18 years of age
- drink heavily at least once per month on average (≥5 drinks) or drink have drunk more than 14 drinks per week over the past 3 months
- have a confirmed diagnosis of HIV
- be a biological male who identifies as male
- report having had sex (oral or anal) with a male partner in the past 12 months and/or, identify as gay or bisexual.
- For those on ART, they must be stabilized on their current regimen for at least 3 months prior to study enrollment.
Exclusion Criteria:
- report past 3 month intravenous drug use
- are currently psychotic, suicidal, or manic
- being treated or have been treated in the past 3 months for an HIV-related opportunistic infection
- currently receiving treatment for an alcohol or drug problem.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: FACTORIAL
- Masking: SINGLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
ACTIVE_COMPARATOR: MI
Motivational interviewing focused on reducing alcohol use, delivered by videoconferencing.
|
Involves 60 minutes of counseling delivered by videoconferencing.
Provides feedback on drinking and HIV and related behaviors.
|
ACTIVE_COMPARATOR: BA
Brief Advice to reduce drinking delivered by videoconferencing
|
Involves 5-10 minutes of brief counseling to reduce drinking
|
ACTIVE_COMPARATOR: MI + ITM
Motivational intervention to reduce drinking, delivered by videoconferencing, plus Interactive text messaging around alcohol use
|
Involves 60 minutes of counseling delivered by videoconferencing.
Provides feedback on drinking and HIV and related behaviors.
Involves receiving daily text messages that enable participants to track their drinking and related consequences.
Provides feedback on drinking and allow setting of goals.
|
ACTIVE_COMPARATOR: BA + ITM
Brief Advice to reduce drinking, delivered by videoconferencing, plus Interactive text messaging around alcohol use
|
Involves 5-10 minutes of brief counseling to reduce drinking
Involves receiving daily text messages that enable participants to track their drinking and related consequences.
Provides feedback on drinking and allow setting of goals.
|
ACTIVE_COMPARATOR: MI + ITM + EI
Participants in this arm receive MI delivered by videoconferencing and ITM over 9 months rather than 1
|
Involves 60 minutes of counseling delivered by videoconferencing.
Provides feedback on drinking and HIV and related behaviors.
Involves receiving daily text messages that enable participants to track their drinking and related consequences.
Provides feedback on drinking and allow setting of goals.
|
ACTIVE_COMPARATOR: BA + ITM + EI
Participants in this arm receive BA delivered by videoconferencing and ITM over 9 months rather than 1
|
Involves 5-10 minutes of brief counseling to reduce drinking
Involves receiving daily text messages that enable participants to track their drinking and related consequences.
Provides feedback on drinking and allow setting of goals.
|
ACTIVE_COMPARATOR: BA + EI
Participants in this arm receive BA delivered by videoconferencing over 9 months rather than 1
|
Involves 5-10 minutes of brief counseling to reduce drinking
Involves receiving daily text messages that enable participants to track their drinking and related consequences.
Provides feedback on drinking and allow setting of goals.
|
ACTIVE_COMPARATOR: MI + EI
Participants in this arm receive MI delivered by videoconferencing over 9 months rather than 1
|
Involves 60 minutes of counseling delivered by videoconferencing.
Provides feedback on drinking and HIV and related behaviors.
Involves receiving daily text messages that enable participants to track their drinking and related consequences.
Provides feedback on drinking and allow setting of goals.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of heavy drinking days
Time Frame: Past 30 days
|
Number of heavy drinking days (5 or more alcoholic drinks in a single day) assessed at 6 and 12 months.
Covers the period of 30 days prior to the assessment.
|
Past 30 days
|
Average number of drinks per week
Time Frame: Past 30 days
|
Average number of alcoholic drinks consumed per week assessed at 6 and 12 months.
Covers the period of 30 days prior to the assessment.
|
Past 30 days
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (ACTUAL)
August 1, 2016
Primary Completion (ACTUAL)
May 1, 2021
Study Completion (ANTICIPATED)
August 30, 2021
Study Registration Dates
First Submitted
March 11, 2016
First Submitted That Met QC Criteria
March 11, 2016
First Posted (ESTIMATE)
March 16, 2016
Study Record Updates
Last Update Posted (ACTUAL)
July 28, 2021
Last Update Submitted That Met QC Criteria
July 27, 2021
Last Verified
July 1, 2021
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- P01AA01907
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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