Efficacy of Two Evidence-Based Alcohol Consumption Interventions on Positive, Negative, and Neutral Days Among Hazardous Alcohol Users Living with HIV in Vietnam.

Autor: Chen JS; Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA. janechen@live.unc.edu., Hutton HE; Department of Psychiatry and Behavioral Sciences, School of Medicine, Johns Hopkins University, Baltimore, USA., Tran HV; Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA.; University of North Carolina Vietnam, Hanoi, Vietnam., Quang VN; University of North Carolina Vietnam, Hanoi, Vietnam., Nguyen MX; Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA.; University of North Carolina Vietnam, Hanoi, Vietnam., Sripaipan T; Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA., Dowdy DW; Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, USA.; Department of Medicine, Johns Hopkins University, Baltimore, USA., Latkin CA; Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, USA.; Department of Medicine, Johns Hopkins University, Baltimore, USA.; Department of Health, Behavior, and Society, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, USA., Chander G; Division of General Internal Medicine, University of Washington, Seattle, USA., Frangakis C; Department of Medicine, Johns Hopkins University, Baltimore, USA.; Department of Biostatistics, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, USA., Go VF; Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA.
Jazyk: angličtina
Zdroj: AIDS and behavior [AIDS Behav] 2024 Feb; Vol. 28 (2), pp. 421-428. Date of Electronic Publication: 2023 Dec 12.
DOI: 10.1007/s10461-023-04234-6
Abstrakt: Social events and stressful settings can be catalysts for alcohol consumption. Motivational enhancement therapy (MET) and cognitive behavioral therapy (CBT) are widely used in alcohol interventions. We assessed how alcohol consumption varied across three types of days (positive/social, negative/stressful, and neutral) among hazardous alcohol users living with HIV in Vietnam. We further evaluated how those consumption patterns changed after two MET/CBT alcohol reduction interventions versus the standard of care (SOC). The 'combined' intervention offered 6 individual sessions and 3 group sessions; the 'brief' intervention offered 2 individual sessions and 2 phone calls. A 30-day timeline follow-back was administered at study visits, detailing daily drinks and events. Days were categorized as neutral, positive/social, or negative/stressful; negative binomial models and generalized estimating equations were used to estimate drinks consumed by type of day at baseline and 12 months. Prior to intervention, more drinks were consumed on positive/social days (5.2 drinks; 95% Confidence Interval [CI]:4.8, 5.7) than negative/stressful (1.5; 95% CI:1.3, 1.9) and neutral days (2.2; 95% CI: 1.9, 2.5). After the brief intervention, drinks consumed decreased on neutral days (ratio: 0.5: 95% CI: 0.4, 0.7). After the combined intervention, drinks consumed decreased on neutral days (ratio: 0.4; 95% CI: 0.3, 0.6), positive/social days (ratio: 0.6; 95% CI: 0.5, 0.7) and negative/stressful days (ratio: 0.3; 95% CI: 0.2, 0.6). No reductions in consumption were observed in the SOC group. Social/positive days had the highest alcohol consumption prior to intervention, and the combined intervention showed the greatest decrease in consumption on those days. CLINICAL TRIAL REGISTRATION: The study is registered at clinicaltrials.gov (NCT02720237).
(© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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