Improving alcohol treatment in HIV care through practice facilitation
A Hybrid Type III Implementation Trial Testing Practice Facilitation as a Strategy to Improve Alcohol Treatment Adoption and Implementation in HIV Care
This study is testing whether helping HIV clinics better use alcohol reduction programs can improve care for people living with HIV who struggle with drinking.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 300 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Johns Hopkins University Academic / other |
| Locations | 3 sites (San Diego, California and 2 other locations) |
| Trial ID | NCT05241990 on ClinicalTrials.gov |
What this trial studies
This study evaluates the effectiveness of practice facilitation as a strategy to enhance the adoption and implementation of alcohol reduction interventions in HIV care settings. It utilizes established frameworks to assess how well these interventions can be integrated into clinical practice across three HIV clinics in Boston, San Diego, and Chapel Hill. The goal is to improve patient outcomes by addressing unhealthy alcohol use, which is known to hinder HIV treatment adherence and viral suppression.
Who should consider this trial
Good fit: Ideal candidates include adults aged 18 and older with HIV who exhibit unhealthy alcohol use as indicated by specific screening scores.
Not a fit: Patients who do not exhibit unhealthy alcohol use or are under 18 years old may not benefit from this study.
Why it matters
Potential benefit: If successful, this approach could significantly improve the management of alcohol use in patients with HIV, leading to better health outcomes and adherence to treatment.
How similar studies have performed: Other studies have shown promise in using implementation strategies like practice facilitation to improve treatment adoption in healthcare settings, suggesting potential for success in this approach.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: Clinic Staff * Age \> 18 years old * Confirmed to be clinic staff (clinical or administrative roles). * English speaking * Cognitively able to complete required survey or interview activities. Exclusion Criteria Clinic Staff * Unable to speak English Inclusion Criteria, Patients * Confirmed to be a person with HIV (PWH) receiving HIV care and participating in CNICS at one of the three clinic sites * Scoring AUDIT-C ≥3 for women or ≥4 for men, transgender women or men indicating unhealthy alcohol use. * Age ≥ 18 years old. * English speaking. * Cognitively able to participate in stepped care for unhealthy alcohol use. Exclusion Criteria, Patients * Scoring AUDIT-C \<3 for women or \<4 for men or \<4 for transgender women or men * Age \< 18 years old * Participants cognitively unable to participate in the stepped care for unhealthy alcohol use.
Where this trial is running
San Diego, California and 2 other locations
- University of California, San Diego — San Diego, California, United States (Recruiting)
- Fenway Community Health — Boston, Massachusetts, United States (Not_yet_recruiting)
- University of North Carolina — Chapel Hill, North Carolina, United States (Not_yet_recruiting)
Study contacts
- Principal investigator: Geetanjali Chander, MD — Johns Hopkins University
- Study coordinator: JoAnna Mathena
- Email: jmathen5@jhmi.edu
- Phone: 410-955-9534
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.