Skip to main content
SpringerLink
Log in

Efficacy of Two Evidence-Based Alcohol Consumption Interventions on Positive, Negative, and Neutral Days Among Hazardous Alcohol Users Living with HIV in Vietnam

  • Original Paper
  • Published:
AIDS and Behavior Aims and scope Submit manuscript

Abstract

Social events and stressful settings can be catalysts for alcohol consumption. Motivational enhancement therapy (MET) and cognitive behavioral therapy (CBT) are widely used in alcohol interventions. We assessed how alcohol consumption varied across three types of days (positive/social, negative/stressful, and neutral) among hazardous alcohol users living with HIV in Vietnam. We further evaluated how those consumption patterns changed after two MET/CBT alcohol reduction interventions versus the standard of care (SOC). The ‘combined’ intervention offered 6 individual sessions and 3 group sessions; the ‘brief’ intervention offered 2 individual sessions and 2 phone calls. A 30-day timeline follow-back was administered at study visits, detailing daily drinks and events. Days were categorized as neutral, positive/social, or negative/stressful; negative binomial models and generalized estimating equations were used to estimate drinks consumed by type of day at baseline and 12 months. Prior to intervention, more drinks were consumed on positive/social days (5.2 drinks; 95% Confidence Interval [CI]:4.8, 5.7) than negative/stressful (1.5; 95% CI:1.3, 1.9) and neutral days (2.2; 95% CI: 1.9, 2.5). After the brief intervention, drinks consumed decreased on neutral days (ratio: 0.5: 95% CI: 0.4, 0.7). After the combined intervention, drinks consumed decreased on neutral days (ratio: 0.4; 95% CI: 0.3, 0.6), positive/social days (ratio: 0.6; 95% CI: 0.5, 0.7) and negative/stressful days (ratio: 0.3; 95% CI: 0.2, 0.6). No reductions in consumption were observed in the SOC group. Social/positive days had the highest alcohol consumption prior to intervention, and the combined intervention showed the greatest decrease in consumption on those days.

Clinical Trial Registration

The study is registered at clinicaltrials.gov (NCT02720237).

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Magill M, Ray L, Kiluk B, Hoadley A, Bernstein M, Tonigan JS, et al. A meta-analysis of cognitive-behavioral therapy for alcohol or other Drug Use Disorders: treatment efficacy by contrast condition. J Consult Clin Psychol. 2019;87(12):1093–105.

    Article  PubMed  PubMed Central  Google Scholar 

  2. DiClemente CC, Bellino LE, Neavins TM. Motivation for change and Alcoholism treatment. Alcohol Res Health. 1999;23(2):86–92.

    CAS  PubMed  PubMed Central  Google Scholar 

  3. Longabaugh R, Morgenstern J. Cognitive-behavioral coping-skills therapy for alcohol dependence. Current status and future directions. Alcohol Res Health. 1999;23(2):78–85.

    CAS  PubMed  PubMed Central  Google Scholar 

  4. Morgenstern J, Longabaugh R. Cognitive-behavioral treatment for alcohol dependence: a review of evidence for its hypothesized mechanisms of action. Addiction. 2000;95(10):1475–90.

    Article  CAS  PubMed  Google Scholar 

  5. Hutton HE, Lancaster KE, Zuskov D, Mai NVT, Quynh BX, Chander G, et al. Cultural Adaptation of 2 Evidence-Based Alcohol Interventions for Antiretroviral Treatment Clinic Patients in Vietnam. J Int Assoc Provid AIDS Care. 2019;18:2325958219854368.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Kadden RM. Behavioral and cognitive-behavioral treatments for Alcoholism: research opportunities. Addict Behav. 2001;26(4):489–507.

    Article  CAS  PubMed  Google Scholar 

  7. Hendershot CS, Stoner SA, Pantalone DW, Simoni JM. Alcohol use and antiretroviral adherence: review and meta-analysis. J Acquir Immune Defic Syndr. 2009;52(2):180–202.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Tran BX, Nguyen LT, Do CD, Nguyen QL, Maher RM. Associations between Alcohol Use Disorders and adherence to antiretroviral treatment and quality of life amongst people living with HIV/AIDS. BMC Public Health. 2014;14:27.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Azar MM, Springer SA, Meyer JP, Altice FL. A systematic review of the impact of Alcohol Use Disorders on HIV treatment outcomes, adherence to antiretroviral therapy and health care utilization. Drug Alcohol Depend. 2010;112(3):178–93.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Chander G, Lau B, Moore RD. Hazardous alcohol use: a risk factor for non-adherence and lack of suppression in HIV Infection. J Acquir Immune Defic Syndr. 2006;43(4):411–7.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Nguyen MX, Hershow RB, Blackburn NA, Bui QX, Latkin CA, Hutton H, et al. I refused to drink but they still forced me: a mixed-methods approach to understanding the pathways to reduce alcohol use among Vietnamese people with HIV. Soc Sci Med. 2022;301:114902.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Go VF, Hutton HE, Ha TV, Chander G, Latkin CA, Mai NVT, et al. Effect of 2 Integrated Interventions on Alcohol Abstinence and viral suppression among Vietnamese adults with Hazardous Alcohol Use and HIV: a Randomized Clinical Trial. JAMA Netw Open. 2020;3(9):e2017115.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Hershow RB, Zuskov DS, Vu Tuyet Mai N, Chander G, Hutton HE, Latkin C, et al. [Drinking is] like a rule that you can’t Break: Perceived barriers and facilitators to reduce Alcohol Use and improve antiretroviral treatment adherence among people living with HIV and Alcohol Use Disorder in Vietnam. Subst Use Misuse. 2018;53(7):1084–92.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Miller WR. S R. Motivational interviewing: Helping people Change. New York, NY: Guilford Press; 2012.

    Google Scholar 

  15. Parsons JT, Rosof E, Punzalan JC, Di Maria L. Integration of motivational interviewing and cognitive behavioral therapy to improve HIV medication adherence and reduce substance use among HIV-positive men and women: results of a pilot project. AIDS Patient Care STDS. 2005;19(1):31–9.

    Article  PubMed  Google Scholar 

  16. Smedslund G, Berg RC, Hammerstrøm KT, Steiro A, Leiknes KA, Dahl HM, et al. Motivational interviewing for substance abuse. Cochrane Database Syst Rev. 2011;2011(5):Cd008063.

    PubMed  PubMed Central  Google Scholar 

  17. Magill M, Ray LA. Cognitive-behavioral treatment with adult alcohol and illicit drug users: a meta-analysis of randomized controlled trials. J Stud Alcohol Drugs. 2009;70(4):516–27.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Lancaster KE, Hetrick A, Sripaipan T, Ha TV, Hutton HE, Chander G, et al. Alcohol abstinence stigma and alcohol use among HIV patients in Thai Nguyen, Vietnam. PLoS ONE. 2020;15(9):e0239330.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

Acknowledgements

We would like to thank the Thai Nguyen Center for Disease Control for their support, as well as the study staff in Thai Nguyen, Vietnam, for their hard work. We would also like to thank the study participants for their time, effort, and engagement with this study.

Funding

This work was supported by the National Institute on Drug Abuse at the National Institutes of Health [R01 DA037440 to VFG] and the National Institute of Allergy and Infectious Diseases at the National Institutes of Health [P30 AI050410 to the University of North Carolina at Chapel Hill].

Author information

Authors and Affiliations

  1. Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, USA

    Jane S. Chen, Ha Viet Tran, Minh X. Nguyen, Teerada Sripaipan & Vivian F. Go

  2. Department of Psychiatry and Behavioral Sciences, School of Medicine, Johns Hopkins University, Baltimore, USA

    Heidi E. Hutton

  3. University of North Carolina Vietnam, Hanoi, Vietnam

    Ha Viet Tran, Vu Nguyen Quang & Minh X. Nguyen

  4. Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, USA

    David W. Dowdy & Carl A. Latkin

  5. Department of Medicine, Johns Hopkins University, Baltimore, USA

    David W. Dowdy, Carl A. Latkin & Constantine Frangakis

  6. Department of Health, Behavior, and Society, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, USA

    Carl A. Latkin

  7. Division of General Internal Medicine, University of Washington, Seattle, USA

    Geetanjali Chander

  8. Department of Biostatistics, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, USA

    Constantine Frangakis

Authors
  1. Jane S. Chen
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Heidi E. Hutton
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ha Viet Tran
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Vu Nguyen Quang
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Minh X. Nguyen
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Teerada Sripaipan
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. David W. Dowdy
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Carl A. Latkin
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Geetanjali Chander
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Constantine Frangakis
    View author publications

    You can also search for this author in PubMed Google Scholar

  11. Vivian F. Go
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jane S. Chen.

Ethics declarations

Conflicts of interest

The authors do not have any conflicts of interest to report.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Chen, J.S., Hutton, H.E., Tran, H.V. et al. Efficacy of Two Evidence-Based Alcohol Consumption Interventions on Positive, Negative, and Neutral Days Among Hazardous Alcohol Users Living with HIV in Vietnam. AIDS Behav 28, 421–428 (2024). https://doi.org/10.1007/s10461-023-04234-6

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10461-023-04234-6

Keywords

Search

Navigation