Reducing Unsafe Alcohol Use in HIV-Positive Individuals
Reducing Unsafe Drinking in HIV Primary Care
研究概览
地位
条件
详细说明
HIV infection is a widespread health problem in the U.S. Antiretroviral treatment has increased longevity and changed the nature of risk factors for morbidity and mortality. Alcohol consumption has become an increasingly serious health issue among HIV primary care patients. Drinking is a key factor in progression to severe liver damage (especially those co-infected with hepatitis), and liver disease is now one of the most common causes of death among those with HIV. Excess drinking is also associated with medication noncompliance, reduces the effect of antiretroviral treatment, and is linked to other health problems. Therefore, helping HIV patients reduce unsafe drinking is crucial to their long-term health. The intervention combines the brief MI, an established, evidence-based counseling approach, with an innovative procedure designed to strengthen the effects of the MI. An effective, easily implemented alcohol-reduction intervention could be incorporated into standard care in HIV clinics helping prevent or slow the progress of some medical problems in HIV-infected individuals, improve medication compliance, prolong lifespan and decrease risk behavior associated with alcohol use.
Comparison(s): Enhanced brief motivational interview (including an IVR component for alcohol self-monitoring purposes), brief motivational interview, viewing a DVD on HIV self-care.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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New York
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New York、New York、美国、10032
- New York State Psychiatric Institute/ St. Vincent's Hospital
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Male and females 18 years of age or older.
- Participants have had 4 or more drinks on any day in the prior 30 days assessed via standardized questions.
- Participants are referred to a study MI counselor by clinic staff as needing an intervention for drinking
- Participants agree to random assignment and provide informed consent
Exclusion Criteria:
- Participants who are currently psychotic, suicidal or homicidal.
- Participants who have definite plans to leave the greater New York metropolitan area within the study period.
- Participants who demonstrate gross cognitive impairment as evidenced on the Halstead-Reitain Trails (A).
- Participants who do not speak English or Spanish, or have hearing impairments that preclude use of the telephone.
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
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有源比较器:1 - enhanced MI
Enhanced brief motivational interview (including an IVR component for alcohol self-monitoring purposes)
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The intervention consists of a brief motivational interview, which is combined with daily alcohol monitoring through the use of an interactive voice response system IVR (automated telephone system).
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有源比较器:2- standard MI
The intervention consists of a standard motivational interview or viewing a DVD on HIV self-care.
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Brief motivational interview, viewing a DVD on HIV self-care.
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
---|---|---|
过去 30 天的饮酒量,在基线时进行评估,并在随访期间反复进行评估,以便分析变化。
大体时间:基线、30、60 天(治疗结束)、3、6、12 个月
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通过每天饮酒的次数和戒酒天数的百分比来衡量。
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基线、30、60 天(治疗结束)、3、6、12 个月
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合作者和调查者
调查人员
- 研究主任:Selvija G. Marovic, PhD、New York State Psychiatric Institute (NYSPI)
出版物和有用的链接
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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Enhanced Motivational Interview的临床试验
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University of MichiganNational Institute of Mental Health (NIMH)完全的
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Norwegian Institute of Public HealthStatistics Norway; Society of Interventional Oncology完全的
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Norwegian Institute of Public HealthNorwegian University of Science and Technology完全的
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Sidney Kimmel Cancer Center at Thomas Jefferson...National Cancer Institute (NCI); University of California, San Diego; GE Healthcare; National Institutes... 和其他合作者完全的