Substance Abuse Treatment to HIV Care (SAT2HIV): The Motivational Interviewing-based Brief Intervention (MIBI) Experiment
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 827
- 试验地点
- 39
- 主要终点
- Days of Primary Substance Use
研究概览
简要总结
To test the effectiveness of a single 20-30 minute motivational interviewing-based brief intervention for substance use within HIV/AIDS settings.
详细描述
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).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 99 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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.
排除标准
- •Are unable to speak English.
- •Are unwilling to allow brief intervention sessions to be audio recorded.
- •Are unwilling to participate in the study.
研究组 & 干预措施
No Intervention: Control
No Intervention
Motivational Interviewing
A brief interview intervention for substance abuse
干预措施: Motivational Interviewing (Behavioral)
结局指标
主要结局
Days of Primary Substance Use
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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
时间窗: 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.
次要结局
- Intentions to Change(4 weeks post randomization)
- Urgency to Change(4 weeks post randomization)
- Self-Efficacy to Change(4 weeks post randomization)
- Commitment to Change(4 weeks post randomization)