- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05756790
Couple-Based Motivational Interviewing With Mobile Breathalyzers to Reduce Alcohol Use in South Africa
December 18, 2023 updated by: University of California, San Francisco
This project aims to develop and pilot test an intervention using couple-based motivational interviewing (MI) and mobile breathalyzers to reduce heavy alcohol use with couples living with HIV in South Africa.
Study Overview
Status
Active, not recruiting
Conditions
Intervention / Treatment
Detailed Description
This project aims to develop and test an alcohol intervention using couple-based motivational interviewing (MI) and mobile breathalyzers to build dyadic support around drinking in HIV-affected couples in South Africa.
Specifically, the study aims to: 1) To develop a couple-based MI intervention with mobile breathalyzer technology to deliver real-time feedback on BAC levels.
We will target heavy alcohol users with HIV and enroll their primary partner; 2) to develop and pilot test the study procedures for a future randomized controlled trial (RCT) of the couple-based intervention; and 3) to determine the feasibility and acceptability (F&A) of couple-based MI as a standalone intervention and when combined with mobile breathalyzers to provide real-time feedback and support to couples.
We will also conduct qualitative interviews with a subset of 15 couples to contextualize F&A data and refine our procedures.
Our goal is to demonstrate a proof-of-concept for the proposed intervention, which if shown to be feasible and acceptable, may provide a scalable intervention to reduce heavy alcohol consumption and improve HIV treatment outcomes for couples in South Africa.
Study Type
Interventional
Enrollment (Actual)
180
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Alastair van Heerden, Ph.D.
- Phone Number: 27 0 33 324 5000
- Email: avanheerden@hrsc.ac.za
Study Contact Backup
- Name: Amy Conroy, Ph.D.
- Phone Number: 1 303 522 9439
- Email: amy.conroy@ucsf.edu
Study Locations
-
-
-
Pietermaritzburg, South Africa
- Human Sciences Research Council
-
Contact:
- Alastair van Heerden, Ph.D.
- Phone Number: 27 033 324 5000
- Email: avanheerden@hsrc.ac.za
-
-
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 to 49 years (Adult)
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- in a primary relationship for at least 6 months
- aged 18-49
- have at least one partner (the "index patient") with a positive AUDIT-C screen score
- has been on antiretroviral therapy (ART) for at least 6 months
- has disclosed HIV status to their partner
Exclusion Criteria:
- Report severe intimate partner violence in the past 3 months and/or fear that their safety would be at risk (reported during screening)
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: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Enhanced Usual Care
Couples in this condition will receive the standard of care for alcohol use in addition to a brief alcohol counseling session modeled after WHO guidelines and Dr. Conroy's intervention in Malawi, which uses participants' baseline AUDIT scores for messaging around alcohol reduction and lasts 5-10 minutes.
|
|
Experimental: Motivational Interviewing (MI)
Couples will have three MI sessions over a 60-day period.
These sessions will focus on communication between the couple, alcohol consumption patterns, and setting goals for alcohol-use reduction.
|
Counseling
|
Experimental: Motivational Interviewing Plus Breathalyzer (MI Plus)
In addition to three MI sessions, drinkers in this condition will be prompted via SMS message twice per day to use a mobile app and a breathalyzer to test their blood alcohol levels (BAC).
Both the drinker and their partner will receive real-time feedback about alcohol use.
|
Counseling
Counseling plus mobile breathalyzer/ app
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Enrollment Rate
Time Frame: Baseline (Time 0)
|
proportion of eligible couples who enroll in the study
|
Baseline (Time 0)
|
Retention Rate
Time Frame: 6 months
|
proportion of enrolled couples who remain at the end
|
6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Satisfaction with Intervention
Time Frame: 2 months
|
proportion of participants who report being "satisfied" or "very satisfied" with the intervention at the two-month follow-up
|
2 months
|
Mid-point survey completion
Time Frame: 2 months
|
proportion of couples who complete the two-month survey
|
2 months
|
Final survey completion
Time Frame: 6 months
|
proportion of couples who complete the six-month survey
|
6 months
|
MI sessions completed
Time Frame: 2 months
|
proportion of participants who attend all three intervention sessions
|
2 months
|
70% breathalyzer completion
Time Frame: 2 months
|
proportion of participants who complete 70% of breathalyzer tests
|
2 months
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Exploratory: Alcohol Use
Time Frame: 2 months and 6 months
|
Number of drinking days in the past 30 days (self-report)
|
2 months and 6 months
|
Exploratory: Alcohol Use
Time Frame: 2 months
|
Non-heavy drinking determined by self-report (Alcohol Use Disorders Identification Test - Consumption [AUDIT-C], prior 3 months, negative) and phosphatidylethanol (PEth) <35 ng/mL (composite measure)
|
2 months
|
Exploratory: ART adherence
Time Frame: 2 months and 6 months
|
Proportion of pills taken by HIV-infected participants in the past 30 days, using the bean count method (self-report) adapted from VAS
|
2 months and 6 months
|
Exploratory: HIV viral load
Time Frame: 2 months
|
Proportion of HIV-infected participants who are virally suppressed by local lab normal ranges, as measured by dried blood spots (DBS)
|
2 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Collaborators
Investigators
- Principal Investigator: Amy Conroy, Ph.D., University of California, San Francisco
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Hahn JA, Emenyonu NI, Fatch R, Muyindike WR, Kekiibina A, Carrico AW, Woolf-King S, Shiboski S. Declining and rebounding unhealthy alcohol consumption during the first year of HIV care in rural Uganda, using phosphatidylethanol to augment self-report. Addiction. 2016 Feb;111(2):272-9. doi: 10.1111/add.13173. Epub 2015 Nov 5.
- Conroy AA, McKenna SA, Ruark A. Couple Interdependence Impacts Alcohol Use and Adherence to Antiretroviral Therapy in Malawi. AIDS Behav. 2019 Jan;23(1):201-210. doi: 10.1007/s10461-018-2275-2.
- Starks TJ, Millar BM, Doyle KM, Bertone P, Ohadi J, Parsons JT. Motivational interviewing with couples: A theoretical framework for clinical practice illustrated in substance use and HIV prevention intervention with gay male couples. Psychol Sex Orientat Gend Divers. 2018 Dec;5(4):490-502. doi: 10.1037/sgd0000297. Epub 2018 Jun 25.
- Woolf-King SE, Conroy AA, Fritz K, Johnson MO, Hosegood V, van Rooyen H, Darbes L, McGrath N. Alcohol use and relationship quality among South African couples. Subst Use Misuse. 2019;54(4):651-660. doi: 10.1080/10826084.2018.1531428. Epub 2018 Nov 8.
- Aharonovich E, Stohl M, Cannizzaro D, Hasin D. HealthCall delivered via smartphone to reduce co-occurring drug and alcohol use in HIV-infected adults: A randomized pilot trial. J Subst Abuse Treat. 2017 Dec;83:15-26. doi: 10.1016/j.jsat.2017.09.013. Epub 2017 Sep 29.
- Lauckner C, Taylor E, Patel D, Whitmire A. The feasibility of using smartphones and mobile breathalyzers to monitor alcohol consumption among people living with HIV/AIDS. Addict Sci Clin Pract. 2019 Nov 26;14(1):43. doi: 10.1186/s13722-019-0174-0.
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)
March 13, 2023
Primary Completion (Estimated)
August 31, 2024
Study Completion (Estimated)
August 31, 2024
Study Registration Dates
First Submitted
February 21, 2023
First Submitted That Met QC Criteria
February 21, 2023
First Posted (Actual)
March 6, 2023
Study Record Updates
Last Update Posted (Estimated)
December 20, 2023
Last Update Submitted That Met QC Criteria
December 18, 2023
Last Verified
December 1, 2023
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- P0551145
- R34AA029649 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
IPD Plan Description
There is a plan in place to share data with the NIAAA Data Archive.
IPD Sharing Time Frame
Data will be uploaded to the NIAAA Data Archive two times per year while data are being collected.
It will be available indefinitely.
IPD Sharing Access Criteria
Users must apply for and receive permission from the NIH data archive.
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
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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