A low-cost, sustainable intervention for drinking reduction in the HIV primary care setting
A low-cost, sustainable intervention for drinking reduction in the HIV primary care setting
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DOI：
10.1080/09540120500264134
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发表时间：
2006-08-01
影响因子：
1.7
通讯作者：
Hasin, D. S.
中科院分区：
文献类型：
--
作者：
Aharonovich, E.;Hatzenbuehler, M. L.;Hasin, D. S.
过量饮酒会给艾滋病毒感染者带来多种重大健康风险。然而，尚无已发表的干预研究将减少饮酒作为艾滋病毒初级保健患者的主要结果。在这种情况下的干预必须对承受压力的人员和资源提出最低要求。这项试点研究测试了这种干预措施，其中包括简短的动机访谈 (MI) 和 HealthCall，这是一种基于交互式语音应答 (IVR) 的自动日常电话自我监控系统，旨在扩展和增强简短的 MI 的效果。 31 名患者参与了这项研究，接受了 30 分钟的 MI 治疗，并接受了 IVR 系统日常使用的指导。 30 天后，他们从 HealthCall 数据库收到了有关每日饮酒情况的图形反馈。随着时间的推移，饮酒量在统计学上显着下降，无论是每日 IVR 通话（beta = -0.01，se 0.01，p = 0.03）还是 60 天的后续访谈（beta = -0.04，se 0.12，p = 02）中都报告了这一点。每日拨打电话的比例支持了干预的可行性。结果表明，HealthCall 可以为弱势 HIV 患者群体所接受，并且初步数据支持该干预措施在减少 HIV 初级保健患者中有害饮酒方面的功效。
Excess drinking poses multiple substantial health risks to HIV-infected individuals. However, no published intervention studies have focused on drinking reduction as the main outcome in HIV primary care patients. An intervention in this setting must place minimal demands on pressured staff and resources. This pilot study tested such an intervention, which consisted of brief Motivational Interviewing (MI) and HealthCall, an automated daily telephone self-monitoring system based on Interactive Voice Response (IVR), designed to extend and enhance the effects of brief MI. Thirty-one patients entered the study, received a 30-minute MI and were instructed in daily use of the IVR system. They received graphical feedback on their daily drinking from the HealthCall database after 30 days. A statistically significant decrease in drinking was found over time, both as reported in daily IVR calls (beta = -0.01, se 0.01, p = .03) and in follow-up interviews (beta = -0.04, se 0.12, p = 02) at 60 days. The proportion of daily calls made supported the feasibility of the intervention. The results indicate that HealthCall is acceptable to a disadvantaged HIV patient population, and preliminary data support the efficacy of this intervention in reducing harmful drinking among HIV primary care patients.