HealthCall delivered via smartphone to reduce co-occurring drug and alcohol use in HIV-infected adults: A randomized pilot trial

Aharonovich, Efrat; Stohl, Malka; Cannizzaro, Daniela; Hasin, Deborah S.

doi:10.1016/j.jsat.2017.09.013

Cited by 48 publications

(96 citation statements)

References 52 publications

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“…Therefore, a total of 19 studies were eligible for review (see Figure 1 and Multimedia Appendix 3). Among these studies, 58% (11/19) met all 4 MMAT criteria [19,34,37,38,[52][53][54][55][56][57][58][59] and 32% (6/19) met 3 criteria [20,21,35,50,51,60,61], indicating high methodological quality in 90% of these studies (see Multimedia Appendix 4).…”

Section: Search Outcomementioning

confidence: 99%

“…Although we searched studies published since 2008, all 19 eligible studies were conducted in 2012 and beyond and were from 7 developed countries (see Multimedia Appendix 5). Of these, 9 studies (9/19, 47%) were conducted in the United States [19,34,35,38,50,51,55,57,59,62], 8 in Europe [20,21,37,[52][53][54]56,58,61], and only 2 in New Zealand [60,63]. Study arms ranged from 2 to 6.…”

Section: Characteristics Of Studiesmentioning

confidence: 99%

“…In total, 12 studies (12/19, 63%) were 2-arm trials with an intervention arm and a control arm [21,34,35,52,53,55,56,[58][59][60][61][62][63]. The control-arm participants received (1) no intervention [35,56,58]; (2) nonmobile intervention with the same content through interview [55,62], email [21], and e-booklet [61]; (3) nonalcohol-related content [34,52,53] or only assessment for monitoring purpose [60,63] through the same mobile devices; or (4) different rewarding mechanisms for their abstinence [59]. A total of 5 studies (5/19, 26%) had 3 arms.…”

Section: Characteristics Of Studiesmentioning

confidence: 99%

“…There are 3 types of contexts: participant characteristics, deployment setting, and nonmobile cointervention, which were conducted simultaneously to support the mHealth intervention. [20,35,38,[52][53][54][55][56]58]. They suffered from comorbidity of depression [52,53], HIV [38,55], drug dependence [55], or smoking [57].…”

Section: Contextmentioning

confidence: 99%

“…[20,35,38,[52][53][54][55][56]58]. They suffered from comorbidity of depression [52,53], HIV [38,55], drug dependence [55], or smoking [57]. The interventions were deployed in educational settings [20,21,34,37,54,57,60,62,63], clinical settings [35,38,[50][51][52][53]56,58], and community-based settings [19,55,59,61].…”

Section: Contextmentioning

confidence: 99%

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Mobile Health Interventions for Self-Control of Unhealthy Alcohol Use: Systematic Review (Preprint)

Song¹,

Qian²,

Yu³

2018

Preprint

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BACKGROUND Unhealthy alcohol use (UAU) is one of the major causes of preventable morbidity, mortality, and associated behavioral risks worldwide. Although mobile health (mHealth) interventions can provide consumers with an effective means for self-control of UAU in a timely, ubiquitous, and cost-effective manner, to date, there is a lack of understanding about different health outcomes brought by such interventions. The core components of these interventions are also unclear. OBJECTIVE This study aimed to systematically review and synthesize the research evidence about the efficacy of mHealth interventions on various health outcomes for consumer self-control of UAU and to identify the core components to achieve these outcomes. METHODS We systematically searched 7 electronic interdisciplinary databases: Scopus, PubMed, PubMed Central, CINAHL Plus with full text, MEDLINE with full text, PsycINFO, and PsycARTICLES. Search terms and Medical Subject Headings “mHealth,” “text message,” “SMS,” “App,” “IVR,” “self-control,” “self-regulation,” “alcohol*,” and “intervention” were used individually or in combination to identify peer-reviewed publications in English from 2008 to 2017. We screened titles and abstracts and assessed full-text papers as per inclusion and exclusion criteria. Data were extracted from the included papers according to the Consolidated Standards of Reporting Trials-EHEALTH checklist (V 1.6.1) by 2 authors independently. Data quality was assessed by the Mixed Methods Appraisal Tool. Data synthesis and analyses were conducted following the procedures for qualitative content analysis. Statistical testing was also conducted to test differences among groups of studies. RESULTS In total, 19 studies were included in the review. Of these 19 studies, 12 (63%) mHealth interventions brought significant positive outcomes in improving participants’ health as measured by behavioral (n=11), physiological (n=1), and cognitive indicators (n=1). No significant health outcome was reported in 6 studies (6/19, 32%). Surprisingly, a significant negative outcome was reported for the male participants in the intervention arm in 1 study (1/19, 5%), but no change was found for the female participants. In total, 5 core components reported in the mHealth interventions for consumer self-control of UAU were context, theoretical base, delivery mode, content, and implementation procedure. However, sound evidence is yet to be generated about the role of each component for mHealth success. The health outcomes were similar regardless of types of UAU, deployment setting, with or without nonmobile cointervention, and with or without theory. CONCLUSIONS Most studies reported mHealth interventions for self-control of UAU appeared to be improving behavior, especially the ones delivered by short message service and interactive voice response systems. Further studies are needed to gather sound evidence about the effects of mHealth interventions on improving physiological and cognitive outcomes as well as the optimal design of these interventions, their implementation, and effects in supporting self-control of UAU.

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Section: Search Outcomementioning

confidence: 99%

Section: Characteristics Of Studiesmentioning

confidence: 99%

Section: Characteristics Of Studiesmentioning

confidence: 99%

Section: Contextmentioning

confidence: 99%

Section: Contextmentioning

confidence: 99%

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Mobile Health Interventions for Self-Control of Unhealthy Alcohol Use: Systematic Review (Preprint)

Song¹,

Qian²,

Yu³

2018

Preprint

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Effectiveness of a psychological intervention delivered by general nurses for alcohol use disorders in people living with HIV in Zimbabwe: a cluster randomized controlled trial

Madhombiro

Kidd

Dube

et al. 2020

J. Intern. AIDS Soc.

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Introduction There have been very few randomized clinical trials of interventions for alcohol use disorders (AUD) in people living with HIV (PLWH) in African countries. This is despite the fact that alcohol use is one of the modifiable risk factors for poor virological control in PLWH on antiretroviral therapy. Methods Sixteen clinic clusters in Zimbabwe were selected through stratified randomization and randomized 1: 1 to Intervention and Control arms. Inclusion criteria for individual participants were being adult, living with HIV and a probable alcohol use disorder as defined by a score of 6 (women) or 7 (men) on the Alcohol Use Disorders Identification Test (AUDIT). In the Intervention clusters, participants received 8 to 10 sessions of Motivational Interviewing blended with brief Cognitive Behavioural Therapy (MI‐CBT). In the control clusters, participants received four Enhanced Usual Care (EUC) sessions based on the alcohol treatment module from the World Health Organisation mhGAP intervention guide. General Nurses from the clinics were trained to deliver both treatments. The primary outcome was a change in AUDIT score at six‐month post‐randomization. Viral load, functioning and quality of life were secondary outcomes. A random‐effects analysis‐of‐covariance model was used to account for the cluster design. Results Two hundred and thirty‐four participants (n = 108 intervention and n = 126 control) were enrolled across 16 clinics. Participants were recruited from November 2016 to November 2017 and followed through to May 2018. Their mean age was 43.3 years (SD = 9.1) and 78.6% (n = 184) were male. At six months, the mean AUDIT score fell by −6.15 (95% CI −6.32; −6.00) in the MI‐CBT arm, compared to a fall of − 3.09 95 % CI − 3.21; −2.93) in the EUC arm (mean difference −3.09 (95% CI −4.53 to −1.23) ( p = 0.05). Viral load reduced and quality of life and functioning improved in both arms but the difference between arms was non‐significant. Conclusions Interventions for hazardous drinking and AUD comprising brief, multiple alcohol treatment sessions delivered by nurses in public HIV facilities in low‐income African countries can reduce problematic drinking among PLWH. Such interventions should be integrated into the primary care management of AUD and HIV and delivered by non‐specialist providers. Research is needed on cost‐effectiveness and implementation of such interventions, and on validation of cut‐points for alcohol use scales in low resource settings, in partnership with those with lived experience of HIV and AUD.

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Towards Addiction Treatment: Technological Advances & Applying Technology

Lemley

Marsch

2020

Textbook of Addiction Treatment

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HealthCall delivered via smartphone to reduce co-occurring drug and alcohol use in HIV-infected adults: A randomized pilot trial

Cited by 48 publications

References 52 publications

Mobile Health Interventions for Self-Control of Unhealthy Alcohol Use: Systematic Review (Preprint)

Mobile Health Interventions for Self-Control of Unhealthy Alcohol Use: Systematic Review (Preprint)

Effectiveness of a psychological intervention delivered by general nurses for alcohol use disorders in people living with HIV in Zimbabwe: a cluster randomized controlled trial

Towards Addiction Treatment: Technological Advances & Applying Technology

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