Category: Addictive Behaviors

Symposium

Preliminary Outcomes of a Text-Messaging CBT Intervention for HIV+ Alcohol Users

Sunday, November 19
10:15 AM - 11:45 AM
Location: Aqua Salon E & F, Level 3, Aqua Level

Keywords: Alcohol | HIV / AIDS | Technology / Mobile Health
Presentation Type: Symposium

There is a substantial unmet need for novel and innovative behavioral support programs for alcohol dependent individuals with HIV. Moreover, given that medication adherence is particularly problematic among substance users and is strongly associated with a range of poor clinical outcomes, new approaches to assist patients to follow antiretroviral regimens while concurrently preventing relapse to alcohol use are needed. Text messaging has been used with numerous clinical populations including those with diabetes, obesity, and HIV, yet the use of this approach in the treatment of alcohol users with HIV has thus far been limited. This presentation will describe the development and preliminary outcomes of a text messaging intervention for HIV-infected alcohol users, targeting antiretroviral adherence and relapse prevention. In this ongoing study, individuals with HIV and alcohol use disorders who were receiving usual care for HIV (N=30) were recruited to participate in a pilot randomized clinical trial, and were randomly assigned to receive either a CBT-based text messaging intervention (ALC-TXT) or an informational pamphlet concerning HIV treatment adherence and alcohol use.  Those who received ALC-TXT evidenced significant reductions in alcohol use frequency in the past 30 days from baseline to treatment-end, t(13)=3.6, p < 0.01, with post-treatment differences favoring the ALC-TXT group in heavy drinking days, t(28)=2.1, p < 0.05. Amon those assigned to ALC-TXT, a trend of increasing self-efficacy for HIV medication adherence over the course of treatment emerged, t(28 )= -1.9, p < 0.07. Taken together, the findings suggest that a CBT-based text messaging intervention is acceptable and helpful in reducing alcohol use and improving HIV treatment adherence among HIV-infected adults with alcohol use disorders. 

Suzette Glasner

UCLA

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