ReACH2Gether: Iterative Development of a Couples-Based Intervention to Reduce Alcohol use Among Sexual Minority Men Living with HIV and Their Partners

被引:3
作者
Gamarel, Kristi E. [1 ]
Durst, Ayla [2 ]
Zelaya, David G. [2 ,3 ,4 ]
van den Berg, Jacob J. [5 ]
Souza, Timothy [2 ]
Johnson, Mallory O. [6 ]
Wu, Elwin [7 ]
Monti, Peter M. [2 ,3 ]
Kahler, Christopher W. [2 ,3 ]
机构
[1] Univ Michigan, Dept Hlth Behav & Hlth Educ, Sch Publ Hlth, 1415 Washington Hts, Ann Arbor, MI 48109 USA
[2] Brown Univ, Ctr Alcohol & Addict Studies, Sch Publ Hlth, Providence, RI USA
[3] Brown Univ, Dept Behav & Social Sci, Sch Publ Hlth, Providence, RI USA
[4] Harvard Med Sch, Dept Psychiat, Boston, MA USA
[5] Tufts Univ, Dept Publ Hlth & Community Med, Sch Med, Boston, MA USA
[6] Univ Calif San Francisco, Ctr AIDS Prevent Studies, Dept Med, San Francisco, CA USA
[7] Columbia Univ, Social Intervent Grp, Sch Social Work, New York, NY USA
基金
美国国家卫生研究院;
关键词
Sexual minority men; Couples; HIV; Alcohol intervention; VIRAL SUPPRESSION; SOCIAL SUPPORT; USE DISORDERS; POSITIVE MEN; PREVENTION; ADHERENCE; BEHAVIORS; IMPACT; TRIAL; LEVEL;
D O I
10.1007/s10461-023-04148-3
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Unhealthy alcohol use, which encompasses heavy episodic drinking to alcohol use disorder, has been identified as a modifiable barrier to optimal HIV care continuum outcomes. Despite the demonstrated efficacy of couples-based interventions for addressing unhealthy alcohol use, there are no existing couples-based alcohol interventions designed specifically for people living with HIV. This study presents the development and refinement of a three-session couples-based motivational intervention (ReACH2Gether) to address unhealthy alcohol use among a sample of 17 sexual minority men living with HIV and their partners living in the United States. To increase potential population reach, the intervention was delivered entirely remotely. Throughout an original and a modified version, results indicated that the ReACH2Gether intervention was acceptable and there were no reports of intimate partner violence or adverse events. Session engagement and retention were high. In pre-post-test analyses, the ReACH2Gether intervention showed trends in reducing Alcohol Use Disorder Identification Test scores and increasing relationship-promoting dynamics, such as positive support behaviors and goal congruence around alcohol use. Results support the need for continued work to evaluate the ReACH2Gether intervention.
引用
收藏
页码:1244 / 1256
页数:13
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