A Randomized Trial Comparing Brief Advice and Motivational Interviewing for Persons with HIV–HCV Co-infection Who Drink Alcohol

Stein, Michael D.; Herman, Debra S.; Kim, H Nina; Howell, Abigail A.; Lambert, Audrey M.; Madden, Stephanie; Moitra, Ethan; Blevins, Claire E.; Anderson, Bradley J.; Taylor, Lynn E.; Pinkston, Megan

doi:10.1007/s10461-020-03062-2

Cited by 11 publications

(18 citation statements)

References 66 publications

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“…2019 ; Proeschold-Bell et al. 2020 ; Stein et al. 2020 ) were carried between 1990 ( Kuchipudi et al.…”

Section: Resultsmentioning

confidence: 99%

Efficacy of psychosocial interventions to reduce alcohol use in comorbid alcohol use disorder and alcohol-related liver disease: a systematic review of randomized controlled trials

Hemrage,

Brobbin,

Deluca

et al. 2023

Alcohol and Alcoholism

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This systematic review (PROSPERO CRD42021234598) fills a gap in the literature by assessing the efficacy of psychosocial interventions in patients with alcohol use disorder and alcohol-related liver disease (ARLD), focusing on drinking reduction and abstinence as intervention goals. A systematic search for randomized controlled trials (RCTs) was conducted across various databases. Study screening and data extraction were conducted independently by two reviewers. The data were presented through narrative synthesis. Primary outcomes were alcohol reduction and abstinence at the longest follow-up. Ten RCTs were included, evaluating interventions such as cognitive behavioral therapy (CBT), motivational enhancement therapy (MET), motivational interviewing, or peer support. The total population included 1519 participants. Four studies included a combination of more than one intervention, and two trialed an integrated approach, including medical and psychosocial management. A significant reduction was observed with MET, while abstinence was observed with peer support, MET, and CBT/MET within integrated treatment. The overall certainty of the evidence was moderate. Six studies presented a low risk of bias, one had some concerns, and three were high risk. The findings highlight the potential of psychosocial interventions, with MET being repeatedly associated with improved outcomes. Integrated treatment also demonstrated a promising role in ARLD. Future research should head toward improving the robustness and quality of the evidence. It should also aim to further tailor and trial new psychosocial interventions on this specific clinical population. This will enhance the translation of the evidence into real-world settings.

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“…2019 ; Proeschold-Bell et al. 2020 ; Stein et al. 2020 ) were carried between 1990 ( Kuchipudi et al.…”

Section: Resultsmentioning

confidence: 99%

Efficacy of psychosocial interventions to reduce alcohol use in comorbid alcohol use disorder and alcohol-related liver disease: a systematic review of randomized controlled trials

Hemrage,

Brobbin,

Deluca

et al. 2023

Alcohol and Alcoholism

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“…MI offers flexibility by using specific skills to elicit relevant information about the impacts of substance abuse and the willingness of a patient to engage in treatment. [32][33][34] Interview-based data may then be quantified using provider completed check lists which are reviewed in detail below.…”

Section: Common Approaches To Aud Assessment Interviewmentioning

confidence: 99%

Assessment and Evaluation of Alcohol Use Disorder in Liver Transplant

Branagan,

Norvell

2023

Transplantation

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Alcohol-related liver disease is the most common indication for liver transplantation. It is essential for providers in transplantation to be informed of the state of the science in evaluation of alcohol use disorder (AUD). This review examines the broad range of approaches to the evaluation of AUD ranging from traditional interview approaches to recent literature on artificial intelligence models. The empirical support for methods of evaluation is examined. The authors discuss the use of each method in the context of patients seeking a liver transplant for alcohol-related liver disease. This review emphasizes the importance of using objective assessments so that transplant centers make evidence-based decisions and reduce cognitive bias. The review concludes with a proposed assessment battery for evaluation and bridges to future directions in the field of AUD assessment in liver transplantation.

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“…Eight of the identified studies evaluated the efficacy or effectiveness of interventions to reduce alcohol use among PLWH but did not use a gender lens in the design or analyses [21,[61][62][63][64][65][66][67]. The sample sizes of these studies ranged from 93 to 614, with 75% reporting sample sizes of fewer than 250.…”

Section: Non-gender Studiesmentioning

confidence: 99%

“…All studies used self-report alcohol assessments, such as the Alcohol Use Disorders Identification Test (AUDIT) or the Alcohol Smoking and Substance Involvement Screening Test (ASSIST). Six studies used the Timeline Followback (TLFB) to assess outcomes such as days of drinking, drinks per drinking day, and number of heavy drinking days in the past month [21,[61][62][63][64]66]. Other self-report measures to assess alcohol-related outcomes included AUDIT and ASSIST.…”

Section: Non-gender Studiesmentioning

confidence: 99%

Current Interventions for People Living with HIV Who Use Alcohol: Why Gender Matters

et al. 2021

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Purpose of Review Alcohol is the most misused substance in the world. For people living with HIV (PLWH), alcohol misuse may impact ART adherence and viral suppression. This review of the most recently published alcohol intervention studies with PLWH examines how these studies considered gender in the samples, design, and analyses. Recent Findings Three searches were conducted initially, and 13 intervention studies fit our criteria with alcohol outcomes. In general, most studies did not consider gender and had used small samples, and few demonstrated significant efficacy/effectiveness outcomes. Five studies considered gender in their samples or analyses and/or were woman-focused with larger samples and demonstrated significant outcomes. Summary It is essential for women who misuse alcohol to not only be well represented in alcohol and HIV research but also for studies to consider the barriers to reaching them and their contextual demands and/or co-occurring issues that may affect participation and outcomes in intervention research.

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A Randomized Trial Comparing Brief Advice and Motivational Interviewing for Persons with HIV–HCV Co-infection Who Drink Alcohol

Cited by 11 publications

References 66 publications

Efficacy of psychosocial interventions to reduce alcohol use in comorbid alcohol use disorder and alcohol-related liver disease: a systematic review of randomized controlled trials

Efficacy of psychosocial interventions to reduce alcohol use in comorbid alcohol use disorder and alcohol-related liver disease: a systematic review of randomized controlled trials

Assessment and Evaluation of Alcohol Use Disorder in Liver Transplant

Current Interventions for People Living with HIV Who Use Alcohol: Why Gender Matters

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