Advancing Behavioral HIV Prevention: Adapting an Evidence-Based Intervention for People Living with HIV and Alcohol Use Disorders

Alcohol use disorders (AUDs) are highly prevalent among people living with HIV/AIDS (PLWHA) and are associated with increased HIV risk behaviors, suboptimal treatment adherence, and greater risk for disease progression. We used the ADAPT-ITT strategy to adapt an evidence-based intervention (EBI), th...

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Main Authors: M. L. Armstrong, A. M. LaPlante, F. L. Altice, M. Copenhaver, P. E. Molina
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:AIDS Research and Treatment
Online Access:http://dx.doi.org/10.1155/2015/879052
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author M. L. Armstrong
A. M. LaPlante
F. L. Altice
M. Copenhaver
P. E. Molina
author_facet M. L. Armstrong
A. M. LaPlante
F. L. Altice
M. Copenhaver
P. E. Molina
author_sort M. L. Armstrong
collection DOAJ
description Alcohol use disorders (AUDs) are highly prevalent among people living with HIV/AIDS (PLWHA) and are associated with increased HIV risk behaviors, suboptimal treatment adherence, and greater risk for disease progression. We used the ADAPT-ITT strategy to adapt an evidence-based intervention (EBI), the Holistic Health Recovery Program (HHRP+), that focuses on secondary HIV prevention and antiretroviral therapy (ART) adherence and apply it to PLWHA with problematic drinking. Focus groups (FGs) were conducted with PLWHA who consume alcohol and with treatment providers at the largest HIV primary care clinic in New Orleans, LA. Overall themes that emerged from the FGs included the following: (1) negative mood states contribute to heavy alcohol consumption in PLWHA; (2) high levels of psychosocial stress, paired with few adaptive coping strategies, perpetuate the use of harmful alcohol consumption in PLWHA; (3) local cultural norms are related to the permissiveness and pervasiveness of drinking and contribute to heavy alcohol use; (4) healthcare providers unanimously stated that outpatient options for AUD intervention are scarce, (5) misperceptions about the relationships between alcohol and HIV are common; (6) PLWHA are interested in learning about alcohol’s impact on ART and HIV disease progression. These data were used to design the adapted EBI.
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spelling doaj-art-20816c7ee13b4026b398c208cafc2d592025-02-03T01:07:49ZengWileyAIDS Research and Treatment2090-12402090-12592015-01-01201510.1155/2015/879052879052Advancing Behavioral HIV Prevention: Adapting an Evidence-Based Intervention for People Living with HIV and Alcohol Use DisordersM. L. Armstrong0A. M. LaPlante1F. L. Altice2M. Copenhaver3P. E. Molina4Comprehensive Alcohol Research Center and Alcohol and Drug Abuse Center, Department of Physiology, LSUHSC, New Orleans, LA 70112, USAComprehensive Alcohol Research Center and Alcohol and Drug Abuse Center, Department of Physiology, LSUHSC, New Orleans, LA 70112, USAYale University School of Medicine, Section of Infectious Diseases, AIDS Program, New Haven, CT 06510, USACenter for Health, Intervention, & Prevention (CHIP), University of Connecticut, Storrs, CT 06269, USAComprehensive Alcohol Research Center and Alcohol and Drug Abuse Center, Department of Physiology, LSUHSC, New Orleans, LA 70112, USAAlcohol use disorders (AUDs) are highly prevalent among people living with HIV/AIDS (PLWHA) and are associated with increased HIV risk behaviors, suboptimal treatment adherence, and greater risk for disease progression. We used the ADAPT-ITT strategy to adapt an evidence-based intervention (EBI), the Holistic Health Recovery Program (HHRP+), that focuses on secondary HIV prevention and antiretroviral therapy (ART) adherence and apply it to PLWHA with problematic drinking. Focus groups (FGs) were conducted with PLWHA who consume alcohol and with treatment providers at the largest HIV primary care clinic in New Orleans, LA. Overall themes that emerged from the FGs included the following: (1) negative mood states contribute to heavy alcohol consumption in PLWHA; (2) high levels of psychosocial stress, paired with few adaptive coping strategies, perpetuate the use of harmful alcohol consumption in PLWHA; (3) local cultural norms are related to the permissiveness and pervasiveness of drinking and contribute to heavy alcohol use; (4) healthcare providers unanimously stated that outpatient options for AUD intervention are scarce, (5) misperceptions about the relationships between alcohol and HIV are common; (6) PLWHA are interested in learning about alcohol’s impact on ART and HIV disease progression. These data were used to design the adapted EBI.http://dx.doi.org/10.1155/2015/879052
spellingShingle M. L. Armstrong
A. M. LaPlante
F. L. Altice
M. Copenhaver
P. E. Molina
Advancing Behavioral HIV Prevention: Adapting an Evidence-Based Intervention for People Living with HIV and Alcohol Use Disorders
AIDS Research and Treatment
title Advancing Behavioral HIV Prevention: Adapting an Evidence-Based Intervention for People Living with HIV and Alcohol Use Disorders
title_full Advancing Behavioral HIV Prevention: Adapting an Evidence-Based Intervention for People Living with HIV and Alcohol Use Disorders
title_fullStr Advancing Behavioral HIV Prevention: Adapting an Evidence-Based Intervention for People Living with HIV and Alcohol Use Disorders
title_full_unstemmed Advancing Behavioral HIV Prevention: Adapting an Evidence-Based Intervention for People Living with HIV and Alcohol Use Disorders
title_short Advancing Behavioral HIV Prevention: Adapting an Evidence-Based Intervention for People Living with HIV and Alcohol Use Disorders
title_sort advancing behavioral hiv prevention adapting an evidence based intervention for people living with hiv and alcohol use disorders
url http://dx.doi.org/10.1155/2015/879052
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