Trial Outcomes & Findings for Understanding and Intervening With Heavy Drinking Among Patients With HIV and HCV (NCT NCT03652675)

NCT ID: NCT03652675

Last Updated: 2021-07-23

Results Overview

Mean drinks per drinking day in the last 30 days, assessed at baseline and repeatedly during follow-up so that change can be analyzed. Abstention is coded as zero.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

31 participants

Primary outcome timeframe

60 days (end of treatment)

Results posted on

2021-07-23

Participant Flow

Participant milestones

Participant milestones
Measure
Intervention: (Clinician's Guide + HealthCall for HIV/HCV)
Intervention: (Clinician's Guide + HealthCall for HIV/HCV): This intervention consists of an adaptation of the National Institutes of Health (NIH) Clinician's Guide (CG; NIAAA, 2007) in conjunction with the previously tested HealthCall smartphone app program (Hasin et al., 2013; Hasin et al., 2014). Participants will complete a brief baseline meeting (\~20 minutes) with a counselor to discuss alcohol use, liver function, and HIV medication adherence. They will track their drinking using HealthCall for 60 days, with brief follow-up meetings with their counselor to check in about their drinking 30 and 60 days later.
Educational Control Condition
Participant will spend 20 minutes at the clinic, observed by the counselor, reviewing an educational pamphlet on drinking, HIV, and HCV.
Overall Study
STARTED
16
15
Overall Study
COMPLETED
12
11
Overall Study
NOT COMPLETED
4
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Intervention: (Clinician's Guide + HealthCall for HIV/HCV)
Intervention: (Clinician's Guide + HealthCall for HIV/HCV): This intervention consists of an adaptation of the National Institutes of Health (NIH) Clinician's Guide (CG; NIAAA, 2007) in conjunction with the previously tested HealthCall smartphone app program (Hasin et al., 2013; Hasin et al., 2014). Participants will complete a brief baseline meeting (\~20 minutes) with a counselor to discuss alcohol use, liver function, and HIV medication adherence. They will track their drinking using HealthCall for 60 days, with brief follow-up meetings with their counselor to check in about their drinking 30 and 60 days later.
Educational Control Condition
Participant will spend 20 minutes at the clinic, observed by the counselor, reviewing an educational pamphlet on drinking, HIV, and HCV.
Overall Study
Lost to Follow-up
4
4

Baseline Characteristics

Understanding and Intervening With Heavy Drinking Among Patients With HIV and HCV

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention: (Clinician's Guide + HealthCall for HIV/HCV)
n=16 Participants
Intervention: (Clinician's Guide + HealthCall for HIV/HCV): This intervention consists of an adaptation of the National Institutes of Health (NIH) Clinician's Guide (CG; NIAAA, 2007) in conjunction with the previously tested HealthCall smartphone app program (Hasin et al., 2013; Hasin et al., 2014). Participants will complete a brief baseline meeting (\~20 minutes) with a counselor to discuss alcohol use, liver function, and HIV medication adherence. They will track their drinking using HealthCall for 60 days, with brief follow-up meetings with their counselor to check in about their drinking 30 and 60 days later.
Educational Control Condition
n=15 Participants
Participant will spend 20 minutes at the clinic, observed by the counselor, reviewing an educational pamphlet on drinking, HIV, and HCV.
Total
n=31 Participants
Total of all reporting groups
Age, Continuous
56.7 years
STANDARD_DEVIATION 11.2 • n=5 Participants
56.1 years
STANDARD_DEVIATION 9.7 • n=7 Participants
56.4 years
STANDARD_DEVIATION 10.4 • n=5 Participants
Sex/Gender, Customized
Male
12 Participants
n=5 Participants
9 Participants
n=7 Participants
21 Participants
n=5 Participants
Sex/Gender, Customized
Female
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Sex/Gender, Customized
Transgender
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Sex/Gender, Customized
Other
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
15 Participants
n=5 Participants
12 Participants
n=7 Participants
27 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
14 Participants
n=5 Participants
11 Participants
n=7 Participants
25 Participants
n=5 Participants
Race (NIH/OMB)
White
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Region of Enrollment
United States
16 Participants
n=5 Participants
15 Participants
n=7 Participants
31 Participants
n=5 Participants
Baseline Drinks per Drinking Day
5.24 Drinks
STANDARD_DEVIATION 3.8 • n=5 Participants
6.09 Drinks
STANDARD_DEVIATION 2.17 • n=7 Participants
5.65 Drinks
STANDARD_DEVIATION 3.10 • n=5 Participants

PRIMARY outcome

Timeframe: 60 days (end of treatment)

Population: Of the 31 participants enrolled at baseline, 23 completed the 60-day follow-up and are reported here. Drinks per drinking day (primary outcome), with abstention coded as zero, at 60 days (end-of-treatment)

Mean drinks per drinking day in the last 30 days, assessed at baseline and repeatedly during follow-up so that change can be analyzed. Abstention is coded as zero.

Outcome measures

Outcome measures
Measure
Intervention: (Clinician's Guide + HealthCall for HIV/HCV)
n=12 Participants
Intervention: (Clinician's Guide + HealthCall for HIV/HCV): This intervention consists of an adaptation of the National Institutes of Health (NIH) Clinician's Guide (CG; NIAAA, 2007) in conjunction with the previously tested HealthCall smartphone app program (Hasin et al., 2013; Hasin et al., 2014). Participants will complete a brief baseline meeting (\~20 minutes) with a counselor to discuss alcohol use, liver function, and HIV medication adherence. They will track their drinking using HealthCall for 60 days, with brief follow-up meetings with their counselor to check in about their drinking 30 and 60 days later.
Educational Control Condition
n=11 Participants
Participant will spend 20 minutes at the clinic, observed by the counselor, reviewing an educational pamphlet on drinking, HIV, and HCV.
Mean Drinks Per Drinking Day Measured Using Timeline Follow Back (TLFB) at 60 Days.
2.61 Drinks per drinking day
Standard Deviation 3.35
5.49 Drinks per drinking day
Standard Deviation 4.24

SECONDARY outcome

Timeframe: 60 days (end of treatment)

Population: Of the 31 participants enrolled at baseline, 23 completed the 60-day follow-up and are reported here. Change scores from baseline - AUDADIS drinking variables at 60 days

Number of days drank in the last 30 days (RANGE 0-30) was assessed at baseline and repeatedly during follow-up so that change can be analyzed. A change value is calculated here such that a negative value indicates a decrease in drinking.

Outcome measures

Outcome measures
Measure
Intervention: (Clinician's Guide + HealthCall for HIV/HCV)
n=12 Participants
Intervention: (Clinician's Guide + HealthCall for HIV/HCV): This intervention consists of an adaptation of the National Institutes of Health (NIH) Clinician's Guide (CG; NIAAA, 2007) in conjunction with the previously tested HealthCall smartphone app program (Hasin et al., 2013; Hasin et al., 2014). Participants will complete a brief baseline meeting (\~20 minutes) with a counselor to discuss alcohol use, liver function, and HIV medication adherence. They will track their drinking using HealthCall for 60 days, with brief follow-up meetings with their counselor to check in about their drinking 30 and 60 days later.
Educational Control Condition
n=11 Participants
Participant will spend 20 minutes at the clinic, observed by the counselor, reviewing an educational pamphlet on drinking, HIV, and HCV.
Change in Number of Days Drank as Assessed by Item From the Alcohol Use Disorder and Associated Disabilities Interview Schedule (AUDADIS)
-6.08 Days
Standard Deviation 10.75
-3.09 Days
Standard Deviation 10.4

SECONDARY outcome

Timeframe: 60 days (end of treatment)

Population: Of the 31 participants enrolled at baseline, 23 completed the 60-day follow-up and are reported here. Change scores from baseline - AUDADIS drinking variables at 60 days

The largest number of drinks consumed within one day in the last 30 days (RANGE 0-30) was assessed at baseline and repeatedly during follow-up so that change can be analyzed. A change value is calculated here such that a negative value indicates a decrease in drinking.

Outcome measures

Outcome measures
Measure
Intervention: (Clinician's Guide + HealthCall for HIV/HCV)
n=12 Participants
Intervention: (Clinician's Guide + HealthCall for HIV/HCV): This intervention consists of an adaptation of the National Institutes of Health (NIH) Clinician's Guide (CG; NIAAA, 2007) in conjunction with the previously tested HealthCall smartphone app program (Hasin et al., 2013; Hasin et al., 2014). Participants will complete a brief baseline meeting (\~20 minutes) with a counselor to discuss alcohol use, liver function, and HIV medication adherence. They will track their drinking using HealthCall for 60 days, with brief follow-up meetings with their counselor to check in about their drinking 30 and 60 days later.
Educational Control Condition
n=11 Participants
Participant will spend 20 minutes at the clinic, observed by the counselor, reviewing an educational pamphlet on drinking, HIV, and HCV.
Change in Largest Number of Drinks Assessed by Item From the Alcohol Use Disorder and Associated Disabilities Interview Schedule (AUDADIS)
-4 drinks
Standard Deviation 5.15
-5.36 drinks
Standard Deviation 9.51

SECONDARY outcome

Timeframe: 60 days (end of treatment)

Population: Of the 31 participants enrolled at baseline, 23 completed the 60-day follow-up and are reported here. Change scores from baseline - AUDADIS drinking variables at 60 days

Number of days engaging in binge drinking (4+ drinks) in the last 30 days (RANGE 0-30) was assessed at baseline and repeatedly during follow-up so that change can be analyzed. A change value is calculated here such that a negative value indicates a decrease in drinking.

Outcome measures

Outcome measures
Measure
Intervention: (Clinician's Guide + HealthCall for HIV/HCV)
n=12 Participants
Intervention: (Clinician's Guide + HealthCall for HIV/HCV): This intervention consists of an adaptation of the National Institutes of Health (NIH) Clinician's Guide (CG; NIAAA, 2007) in conjunction with the previously tested HealthCall smartphone app program (Hasin et al., 2013; Hasin et al., 2014). Participants will complete a brief baseline meeting (\~20 minutes) with a counselor to discuss alcohol use, liver function, and HIV medication adherence. They will track their drinking using HealthCall for 60 days, with brief follow-up meetings with their counselor to check in about their drinking 30 and 60 days later.
Educational Control Condition
n=11 Participants
Participant will spend 20 minutes at the clinic, observed by the counselor, reviewing an educational pamphlet on drinking, HIV, and HCV.
Change in Number of Days Binge Drinking as Assessed by Item From the Alcohol Use Disorder and Associated Disabilities Interview Schedule (AUDADIS)
-7.92 days
Standard Deviation 8.24
-6.27 days
Standard Deviation 11.66

SECONDARY outcome

Timeframe: 60 days (end of treatment)

Population: Of the 31 participants enrolled at baseline, 23 completed the 60-day follow-up and are reported here. Change scores from baseline - AUDADIS drinking variables at 60 days

Number of days intoxicated in the last 30 days (RANGE 0-30) was assessed at baseline and repeatedly during follow-up so that change can be analyzed. A change value is calculated here such that a negative value indicates a decrease in drinking.

Outcome measures

Outcome measures
Measure
Intervention: (Clinician's Guide + HealthCall for HIV/HCV)
n=12 Participants
Intervention: (Clinician's Guide + HealthCall for HIV/HCV): This intervention consists of an adaptation of the National Institutes of Health (NIH) Clinician's Guide (CG; NIAAA, 2007) in conjunction with the previously tested HealthCall smartphone app program (Hasin et al., 2013; Hasin et al., 2014). Participants will complete a brief baseline meeting (\~20 minutes) with a counselor to discuss alcohol use, liver function, and HIV medication adherence. They will track their drinking using HealthCall for 60 days, with brief follow-up meetings with their counselor to check in about their drinking 30 and 60 days later.
Educational Control Condition
n=11 Participants
Participant will spend 20 minutes at the clinic, observed by the counselor, reviewing an educational pamphlet on drinking, HIV, and HCV.
Change in Number of Days Intoxicated as Assessed by Item From the Alcohol Use Disorder and Associated Disabilities Interview Schedule (AUDADIS)
-1.83 days
Standard Deviation 4.13
-0.64 days
Standard Deviation 6.67

OTHER_PRE_SPECIFIED outcome

Timeframe: 60 days (end of treatment)

Population: Of the 31 participants enrolled at baseline, 23 completed the 60-day follow-up.Two participants were missing SCQ data at 60 days, so results are reported for 21 participants. Self-efficacy at 60 days (end-of-treatment), as measured by brief version of Situational Confidence Questionnaire (SCQ)

Self-efficacy to change drinking in the last 30 days, assessed at baseline and repeatedly during follow-up so that change can be analyzed. Participants rate eight situations regarding their confidence in their ability to resist drinking (0% - Not at all confident to 100% - Totally confident). The final score is an average that can range from 0 (lowest) to 100 (highest) self-efficacy.

Outcome measures

Outcome measures
Measure
Intervention: (Clinician's Guide + HealthCall for HIV/HCV)
n=12 Participants
Intervention: (Clinician's Guide + HealthCall for HIV/HCV): This intervention consists of an adaptation of the National Institutes of Health (NIH) Clinician's Guide (CG; NIAAA, 2007) in conjunction with the previously tested HealthCall smartphone app program (Hasin et al., 2013; Hasin et al., 2014). Participants will complete a brief baseline meeting (\~20 minutes) with a counselor to discuss alcohol use, liver function, and HIV medication adherence. They will track their drinking using HealthCall for 60 days, with brief follow-up meetings with their counselor to check in about their drinking 30 and 60 days later.
Educational Control Condition
n=9 Participants
Participant will spend 20 minutes at the clinic, observed by the counselor, reviewing an educational pamphlet on drinking, HIV, and HCV.
Self-efficacy to Change Drinking as Measured by Brief Version of Situational Confidence Questionnaire (SCQ)
74.86 Points on the SCQ
Standard Deviation 17.99
66.3 Points on the SCQ
Standard Deviation 17.52

OTHER_PRE_SPECIFIED outcome

Timeframe: 60 days (end of treatment)

Population: Of the 31 participants enrolled at baseline, 23 completed the 60-day follow-up and are reported here. Readiness to change, as measured by the URICA

Readiness to change drinking in the last 30 days, assessed at baseline and repeatedly during follow-up so that change can be analyzed. Higher scores indicate more readiness to change. Range from -2 to +14. The scale is scored when points are averaged for all four (precontemplation, contemplation, action, maintenance) scales. Add Contemplation + Action + Maintenance averages, then subtract Precontemplation average.

Outcome measures

Outcome measures
Measure
Intervention: (Clinician's Guide + HealthCall for HIV/HCV)
n=12 Participants
Intervention: (Clinician's Guide + HealthCall for HIV/HCV): This intervention consists of an adaptation of the National Institutes of Health (NIH) Clinician's Guide (CG; NIAAA, 2007) in conjunction with the previously tested HealthCall smartphone app program (Hasin et al., 2013; Hasin et al., 2014). Participants will complete a brief baseline meeting (\~20 minutes) with a counselor to discuss alcohol use, liver function, and HIV medication adherence. They will track their drinking using HealthCall for 60 days, with brief follow-up meetings with their counselor to check in about their drinking 30 and 60 days later.
Educational Control Condition
n=11 Participants
Participant will spend 20 minutes at the clinic, observed by the counselor, reviewing an educational pamphlet on drinking, HIV, and HCV.
Readiness to Change Drinking Measured by University of Rhode Island Change Assessment Scale (URICA)
9.82 Points on the URICA
Standard Deviation 2.16
8.98 Points on the URICA
Standard Deviation 1.67

OTHER_PRE_SPECIFIED outcome

Timeframe: 60 days (end of treatment)

Population: Of the 31 participants enrolled at baseline, 23 completed the 60-day follow-up and are reported here. SOCRATES subscales - Recognition, Ambivalence, Taking Steps

Readiness to change drinking in the last 30 days,assessed at baseline and repeatedly during follow-up so that change can be analyzed. Higher scores indicate more recognition, ambivalence, and taking steps toward change, respectively. For full range and interpretation, see individual outcomes below. Recognition scale - Range 7 (very low recognition) to 35 (high recognition) Ambivalence scale - Range 4 (very low ambivalence) to 20 (very high ambivalence) Taking Steps scale - Range 8 (very low on taking steps to change drinking) to 40 (very high score)

Outcome measures

Outcome measures
Measure
Intervention: (Clinician's Guide + HealthCall for HIV/HCV)
n=12 Participants
Intervention: (Clinician's Guide + HealthCall for HIV/HCV): This intervention consists of an adaptation of the National Institutes of Health (NIH) Clinician's Guide (CG; NIAAA, 2007) in conjunction with the previously tested HealthCall smartphone app program (Hasin et al., 2013; Hasin et al., 2014). Participants will complete a brief baseline meeting (\~20 minutes) with a counselor to discuss alcohol use, liver function, and HIV medication adherence. They will track their drinking using HealthCall for 60 days, with brief follow-up meetings with their counselor to check in about their drinking 30 and 60 days later.
Educational Control Condition
n=11 Participants
Participant will spend 20 minutes at the clinic, observed by the counselor, reviewing an educational pamphlet on drinking, HIV, and HCV.
Readiness to Change Drinking Measured by The Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES)
Recognition scale
26.08 Points on the SOCRATES subscales
Standard Deviation 6.4
26.55 Points on the SOCRATES subscales
Standard Deviation 3.93
Readiness to Change Drinking Measured by The Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES)
Ambivalence scale
12.25 Points on the SOCRATES subscales
Standard Deviation 2.99
13.36 Points on the SOCRATES subscales
Standard Deviation 2.98
Readiness to Change Drinking Measured by The Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES)
Taking Steps scale
34.33 Points on the SOCRATES subscales
Standard Deviation 4.79
28.73 Points on the SOCRATES subscales
Standard Deviation 6.42

Adverse Events

Intervention: (Clinician's Guide + HealthCall for HIV/HCV)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Educational Control Condition

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Jennifer C Elliott, PhD

Columbia University / New York State Psychiatric Institute

Phone: 646 774 7953

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place