Trial Outcomes & Findings for PrEP and Alcohol - Enhancing HIV Pre-Exposure Prophylaxis (PrEP) (NCT NCT05097430)

NCT ID: NCT05097430

Last Updated: 2025-02-10

Results Overview

Intervention uptake will be employed as an indicator of intervention feasibility. Intervention uptake will entail the proportion of eligible, hazardous drinking, PrEP-prescribed MSM who express a willingness to take part in the intervention trial.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

122 participants

Primary outcome timeframe

At study baseline

Results posted on

2025-02-10

Participant Flow

Participant milestones

Participant milestones
Measure
Alcohol-focused Brief Intervention
Intervention arm participants will be provided with an electronically-delivered, personalized drinking feedback report that compares their drinking with other Canadian males of the same age. This report also includes other relevant feedback, including an assessment of severity of alcohol use, and it provides recommendations for safe levels of alcohol consumption. Alcohol-focused brief intervention: The primary intervention component is the Check Your Drinking (CYD) intervention - an electronically-delivered brief intervention designed to assess and provide personalized feedback regarding the quantity, frequency, and severity of one's alcohol consumption. Additionally, intervention condition participants who are identified as having a concurrent substance use concern or who may be experiencing depression will receive information about local resources that can assist with such concerns.
Treatment as Usual
Treatment as usual (TAU) participants will not receive the intervention.
Overall Study
STARTED
81
41
Overall Study
COMPLETED
80
39
Overall Study
NOT COMPLETED
1
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

PrEP and Alcohol - Enhancing HIV Pre-Exposure Prophylaxis (PrEP)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Alcohol-focused Brief Intervention
n=81 Participants
Intervention arm participants will be provided with an electronically-delivered, personalized drinking feedback report that compares their drinking with other Canadian males of the same age. This report also includes other relevant feedback, including an assessment of severity of alcohol use, and it provides recommendations for safe levels of alcohol consumption. Alcohol-focused brief intervention: The primary intervention component is the Check Your Drinking (CYD) intervention - an electronically-delivered brief intervention designed to assess and provide personalized feedback regarding the quantity, frequency, and severity of one's alcohol consumption. Additionally, intervention condition participants who are identified as having a concurrent substance use concern or who may be experiencing depression will receive information about local resources that can assist with such concerns.
Treatment as Usual
n=41 Participants
Treatment as usual (TAU) participants will not receive the intervention.
Total
n=122 Participants
Total of all reporting groups
Age, Continuous
33.8 years
STANDARD_DEVIATION 8.7 • n=5 Participants
33.3 years
STANDARD_DEVIATION 9.3 • n=7 Participants
33.6 years
STANDARD_DEVIATION 8.9 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Male
81 Participants
n=5 Participants
41 Participants
n=7 Participants
122 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
2 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
Asian
17 Participants
n=5 Participants
6 Participants
n=7 Participants
23 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
4 Participants
n=5 Participants
4 Participants
n=7 Participants
8 Participants
n=5 Participants
Race (NIH/OMB)
White
51 Participants
n=5 Participants
30 Participants
n=7 Participants
81 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
7 Participants
n=5 Participants
1 Participants
n=7 Participants
8 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
Canada
81 participants
n=5 Participants
41 participants
n=7 Participants
122 participants
n=5 Participants
AUDIT-C hazardous drinking
81 Participants
n=5 Participants
41 Participants
n=7 Participants
122 Participants
n=5 Participants

PRIMARY outcome

Timeframe: At study baseline

Population: 128 were eligible; 122 took part in the study.

Intervention uptake will be employed as an indicator of intervention feasibility. Intervention uptake will entail the proportion of eligible, hazardous drinking, PrEP-prescribed MSM who express a willingness to take part in the intervention trial.

Outcome measures

Outcome measures
Measure
Treatment as Usual
Treatment as usual (TAU) participants will not receive the intervention.
Alcohol-focused Brief Intervention
n=128 Participants
Intervention arm participants will be provided with an electronically-delivered, personalized drinking feedback report that compares their drinking with other Canadian males of the same age. This report also includes other relevant feedback, including an assessment of severity of alcohol use, and it provides recommendations for safe levels of alcohol consumption. Alcohol-focused brief intervention: The primary intervention component is the Check Your Drinking (CYD) intervention - an electronically-delivered brief intervention designed to assess and provide personalized feedback regarding the quantity, frequency, and severity of one's alcohol consumption. Additionally, intervention condition participants who are identified as having a concurrent substance use concern or who may be experiencing depression will receive information about local resources that can assist with such concerns.
Intervention Feasibility: Intervention Uptake
122 Participants

PRIMARY outcome

Timeframe: At study baseline

Population: All 81 participants assigned to the intervention condition completed the intervention module.

Intervention completion will be employed as an indicator of intervention feasibility. This outcome will entail the proportion of participants assigned to the intervention condition who complete the intervention module.

Outcome measures

Outcome measures
Measure
Treatment as Usual
Treatment as usual (TAU) participants will not receive the intervention.
Alcohol-focused Brief Intervention
n=81 Participants
Intervention arm participants will be provided with an electronically-delivered, personalized drinking feedback report that compares their drinking with other Canadian males of the same age. This report also includes other relevant feedback, including an assessment of severity of alcohol use, and it provides recommendations for safe levels of alcohol consumption. Alcohol-focused brief intervention: The primary intervention component is the Check Your Drinking (CYD) intervention - an electronically-delivered brief intervention designed to assess and provide personalized feedback regarding the quantity, frequency, and severity of one's alcohol consumption. Additionally, intervention condition participants who are identified as having a concurrent substance use concern or who may be experiencing depression will receive information about local resources that can assist with such concerns.
Intervention Feasibility: Intervention Completion
81 Participants

PRIMARY outcome

Timeframe: At 6-months post-baseline

Population: Scales on Items 1-6: 1=Strongly Disagree, 2=Disagree, 3=Somewhat Disagree, 4=Neither Agree or Disagree, 5=Somewhat Agree, 6=Agree, 7=Completely Agree. Scales on Items 7-10: 1=Completely Disagree, 2=Disagree, 3=Neither Agree or Disagree, 4=Agree, 5=Completely Agree. Scales on Items 11-13: 1=Completely Disagree, 2=Disagree, 3=Neither Agree or Disagree, 4=Agree, 5=Completely Agree.

Intervention acceptability will be assessed using a 13-item self-report measure that is comprised of two published scales (references shown below) and three items created by the investigators. Bauermeister JA, Pingel ES, Jadwin-Cakmak L, et al. Acceptability and preliminary efficacy of a tailored online HIV/STI testing intervention for young men who have sex with men: the Get Connected! program. AIDS Behav 2015 Oct;19(10):1860-74. NDA-NIH. NIMH Data Archive (NDA). 2020. Acceptability of Intervention, Intervention Appropriateness, and Feasibility of Intervention Measure. https://nda.nih.gov/data\_structure.html?short\_name=aimiamfim01

Outcome measures

Outcome measures
Measure
Treatment as Usual
Treatment as usual (TAU) participants will not receive the intervention.
Alcohol-focused Brief Intervention
n=78 Participants
Intervention arm participants will be provided with an electronically-delivered, personalized drinking feedback report that compares their drinking with other Canadian males of the same age. This report also includes other relevant feedback, including an assessment of severity of alcohol use, and it provides recommendations for safe levels of alcohol consumption. Alcohol-focused brief intervention: The primary intervention component is the Check Your Drinking (CYD) intervention - an electronically-delivered brief intervention designed to assess and provide personalized feedback regarding the quantity, frequency, and severity of one's alcohol consumption. Additionally, intervention condition participants who are identified as having a concurrent substance use concern or who may be experiencing depression will receive information about local resources that can assist with such concerns.
Intervention Acceptability
2. Using the personalized Drinking Feedback Report was very frustrating.
2.58 units on a scale
Standard Deviation 1.50
Intervention Acceptability
1. Overall, I was very satisfied with the Personalized Drinking Feedback Report.
5.72 units on a scale
Standard Deviation 1.02
Intervention Acceptability
3. I would recommend the Personalized Drinking Feedback Report to my friends.
5.27 units on a scale
Standard Deviation 1.22
Intervention Acceptability
4. The Personalized Drinking Feedback Report was easy to use.
5.76 units on a scale
Standard Deviation 0.98
Intervention Acceptability
5. The Personalized Drinking Feedback Report provided me accurate information.
5.60 units on a scale
Standard Deviation 0.92
Intervention Acceptability
6. How likely to continue using the Personalized Drinking Feedback Report if it were available?
4.78 units on a scale
Standard Deviation 1.54
Intervention Acceptability
7. The Personalized Drinking Feedback Report was appealing to me.
3.47 units on a scale
Standard Deviation 0.89
Intervention Acceptability
8. I liked the Personalized Drinking Feedback Report.
3.69 units on a scale
Standard Deviation 0.74
Intervention Acceptability
9. I welcomed the Personalized Drinking Feedback Report.
3.74 units on a scale
Standard Deviation 0.81
Intervention Acceptability
10. The Personalized Drinking Feedback Report met my approval.
3.85 units on a scale
Standard Deviation 0.63
Intervention Acceptability
11. I benefited from the information provided by the Personalized Drinking Feedback Report.
3.54 units on a scale
Standard Deviation 0.72
Intervention Acceptability
12. I found the information provided by the Personalized Drinking Feedback Report to be useful.
3.65 units on a scale
Standard Deviation 0.75
Intervention Acceptability
13. I reduced my drinking as a result of going through the Personalized Drinking Feedback Report.
2.65 units on a scale
Standard Deviation 0.97

PRIMARY outcome

Timeframe: Six months (i.e., baseline, 3-months post-baseline, 6-months post-baseline)

Population: Overall changes in alcohol consumption were evaluated using AUDIT-C hazardous drinking criteria (i.e., AUDIT-C score ≥ 4). Missing values were imputed by controlled multiple imputations.

Self-report-based Alcohol Use Disorders Identification Test (AUDIT) scores will be compared across baseline, 3-months post-baseline, and 6-months post-baseline sessions. Babor TF, Higgins-Biddle JC, Saunders JB, Monteiro MG, World Health Organization. Dept. of Mental Health and Substance Dependence. The Alcohol Use Disorders Identification Test. Guidelines for Use in Primary Care. 2nd ed. Geneva: World Health Organization; 2001. A cut-off based on AUDIT-C (i.e., AUDIT-consumption) criteria categorizes the presence (i.e., AUDIT-C scores ≥4) or absence (i.e., AUDIT-C scores \<4) of hazardous drinking. Minimum and maximum scores of the AUDIT-C are 0 and 12, respectively.

Outcome measures

Outcome measures
Measure
Treatment as Usual
n=41 Participants
Treatment as usual (TAU) participants will not receive the intervention.
Alcohol-focused Brief Intervention
n=81 Participants
Intervention arm participants will be provided with an electronically-delivered, personalized drinking feedback report that compares their drinking with other Canadian males of the same age. This report also includes other relevant feedback, including an assessment of severity of alcohol use, and it provides recommendations for safe levels of alcohol consumption. Alcohol-focused brief intervention: The primary intervention component is the Check Your Drinking (CYD) intervention - an electronically-delivered brief intervention designed to assess and provide personalized feedback regarding the quantity, frequency, and severity of one's alcohol consumption. Additionally, intervention condition participants who are identified as having a concurrent substance use concern or who may be experiencing depression will receive information about local resources that can assist with such concerns.
Alcohol Consumption: Alcohol Use Disorders Identification Test (AUDIT)
Baseline
41 Participants
81 Participants
Alcohol Consumption: Alcohol Use Disorders Identification Test (AUDIT)
3-months
38 Participants
63 Participants
Alcohol Consumption: Alcohol Use Disorders Identification Test (AUDIT)
6-months
35 Participants
68 Participants

PRIMARY outcome

Timeframe: Six months (i.e., baseline, 3-months post-baseline, 6-months post-baseline)

Population: Missing values were imputed by controlled multiple imputations.

A single self-report question will ask "How many drinks containing alcohol do you have on a typical week when you are drinking?" Responses will be compared across baseline, 3-months post-baseline, and 6-months post-baseline sessions.

Outcome measures

Outcome measures
Measure
Treatment as Usual
n=41 Participants
Treatment as usual (TAU) participants will not receive the intervention.
Alcohol-focused Brief Intervention
n=81 Participants
Intervention arm participants will be provided with an electronically-delivered, personalized drinking feedback report that compares their drinking with other Canadian males of the same age. This report also includes other relevant feedback, including an assessment of severity of alcohol use, and it provides recommendations for safe levels of alcohol consumption. Alcohol-focused brief intervention: The primary intervention component is the Check Your Drinking (CYD) intervention - an electronically-delivered brief intervention designed to assess and provide personalized feedback regarding the quantity, frequency, and severity of one's alcohol consumption. Additionally, intervention condition participants who are identified as having a concurrent substance use concern or who may be experiencing depression will receive information about local resources that can assist with such concerns.
Alcohol Consumption: Drinks Consumed in a Typical Week
Baseline
9.7 Drinks/week
Standard Deviation 9.0
8.3 Drinks/week
Standard Deviation 6.2
Alcohol Consumption: Drinks Consumed in a Typical Week
3-months
9.1 Drinks/week
Standard Deviation 8.0
8.9 Drinks/week
Standard Deviation 7.4
Alcohol Consumption: Drinks Consumed in a Typical Week
6-months
9.2 Drinks/week
Standard Deviation 7.9
9.3 Drinks/week
Standard Deviation 8.5

PRIMARY outcome

Timeframe: Six months (i.e., baseline, 3-months post-baseline, 6-months post-baseline)

Population: Missing values were imputed by controlled multiple imputations.

A single self-report question will ask "What is the greatest number of drinks you've had on one day in the last 3 months?" Responses will be compared across baseline, 3-months post-baseline, and 6-months post-baseline sessions.

Outcome measures

Outcome measures
Measure
Treatment as Usual
n=41 Participants
Treatment as usual (TAU) participants will not receive the intervention.
Alcohol-focused Brief Intervention
n=81 Participants
Intervention arm participants will be provided with an electronically-delivered, personalized drinking feedback report that compares their drinking with other Canadian males of the same age. This report also includes other relevant feedback, including an assessment of severity of alcohol use, and it provides recommendations for safe levels of alcohol consumption. Alcohol-focused brief intervention: The primary intervention component is the Check Your Drinking (CYD) intervention - an electronically-delivered brief intervention designed to assess and provide personalized feedback regarding the quantity, frequency, and severity of one's alcohol consumption. Additionally, intervention condition participants who are identified as having a concurrent substance use concern or who may be experiencing depression will receive information about local resources that can assist with such concerns.
Alcohol Consumption: Maximum Drinks on One Day in the Last 3 Months
3-months
7.3 Maximum drinks
Standard Deviation 3.4
7.8 Maximum drinks
Standard Deviation 4.7
Alcohol Consumption: Maximum Drinks on One Day in the Last 3 Months
Baseline
8.2 Maximum drinks
Standard Deviation 3.7
7.9 Maximum drinks
Standard Deviation 4.0
Alcohol Consumption: Maximum Drinks on One Day in the Last 3 Months
6-months
7.7 Maximum drinks
Standard Deviation 3.2
7.4 Maximum drinks
Standard Deviation 3.9

PRIMARY outcome

Timeframe: Six months (i.e., baseline, 3-months post-baseline, 6-months post-baseline)

Population: PEth levels were dichotomized in accordance with hazardous drinking cut-offs (i.e., PEth ≥ 35 ng/ml). Missing values were imputed by controlled multiple imputations.

PEth levels will be measured from dried blood spot (DBS) samples using liquid chromatography-tandem mass spectrometry to identify hazardous drinking. PEth will be compared across baseline, 3-months post-baseline, and 6-months post-baseline sessions.

Outcome measures

Outcome measures
Measure
Treatment as Usual
n=41 Participants
Treatment as usual (TAU) participants will not receive the intervention.
Alcohol-focused Brief Intervention
n=81 Participants
Intervention arm participants will be provided with an electronically-delivered, personalized drinking feedback report that compares their drinking with other Canadian males of the same age. This report also includes other relevant feedback, including an assessment of severity of alcohol use, and it provides recommendations for safe levels of alcohol consumption. Alcohol-focused brief intervention: The primary intervention component is the Check Your Drinking (CYD) intervention - an electronically-delivered brief intervention designed to assess and provide personalized feedback regarding the quantity, frequency, and severity of one's alcohol consumption. Additionally, intervention condition participants who are identified as having a concurrent substance use concern or who may be experiencing depression will receive information about local resources that can assist with such concerns.
Alcohol Consumption: Phosphatidylethanol (PEth)
Baseline
23 Participants
41 Participants
Alcohol Consumption: Phosphatidylethanol (PEth)
3-months
18 Participants
37 Participants
Alcohol Consumption: Phosphatidylethanol (PEth)
6-months
27 Participants
50 Participants

SECONDARY outcome

Timeframe: Six months (i.e., baseline, 3-months post-baseline, 6-months post-baseline)

Population: Missing any PrEP dose during the past 7 days was classified as being non-adherent. Missing values were imputed by controlled multiple imputations.

Self-reported adherence to PrEP will be assessed using a 7-day, PrEP-focused, ACTG-based adherence measure (the reference for the original, antiretroviral therapy (ART)-focused ACTG measure is shown below). 7-day adherence will be compared across baseline, 3-months post-baseline, and 6-months post-baseline sessions. Chesney MA. Ickovics JR. Chambers DB, et al. Self-reported adherence to antiretroviral medications among participants in HIV clinical trials: Tthe AACTG adherence instruments. Patient Care Committee \& Adherence Working Group of the Outcomes Committe of the Adult AIDS Clinical Trials Group (AACTG) AIDS Care. 2000;12:255-266.

Outcome measures

Outcome measures
Measure
Treatment as Usual
n=41 Participants
Treatment as usual (TAU) participants will not receive the intervention.
Alcohol-focused Brief Intervention
n=81 Participants
Intervention arm participants will be provided with an electronically-delivered, personalized drinking feedback report that compares their drinking with other Canadian males of the same age. This report also includes other relevant feedback, including an assessment of severity of alcohol use, and it provides recommendations for safe levels of alcohol consumption. Alcohol-focused brief intervention: The primary intervention component is the Check Your Drinking (CYD) intervention - an electronically-delivered brief intervention designed to assess and provide personalized feedback regarding the quantity, frequency, and severity of one's alcohol consumption. Additionally, intervention condition participants who are identified as having a concurrent substance use concern or who may be experiencing depression will receive information about local resources that can assist with such concerns.
PrEP Adherence: 7-day ACTG-based Measure
Baseline
12 Participants
23 Participants
PrEP Adherence: 7-day ACTG-based Measure
3-months
18 Participants
15 Participants
PrEP Adherence: 7-day ACTG-based Measure
6-months
15 Participants
27 Participants

SECONDARY outcome

Timeframe: Six months (i.e., baseline, 3-months post-baseline, 6-months post-baseline)

Population: Participants who indicated \<60% PrEP adherence during the past month were classified as sub-optimally adherent. Missing values were imputed by controlled multiple imputations.

A self-report-based, PrEP-focused visual analog scale (VAS) will be used to assess PrEP adherence over the past month (the reference for the original, antiretroviral therapy (ART)-focused VAS is shown below). Past month adherence will be compared across baseline, 3-months post-baseline, and 6-months post-baseline sessions. Amico KR. Fisher WA. Cornman DH, et al. Visual analog scale of ART adherence: Association with 3-day self-report and adherence barriers. J Acquir Immune Defic Syndr. 2006;42:455-459.

Outcome measures

Outcome measures
Measure
Treatment as Usual
n=41 Participants
Treatment as usual (TAU) participants will not receive the intervention.
Alcohol-focused Brief Intervention
n=81 Participants
Intervention arm participants will be provided with an electronically-delivered, personalized drinking feedback report that compares their drinking with other Canadian males of the same age. This report also includes other relevant feedback, including an assessment of severity of alcohol use, and it provides recommendations for safe levels of alcohol consumption. Alcohol-focused brief intervention: The primary intervention component is the Check Your Drinking (CYD) intervention - an electronically-delivered brief intervention designed to assess and provide personalized feedback regarding the quantity, frequency, and severity of one's alcohol consumption. Additionally, intervention condition participants who are identified as having a concurrent substance use concern or who may be experiencing depression will receive information about local resources that can assist with such concerns.
PrEP Adherence: Past Month Visual Analog Scale (VAS)
6-months
3 Participants
6 Participants
PrEP Adherence: Past Month Visual Analog Scale (VAS)
Baseline
1 Participants
6 Participants
PrEP Adherence: Past Month Visual Analog Scale (VAS)
3-months
6 Participants
2 Participants

SECONDARY outcome

Timeframe: Six months (i.e., baseline, 3-months post-baseline, 6-months post-baseline)

Population: Tenofovir values were dichotomized to identify any nonadherence (\< 1250 fmol/punch). Missing values were imputed by controlled multiple imputations.

Dried blood spots will be assessed for Tenofovir-diphosphate (TFV-DP) and emtricitabine-triphosphate concentrations using validated liquid chromatography tandem mass spectrometry. Concentrations will be compared across baseline, 3-months post-baseline, and 6-months post-baseline sessions.

Outcome measures

Outcome measures
Measure
Treatment as Usual
n=41 Participants
Treatment as usual (TAU) participants will not receive the intervention.
Alcohol-focused Brief Intervention
n=81 Participants
Intervention arm participants will be provided with an electronically-delivered, personalized drinking feedback report that compares their drinking with other Canadian males of the same age. This report also includes other relevant feedback, including an assessment of severity of alcohol use, and it provides recommendations for safe levels of alcohol consumption. Alcohol-focused brief intervention: The primary intervention component is the Check Your Drinking (CYD) intervention - an electronically-delivered brief intervention designed to assess and provide personalized feedback regarding the quantity, frequency, and severity of one's alcohol consumption. Additionally, intervention condition participants who are identified as having a concurrent substance use concern or who may be experiencing depression will receive information about local resources that can assist with such concerns.
PrEP Adherence: Tenofovir-diphosphate (TFV-DP) and Emtricitabine-triphosphate Concentrations
Baseline
15 Participants
21 Participants
PrEP Adherence: Tenofovir-diphosphate (TFV-DP) and Emtricitabine-triphosphate Concentrations
3-months
14 Participants
19 Participants
PrEP Adherence: Tenofovir-diphosphate (TFV-DP) and Emtricitabine-triphosphate Concentrations
6-months
18 Participants
25 Participants

SECONDARY outcome

Timeframe: Six-month follow-up period

Missed PrEP appointments across the six-month follow-up period will be identified through clinic chart extraction.

Outcome measures

Outcome measures
Measure
Treatment as Usual
n=41 Participants
Treatment as usual (TAU) participants will not receive the intervention.
Alcohol-focused Brief Intervention
n=81 Participants
Intervention arm participants will be provided with an electronically-delivered, personalized drinking feedback report that compares their drinking with other Canadian males of the same age. This report also includes other relevant feedback, including an assessment of severity of alcohol use, and it provides recommendations for safe levels of alcohol consumption. Alcohol-focused brief intervention: The primary intervention component is the Check Your Drinking (CYD) intervention - an electronically-delivered brief intervention designed to assess and provide personalized feedback regarding the quantity, frequency, and severity of one's alcohol consumption. Additionally, intervention condition participants who are identified as having a concurrent substance use concern or who may be experiencing depression will receive information about local resources that can assist with such concerns.
Retention in PrEP Care: PrEP Appointment Attendance
Baseline
3 Participants
6 Participants
Retention in PrEP Care: PrEP Appointment Attendance
3-months
1 Participants
1 Participants
Retention in PrEP Care: PrEP Appointment Attendance
6-months
2 Participants
2 Participants

SECONDARY outcome

Timeframe: Six months (i.e., baseline, 3-months post-baseline, 6-months post-baseline)

Population: Missing values were imputed by controlled multiple imputations.

The engagement in condomless anal sex will be assessed using a self-report measure based on an MSM-focused sexual behavior assessment that has been employed in previous trials (see reference below). Condomless sex will be compared across baseline, 3-months post-baseline, and 6-months post-baseline sessions. The Explore Team. Effects of a behavioural intervention to reduce acquisition of HIV infection among men who have sex with men: the EXPLORE randomised controlled study. Lancet 2004;364:41-50.

Outcome measures

Outcome measures
Measure
Treatment as Usual
n=41 Participants
Treatment as usual (TAU) participants will not receive the intervention.
Alcohol-focused Brief Intervention
n=81 Participants
Intervention arm participants will be provided with an electronically-delivered, personalized drinking feedback report that compares their drinking with other Canadian males of the same age. This report also includes other relevant feedback, including an assessment of severity of alcohol use, and it provides recommendations for safe levels of alcohol consumption. Alcohol-focused brief intervention: The primary intervention component is the Check Your Drinking (CYD) intervention - an electronically-delivered brief intervention designed to assess and provide personalized feedback regarding the quantity, frequency, and severity of one's alcohol consumption. Additionally, intervention condition participants who are identified as having a concurrent substance use concern or who may be experiencing depression will receive information about local resources that can assist with such concerns.
Condomless Sex
Baseline
38 Participants
78 Participants
Condomless Sex
3-months
37 Participants
70 Participants
Condomless Sex
6-months
33 Participants
71 Participants

SECONDARY outcome

Timeframe: Six-month follow-up period

Population: Having any STI in the last 3 months was identified through clinic chart extraction.

Incident sexually transmitted infections (STIs) during the 6-month follow-up period will be identified through clinic chart extraction.

Outcome measures

Outcome measures
Measure
Treatment as Usual
n=41 Participants
Treatment as usual (TAU) participants will not receive the intervention.
Alcohol-focused Brief Intervention
n=81 Participants
Intervention arm participants will be provided with an electronically-delivered, personalized drinking feedback report that compares their drinking with other Canadian males of the same age. This report also includes other relevant feedback, including an assessment of severity of alcohol use, and it provides recommendations for safe levels of alcohol consumption. Alcohol-focused brief intervention: The primary intervention component is the Check Your Drinking (CYD) intervention - an electronically-delivered brief intervention designed to assess and provide personalized feedback regarding the quantity, frequency, and severity of one's alcohol consumption. Additionally, intervention condition participants who are identified as having a concurrent substance use concern or who may be experiencing depression will receive information about local resources that can assist with such concerns.
Sexually Transmitted Infection (STI) Incidence
Baseline
5 Participants
23 Participants
Sexually Transmitted Infection (STI) Incidence
3-months
3 Participants
12 Participants
Sexually Transmitted Infection (STI) Incidence
6-months
6 Participants
15 Participants

Adverse Events

Alcohol-focused Brief Intervention

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

Treatment as Usual

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

Dr. Paul Shuper

Centre for Addiction and Mental Health (CAMH)

Phone: 416-535-8501

Results disclosure agreements

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