Breaking News
January 18, 2019 - Breast cancers more likely to metastasize in young women within 10 years of giving birth
January 18, 2019 - Blood vessels can now be created perfectly in a petri dish
January 18, 2019 - Young-Onset Type 2 Diabetes Tied to Increased Hospitalization Risk
January 18, 2019 - For-profit nursing schools associated with lower performance on nurse licensure test
January 18, 2019 - Considering the culture of consent in medicine
January 18, 2019 - Researchers identify comprehensive guidelines for managing severe atopic dermatitis
January 18, 2019 - Analyzing proteins in blister fluid may classify burn severity more accurately
January 18, 2019 - Study finds higher suicide rates among youth who were Medicaid enrollees
January 18, 2019 - Opioid drugs often overprescribed to children for pain relief, say CHOP surgeons
January 18, 2019 - New biodegradable wound dressing material accelerates healing
January 18, 2019 - Life in Space May Take Toll on Spinal Muscles
January 18, 2019 - Bulldogs’ screw tails linked to human genetic disease
January 18, 2019 - Immunotherapy target identified for pediatric cancers
January 18, 2019 - Financial stress may increase heart disease risk in African Americans
January 18, 2019 - Scientists solve another piece of Ebola virus puzzle
January 18, 2019 - New project finds how endocrine disruptors interfere with thyroid functions
January 18, 2019 - Research finds decline in ketone body utilization when coronary circulation is reduced
January 18, 2019 - Let’s map our DNA and save billions each year in health costs
January 18, 2019 - AI demonstrates potential to identify irregular heart rhythms as well as humans
January 17, 2019 - Study shows link between air pollution and increased risk of sleep apnea
January 17, 2019 - Neck-strengthening exercises can protect athletes from concussions
January 17, 2019 - Computer model shows how to better control MRSA outbreaks
January 17, 2019 - Pain is unpleasant, and now scientists have identified the set of responsible neurons
January 17, 2019 - CUIMC Celebrates 2018-2019
January 17, 2019 - Study reveals potential pathway for endothelial cells to avoid apoptosis
January 17, 2019 - Hamilton Storage launches LabElite DeCapper SL to expand LabElite product family
January 17, 2019 - Location of epigenetic changes co-locate with genetic signal causing psychartric disorder
January 17, 2019 - Researchers awarded 6.1 million euros to address female fertility problems
January 17, 2019 - Counseling appointments fail to reduce weight gain during pregnancy, shows study
January 17, 2019 - Contraceptive patch that could provide 6 months of contraception within seconds
January 17, 2019 - Yeast model may pave way for development of novel therapies for metabolic disorders
January 17, 2019 - Study determines impact of antibiotic perturbation of the gut microbiome on skeletal health
January 17, 2019 - Cardiometabolic Risk Up With Tourette, Chronic Tic Disorder
January 17, 2019 - Hong Kong scientists claim ‘broad-spectrum’ antiviral breakthrough
January 17, 2019 - Researchers discover the brain cells that make pain unpleasant | News Center
January 17, 2019 - Hepatitis Is Common in New Cancer Patients
January 17, 2019 - Podcast: KHN’s ‘What The Health?’ Drug Prices Are Rising Again. Is Someone Going To Do Something About It?
January 17, 2019 - Smoking significantly increases your biological age, study shows
January 17, 2019 - B-group vitamins may be beneficial for people with first episode psychosis
January 17, 2019 - Researchers demonstrate how manganese produces parkinsonian syndrome
January 17, 2019 - Researchers suggest link between personality type and attitude towards others’ bodies
January 17, 2019 - Mutant mice administered with cocaine failed to exhibit hyperactivity, shows study
January 17, 2019 - Health Tip: Understanding a Heart Murmur
January 17, 2019 - Gut protein mutations shield against spikes in glucose
January 17, 2019 - Engineered immune cells target broad range of pediatric solid tumors in mice | News Center
January 17, 2019 - Study provides comprehensive description of associations between mental disorders
January 17, 2019 - Study finds link between high pesticide exposure and poor sense of smell among farmers
January 17, 2019 - Many cancer patients have undiagnosed hepatitis
January 17, 2019 - New study finds only 13% of outpatient antibiotic prescriptions to be appropriate
January 17, 2019 - Stem cell-based approach to diabetes offers hope for treatment
January 17, 2019 - New project receives €8.65 million from EU and Canada to ease genomic, health data sharing
January 17, 2019 - Improvements in pharmacological study to fight cognitive impairment in schizophrenia
January 17, 2019 - Study looks at trends over time in oral antibiotic prescribing by dermatologists
January 17, 2019 - Most substance use disorder treatment facilities do not offer medication treatment
January 17, 2019 - Multiple sclerosis could benefit from stem cell therapy
January 17, 2019 - Researchers manipulate T cells to improve transplant success
January 17, 2019 - Put away your rulers and reach for your phone
January 17, 2019 - Mindfulness linked with fewer menopausal symptoms
January 17, 2019 - Integrated care to women with PMADs offered at several levels
January 17, 2019 - Researchers identify MANF as a rejuvenating factor in parabiosis
January 17, 2019 - Truncal mutations study suggests new direction in origins of cancer
January 17, 2019 - Beckman Coulter launches new ClearLLab 10C System for clinical flow cytometry lab
January 17, 2019 - Effects of linoleic acid on the body are largely dependent on genes, shows study
January 17, 2019 - Pre-injury exercise reduces damage to both muscles and nerves, study finds
January 17, 2019 - Minimizing Antibody Size to Maximize Research Potential
January 17, 2019 - Research finds large genome in tiny forest defoliator
January 17, 2019 - Technology helps reduce the yearning for unhealthy food
January 17, 2019 - Imec develops prototype cardiovascular device
January 17, 2019 - New Drug Application for Insomnia Disorder Treatment Lemborexant Submitted in the United States
January 17, 2019 - What you should know about teeth whitening
January 17, 2019 - Why Older Adults Should Eat More Protein (And Not Overdo Protein Shakes)
January 17, 2019 - Colorectal cancer mortality rates predicted to increase globally
January 17, 2019 - Scientists discover mutational signatures of tumor hypoxia
January 17, 2019 - New evidence shows how fever alters immune cells
January 17, 2019 - Researchers find new class of blood pressure-regulating peptides in vampire bat venom
January 17, 2019 - Promega to exhibit new Maxwell RSC48 platform at 2019 Festival of Genomics
January 17, 2019 - Study pinpoints immune cells that could be key to tackling hypertension
January 17, 2019 - Couples Intervention May Aid Partners of Diabetes Patients
January 17, 2019 - Your weight history may predict your heart failure risk
January 17, 2019 - Explore a cornucopia of accomplishments in prematurity research
Simple intervention during routine care reduces alcohol consumption in men with HIV

Simple intervention during routine care reduces alcohol consumption in men with HIV

image_pdfDownload PDFimage_print

Among the more than 1 million people in the U.S. living with HIV, 19 percent meet the criteria for an alcohol use disorder. The consequences can be severe, with heavy drinking associated with increased liver disease, greater engagement in risky sexual behavior, lower adherence to antiretroviral therapy and greater risk of death.

Men who have sex with men (MSM) comprise nearly half of the country’s HIV patients and show relatively high rates of alcohol use disorders, but little research has been conducted to identify the most effective ways to reduce drinking in MSM living with HIV.

Yet a new study in the Journal of Consulting and Clinical Psychology finds that a simple intervention using a technique called “motivational interviewing” during routine HIV care can have strong and lasting effects. Compared to treatment as usual, MSM exposed to the intervention and a few brief follow-up sessions reported fewer drinks per week, fewer days of heavy drinking and less condomless sex over one full year.

The researchers say the need to address heavy drinking among MSM with HIV is pressing and that the reductions in alcohol use they saw among participants were considerable.

“Individuals with HIV who actively manage their illness by taking antiretroviral therapy are now expected to have comparable lifespans as those without the virus,” said lead author Christopher Kahler, scientific director at the Brown University Alcohol Research Center on HIV and professor of behavioral and social sciences at the University’s School of Public Health. “Yet they are much more vulnerable if they drink heavily. If a patient can even cut drinking in half, this can greatly reduce the risk of mortality.”

Participants in the study, conducted from 2011 to 2016, were 180 heavy-drinking MSM living with HIV who were recruited from the Fenway Health community health center in Boston. Half were exposed to interventions during routing visits for HIV care while the other half continued to receive treatment as usual. The intervention consisted of an initial in-person counseling session of up to 60 minutes, two brief sessions at three- and six-month follow-up visits, and two brief phone calls.

The researchers employed “motivational interviewing” because the approach is ideal to use opportunistically, especially with individuals who are not necessarily seeking to change behavior.

In the initial sessions, counselors asked participants about drinking patterns, positive and negative effects of alcohol use, and connections between their drinking and HIV care. They also shared information on how patients’ drinking compared to drinking in other MSM, gave feedback on health indicators and discussed the potential for behavior change related to their alcohol use.

“This is an empathic, non-confrontational approach that can reduce stigma,” Kahler said. “Counselors identify areas of concern, but work to understand the participants’ experiences and perspectives.”

Over 12 months, the average number of drinks per week consumed by those who received the intervention dropped from 16 to just seven — and the number of heavy drinking days per month decreased from five days to one. Among those reporting condomless sex with non-steady partners, the intervention resulted in significantly lower rates of this behavior at three and 12 months compared to those who received treatment as usual.

“The study demonstrates that open, non-confrontational discussions about alcohol use with individuals in HIV care can create a significantly positive change in behavior,” Kahler said. “What we don’t yet know is how necessary it is to have the more intensive motivational interviewing sessions with feedback from trained counselors or whether brief advice from a clinician would be enough to prompt change.”

The implications of that follow-up question — which Kahler and colleagues are currently investigating — will prove significant in shaping approaches to intervention and care.

“This work is extremely important, since problem alcohol use is among the most common behavioral health challenges that can impede the optimal use of modern antiretroviral therapy that extends and improves the lives of HIV-infected MSM and other people living with HIV,” said co-author Kenneth Mayer, medical research director at Fenway Health and professor of medicine at Harvard Medical School.

Source:

https://news.brown.edu/articles/2018/08/interventions

Tagged with:

About author

Related Articles