Substance Abuse Treatment to HIV Care (SAT2HIV): The Motivational Interviewing-based Brief Intervention Experiment
- Conditions
- Substance Use
- Interventions
- Behavioral: Motivational Interviewing
- Registration Number
- NCT02495402
- Lead Sponsor
- RTI International
- Brief Summary
To test the effectiveness of a single 20-30 minute motivational interviewing-based brief intervention for substance use within HIV/AIDS settings.
- Detailed Description
The Substance Abuse Treatment to HIV care (SAT2HIV) project, a Type 2 Effectiveness-Implementation Hybrid Trial, seeks to address this gap in services by providing new knowledge regarding the effectiveness of brief intervention (BI) for substance use within community-based HIV/AIDS service settings, as well as new knowledge regarding how to address the well-documented underutilization of evidence-based practices in real-world settings. The specific aims of this project are: Aim 1: To experimentally test the effectiveness of a motivational interviewing-based BI for substance use within community-based HIV/AIDS service organizations, relative to usual care (UC). Aim 2: To experimentally test the effectiveness of adding an organizational-level implementation intervention called Implementation \& Sustainment Facilitation (ISF) to enhance the effectiveness of the implementation strategy currently used by SAMHSA-funded Addiction Technology Treatment Centers (ATTCs; i.e., online introductory training, 2-day training workshop, ongoing feedback and coaching).
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 827
- Have HIV/AIDS.
- Be 18 years of age or older.
- Acknowledges use of at least one substance within the past 28 days and endorse 2+ substance use disorder symptoms during the past 12-months.
- Provide signed and dated assurance of consent.
- Are unable to speak English.
- Are unwilling to allow brief intervention sessions to be audio recorded.
- Are unwilling to participate in the study.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Motivational Interviewing Motivational Interviewing A brief interview intervention for substance abuse
- Primary Outcome Measures
Name Time Method Days of Primary Substance Use 4 weeks post randomization Days of Primary Substance Use - A continuous measure (ranges from 0 - 28) that is based on a question that asks participants to report how many days during the past 28 days they used their primary substance.
Number of Substance-related problems 4 weeks post randomization Number of Substance-related problems - A continuous measure (ranges from 0 - 11) that represents the sum of the number of 11 DSM-V substance use disorder symptoms participants report having occured during the past 28 days.
ART Medication Adherence 4 weeks post randomization ART Medication Adherence - A continuous measure (ranges from 0 -28) that is based on a question that asks participants to report how many days during the past 28 days that they have missed at least one dose of their HIV medications.
Times engaging in risky behaviors 4 weeks post randomization Times engaging in risky behaviors - A continuous measure (no specified range) that is based on a question that asks participants to report how many times during the past 28 days they engaged in unprotected sex, IV drug use, or needle sharing.
Days of Substance Use Treatment 4 weeks post randomization Days of Substance Use Treatment - A continuous measure (no specified range) that represents the sum of the number of days participants report going to residential treatment, outpatient treatment, or self-help group meetings during the past 28 days.
- Secondary Outcome Measures
Name Time Method Intentions to Change 4 weeks post randomization Intentions to Change - A continuous measure (ranges from 0 - 20) that represents the sum of two questions that ask participants to use a Likert-type scale where 0 equals "Not at all" and 10 equals "The highest level possible" to indicate their intentions during the past 4 weeks to a) reduce their use of their primary substance and b) completely stop using their primary substance.
Urgency to Change 4 weeks post randomization Urgency to Change - A continuous measure (ranges from 0 - 20) that represents the sum of two questions that ask participants to use a Likert-type scale where 0 equals "Not at all" and 10 equals "The highest level possible" to indicate their urgency during the past 4 weeks to a) reduce their use of their primary substance and b) completely stop using their primary substance.
Self-Efficacy to Change 4 weeks post randomization Self Efficacy for Change - A continuous measure (ranges from 0 - 20) that represents the sum of two questions that ask participants to use a Likert-type scale where 0 equals "Not at all" and 10 equals "The highest level possible" to indicate their confidence during the past 4 weeks to a) reduce their use of their primary substance and b) completely stop using their primary substance.
Commitment to Change 4 weeks post randomization Commitment to Change - A continuous measure (ranges from 0 - 20) that represents the sum of two questions that ask participants to use a Likert-type scale where 0 equals "Not at all" and 10 equals "The highest level possible" to indicate their commitment during the past 4 weeks to a) reduce their use of their primary substance and b) completely stop using their primary substance.
Trial Locations
- Locations (39)
AIDS Project Greater Danbury, Inc.
🇺🇸Danbury, Connecticut, United States
ARC Ohio (Collaborating Organization)
🇺🇸Columbus, Ohio, United States
AIDS Foundation Houston
🇺🇸Houston, Texas, United States
Minnesota AIDS Project (Collaborating Organization)
🇺🇸Minneapolis, Minnesota, United States
Caracole House (Collaborating Organization)
🇺🇸Cincinnati, Ohio, United States
Alamo Area Resource Center
🇺🇸San Antonio, Texas, United States
Nashville CARES
🇺🇸Nashville, Tennessee, United States
Shanti
🇺🇸San Francisco, California, United States
Utah AIDS Foundation
🇺🇸Salt Lake City, Utah, United States
HIV Care Directions
🇺🇸Phoenix, Arizona, United States
Health Emergency Lifeline Programs (Collaborating Organization)
🇺🇸Detroit, Michigan, United States
Community Health Awareness Group (Collaborating Organization)
🇺🇸Detroit, Michigan, United States
Foothill AIDS Project
🇺🇸Claremont, California, United States
AIDS Services Foundation, Orange County
🇺🇸Irvine, California, United States
AIDS Project Los Angeles
🇺🇸Los Angeles, California, United States
AIDS Connecticut, Inc
🇺🇸Hartford, Connecticut, United States
Delaware HIV Consortium
🇺🇸Wilmington, Delaware, United States
Project Response, Inc.
🇺🇸Melbourne, Florida, United States
The Women's Collective
🇺🇸Washington, District of Columbia, United States
Champaign-Urbana Public Health District (Collaborating Organization)
🇺🇸Champaign, Illinois, United States
Live Forward (AIDS Athens)
🇺🇸Athens, Georgia, United States
Southwest Louisiana AIDS Council
🇺🇸Lake Charles, Louisiana, United States
AIDS Volunteers, Inc. (AVOL)
🇺🇸Lexington, Kentucky, United States
The Project of the Quad Cities (Collaborating Organization)
🇺🇸Davenport, Iowa, United States
AIDS Project Worcester
🇺🇸Worcester, Massachusetts, United States
Doorways (Collaborating Organization)
🇺🇸Saint Louis, Missouri, United States
Community AIDS Resources and Education Services (Collaborating Organization)
🇺🇸Kalamazoo, Michigan, United States
Places for People (Collaborating Organization)
🇺🇸Saint Louis, Missouri, United States
Project ARK
🇺🇸Saint Louis, Missouri, United States
Nebraska AIDS Project (Collaborating Organization )
🇺🇸Omaha, Nebraska, United States
St. Louis Effort for AIDS (Collaborating Organization)
🇺🇸Saint Louis, Missouri, United States
Burrell Behavioral Health (Collaborating Organization)
🇺🇸Springfield, Missouri, United States
Southern NH HIV/AIDS Task Force
🇺🇸Nashua, New Hampshire, United States
AID Upstate
🇺🇸Greenville, South Carolina, United States
HIV Alliance
🇺🇸Eugene, Oregon, United States
Panhandle AIDS Support Organization
🇺🇸Amarillo, Texas, United States
Triangle Area Network
🇺🇸Beaumont, Texas, United States
Chattanooga CARES
🇺🇸Chattanooga, Tennessee, United States
Vermont CARES
🇺🇸Burlington, Vermont, United States