Evidence map›Paper›PMID 36706675›Full record

Trial reportDrug and alcohol dependence2023

Effect of two counseling interventions on self-reported alcohol consumption, alcohol biomarker phosphatidylethanol (PEth), and viral suppression among persons living with HIV (PWH) with unhealthy alcohol use in Uganda: A randomized controlled trial.

Judith A Hahn, Robin Fatch, Nneka I Emenyonu, Naomi Sanyu, Anita Katusiime, Barry Levine, W John Boscardin, Geetanjali Chander, Heidi Hutton, Carol S Camlin and 2 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug and alcohol dependence, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 25 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 2 countries.

Judith A HahnDepartment of Medicine, University of California, San Francisco, CA, USA. Electronic address: judy.hahn@ucsf.edu.
Robin FatchDepartment of Medicine, University of California, San Francisco, CA, USA.
Nneka I EmenyonuDepartment of Medicine, University of California, San Francisco, CA, USA.
Naomi SanyuFaculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
Anita KatusiimeFaculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
Barry LevineDepartment of Computer Science, San Francisco State University, San Francisco, CA, USA.
W John BoscardinDepartment of Medicine, University of California, San Francisco, CA, USA.
Geetanjali ChanderDepartment of Medicine, University of Washington, Seattle, WA, USA.
Heidi HuttonSchool of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Carol S CamlinDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, CA, USA.
Sarah E Woolf-KingCollege of Arts & Sciences, Syracuse University, Syracuse, NY, USA.
Winnie R MuyindikeFaculty of Medicine, Mbarara University of Science and Technology, Mbarara, Uganda.
University of California, San Francisco · USMbarara University of Science and Technology · UGJohns Hopkins Medicine · USSan Francisco State University · USSyracuse University · USUniversity of Washington · US

Funding

Training in Research Program on Alcohol Use by Persons with our at Risk for HIVK24AA022586 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HAHN, JUDITH ALISSA · 2013 to 2023
$1.8M
Mobile technology to extend clinic-based counseling for HIV+s in UgandaR01AA024990 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HAHN, JUDITH ALISSA · 2018 to 2020
$1.1M
NIAAA NIH HHS K24 AA022586NIAAA NIH HHS R01 AA024990
6 · The paper itself

Abstract

purposeTo test the efficacy of two interventions to reduce alcohol use and increase viral suppression compared to a control in persons with HIV (PWH).

methodsIn a three-arm (1:1:1) randomized controlled trial (N = 269), we compared in-person counselling (45-70 minutes, two sessions over three months) with interim monthly booster phone calls (live call arm) or twice-weekly automated booster sessions (technology arm) to a brief advice control arm. We enrolled PWH self-reporting unhealthy alcohol use (Alcohol Use Disorders Identification Test - Consumption, prior three months, women ≥3, men ≥4). Primary outcomes were number of self-reported drinking days (NDD) in the prior 21 and biomarker phosphatidylethanol (PEth) at six and nine months and viral suppression (<40 copies/mL) at nine months; we adjusted for sex and baseline outcomes.

resultsAt baseline, mean 21-day NDDs were 9.4 (95 % CI: 9.1-9.8), mean PEth was 407.8 ng/mL (95 % CI: 340.7-474.8), and 89.2 % were virally suppressed. At follow-up, there were significant reductions in mean NDDs for the live call versus control arm (3.5, 95 % CI:2.1-4.9, p < 0.001) and for the technology versus control arm (3.6, 95 % CI: 2.2-5.1, p < 0.001). The mean PEth differences compared to the control arm were not significant, i.e. 36.4 ng/mL (95 % CI: -117.5 to 190.3, p = 0.643) for the live call and -30.9 ng/mL (95 % CI: -194.8 to 132.9, p = 0.711) for the technology arm. Nine-month viral suppression compared to the control was similar in the live call and in the technology arm.

conclusionIntervention effects were found on self-reported NDD but not PEth or viral suppression, suggesting no treatment effect. (NCT #03928418).

Indexed as

AlcoholismHIV InfectionsAlcohol DrinkingBiomarkersCounselingEthanolFemaleGlycerophospholipidsHumansMaleSelf ReportUgandaBiomarkersEthanolGlycerophospholipidsphosphatidylethanolBrief alcohol interventionHIVPhosphatidylethanolSocial desirability biasSub-Saharan AfricaUnhealthy drinking

Identifiers

PMID36706675
PMCPMC10437504
OpenAlexW4317666141

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.