Reducing Hazardous Alcohol Use and Optimizing Treatment as Prevention Among Men Living With HIV in Risk Environments

Launched by SAN DIEGO STATE UNIVERSITY · Jan 9, 2025

Keywords

ClinConnect Summary

This clinical trial is studying a program called Kisoboka, which means "It is possible." The goal of this program is to help men living with HIV who drink alcohol in risky environments, like fishing communities, to reduce their alcohol use, take their HIV medications regularly, and achieve undetectable levels of the virus in their bodies. The trial will compare the Kisoboka program with other brief counseling and referrals to see which approach is more effective in helping participants improve their health.

To be eligible for this trial, participants must be men aged 18 or older, living with HIV, and residing in a fishing community. They should also show signs of potentially dangerous drinking and have been on HIV treatment for at least six months. Participants will attend counseling sessions that can be individual or in a group, ranging from one to six sessions over a period of 1 to 16 weeks. It's important to note that the trial is not yet recruiting participants, but if you or someone you know fits these criteria, it could be a valuable opportunity to receive support and improve health outcomes.

Gender

MALE

Eligibility criteria

• Inclusion Criteria:
• • 1. living with HIV;
• • 2. residing in a fishing community (on most days/nights);
• • 3. AUDIT-C positive (≥4) indicating potential hazardous drinking;
• • 4. \>6 months since initial antiretroviral treatment (ART) initiation;
• • 5. not planning to move from the area within the next 6 months;
• • 6. have their own mobile phone and can be reached via phone.
• 7. an indicator of potential suboptimal treatment as prevention (TasP) either:
• • (i) last HIV viral load test (within 6 months) was detectable (\>20) or (ii) last viral load test between 6 and 13 months ago was detectable (\>20) and reports missing ≥2 ART doses in the past 2 weeks or (iii) a lack of viral load test results for the prior 13 months in clinic records and reports missing ≥2 ART doses in the past 2 weeks;
• Exclusion Criteria:
• • 1. visibly intoxicated at enrollment (eligible to enroll when not intoxicated);
• • 2. does not speak Luganda or English;
• • 3. currently receiving a majority of work payments via mobile money/digital payments;
• • 4. participated in the Kisoboka pilot RCT;
• • 5. unable to read basic Luganda or English