Interventions for HIV+ Mothers With Problem Drinking

New York University (NYU)

Status: Completed

Conditions: Substance Use Disorders

Treatments: Behavioral: Family First

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT00183209

NIH R01 AA12113

NIAAAGWA12113

R01AA012113 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The purpose of this study is to evaluate the efficacy of a 14-session behavioral intervention for HIV-infected and uninfected mothers with problem drinking. The intervention targets alcohol and drug problems, sexual risk behavior, and parenting. We hypothesize that mothers in the 14-session intervention condition will show improvements in alcohol and drug use, sexual risk behavior, and parenting in comparison to the control condition, which receives a one session brief video intervention.

Full description

The purpose of this study is to evaluate the efficacy of a 14-session behavioral intervention for HIV-infected and uninfected mothers with problem drinking. We targeted 118 mothers of adolescent children (aged 11-18). The intervention is based on Social Action Theory (Ewart, 1991) and targets alcohol and drug problems, sexual risk behavior, and parenting. Mothers are followed and interviewed at four intervals over 18 months. Because we anticipate that the intervention will have effects on adolescent behavior, these youth are also enrolled and interviewed at three intervals over 12 months. Adolescents do not attend intervention sessions. We hypothesize that mothers in the 14-session intervention condition will show improvements in alcohol and drug use, sexual risk behavior, and parenting in comparison to the control condition, which receives a one session brief video intervention.

Enrollment: 118 patients

Sex: All

Ages: 11+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria for adult participants (mothers):

• Age over 18
• Meets criteria for problem drinking on the AUDIT (score of 6 or greater)
• Has one biological/adopted child aged 11-18 who was in the home at least half the time in the past month

Exclusion Criteria:

• Injection drug use in the past three months

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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118 participants in 2 patient groups

14 session behavioral intervention

Experimental group

Description:

7 sessions addressing problem alcohol and drug use and 7 session addressing parenting challenges (monitoring, negotiation, etc) based on based on Social Action Theory (Ewart, 1991) and Motivational Interviewing

Treatment:

Behavioral: Family First

Brief Video Intervention

Active Comparator group

Description:

Single session brief video intervention to build motivation to reduce or eliminate problem drinking/drug use

Treatment:

Behavioral: Family First