Status:

COMPLETED

Integrated Stepped Care for Unhealthy Alcohol Use in HIV

Lead Sponsor:

Yale University

Collaborating Sponsors:

National Institute on Alcohol Abuse and Alcoholism (NIAAA)

US Department of Veterans Affairs

Conditions:

Liver Diseases, Alcoholic

Alcoholism

Eligibility:

All Genders

21+ years

Phase:

NA

Brief Summary

The study is a series of 3 linked randomized clinical trials of 6 month duration, with a total of 12 month follow-up, to evaluate the effect of Integrated Stepped Care on drinking outcomes and HIV bio...

Detailed Description

Unhealthy alcohol use threatens the health benefits seen with antiretroviral therapy (ART) for HIV-infected (HIV+) patients. Although research has demonstrated the efficacy of brief interventions, mot...

Eligibility Criteria

Inclusion

  • Be HIV-infected and receiving HIV care at one of the participating medical centers.
  • Meet one of the following criteria for unhealthy alcohol use:
  • At-risk Drinking Study- greater than 14 drinks per week or greater than 4 drinks per occasion in men and greater than 7 drinks per week or greater than 3 drinks per occasion in women and those over 65.
  • Alcohol Abuse or Dependence Study - Meet DSM-IV TR criteria for alcohol abuse or dependence, not in remission.
  • Moderate Alcohol + Liver Disease Study - Report alcohol consumption in the past month, are HCV co-infected, confirmed by HCV viral load or have liver fibrosis - Fib-4 (\>1.45). Do not meet criteria for at-risk drinking, alcohol abuse or dependence.
  • Be able to understand English and provide informed consent.

Exclusion

  • Be acutely suicidal, or with a psychiatric condition that affects the ability to provide informed consent or participate in counseling interventions (e.g. psychotic, dementia, delusional).
  • Be currently enrolled in formal treatment for alcohol (excluding self-help, e.g. Alcoholics Anonymous)
  • Have medical conditions that would preclude completing or be of harm during the course of the study.
  • Pregnant or nursing women or women who do not agree to use a reliable form of birth control.

Key Trial Info

Start Date :

January 1 2013

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

August 31 2018

Estimated Enrollment :

319 Patients enrolled

Trial Details

Trial ID

NCT01410123

Start Date

January 1 2013

End Date

August 31 2018

Last Update

December 21 2022

Active Locations (5)

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Page 1 of 2 (5 locations)

1

Washington DC VAMC

Washington D.C., District of Columbia, United States, 20422

2

VAMC Atlanta

Atlanta, Georgia, United States, 30033

3

New York VAMC - New York Harbor Healthcare System

New York, New York, United States, 10010

4

Dallas VA Medical Center

Dallas, Texas, United States, 75216