Condition: Hiv · Alcohol Use, Unspecified · Sponsor: Johns Hopkins University
Despite availability of evidence-based alcohol reduction interventions (EBI), unhealthy alcohol use remains a barrier to HIV medication adherence, viral suppression and retention in HIV care and consequently HIV treatment as prevention (TASP). Guided by complementary implementation and evaluation frameworks-the Consolidated Framework for Implementation Research (CFIR) and RE-AIM (Reach, Effectiveness, Adoption, Implementation and Maintenance), The investigators will conduct a Hybrid Type 3 effectiveness-implementation evaluating implementation trial testing whether practice facilitation, an evidence-based multifaceted implementation strategy increases reach, adoption, implementation, and maintenance of stepped care for unhealthy alcohol use in three Center for AIDS Research (CFAR) Network of Integrated Clinical Systems (CNICS) HIV clinics located in Boston, San Diego, and Chapel Hill. The investigators will secondarily test whether practice facilitation is associated with decreased unhealthy alcohol use, and improved Antiretroviral Therapy (ART) adherence and viral suppression at the patient level. In practice facilitation, a practice coach will offer tools, resources, hands-on guidance, and content expertise to assist sites in offering a stepped care model of alcohol treatment to patients with unhealthy alcohol use. Stepped care will include brief intervention, cognitive behavioral therapy, and alcohol pharmacotherapy. The practice facilitation intervention will be rolled ou…
This description comes directly from the study's public registry record.
JoAnna Mathena · 410-955-9534 · jmathen5@jhmi.edu
Geetanjali Chander · 14432872030 · gchande1@jhmi.edu
Always discuss trial participation with your own doctor first.
| University of California, San Diego | San Diego, California, United States | Recruiting |
| Fenway Community Health | Boston, Massachusetts, United States | Not Yet Recruiting |
| University of North Carolina | Chapel Hill, North Carolina, United States | Not Yet Recruiting |
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Source record: clinicaltrials.gov/study/NCT05241990