IGHID 12230 - Scaling up the Brief Alcohol Intervention to Prevent HIV Infection in Vietnam: a Cluster Randomized, Implementation Trial (EBAI)
This study is a hybrid type 3, cluster randomized implementation trial to examine effective strategies to scale up the Brief Alcohol Intervention (BAI) in ART clinics in Vietnam. One arm will receive only facilitation for BAI implementation. Facilitation is a flexible strategy that helps clinics to address common barriers, such as counselor skills, competing priorities, and resource deficits. In the other arm, in addition to facilitation, clinic staff, irrespective of their own alcohol use, will be offered the BAI themselves as experiential learning (EBAI) to address their own alcohol-related attitudes and behaviors. Clinic staff responsible for delivering the BAI to patients will also be offered 3 consolidation activities to integrate their own experiences with their delivery of the BAI.
⁃ PWH cohort participants
• Person living with HIV at any stage of HIV infection
• Currently attending the study ART clinic at any ART stage (initiating or receiving ART)
• AUDIT-C score \>=4 for men or \>=3 for women
• \>= 18 years of age
• Willing to provide informed consent, which includes consenting to interview and collection of dried blood spots
⁃ Clinic staff participants:
• Work at the ART clinic as a clinic director, physician, nurse, or counselor
• Willing to provide informed consent