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Introduction of an Alcohol-Related Electronic Screening and Brief Intervention (eSBI) Program to Reduce Hazardous Alcohol Consumption in Namibia’s Antiretroviral Treatment (ART) Program

Alcohol is the most widely abused substance in Namibia and is associated with poor adherence and retention in care among people on antiretroviral therapy (ART). Electronic screening and brief interventions (eSBI) are effective in reducing alcohol consumption in various contexts. We used a mixed meth...

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Autores principales: Tang, A. M., Hamunime, N., Adams, R. A., Kanyinga, G., Fischer-Walker, C., Agolory, S., Prybylski, D., Mutenda, N., Sughrue, S., Walker, D. D., Rennie, T., Zahralban-Steele, M., Kerrigan, A., Hong, S. Y.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6801208/
https://www.ncbi.nlm.nih.gov/pubmed/31444711
http://dx.doi.org/10.1007/s10461-019-02648-9
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author Tang, A. M.
Hamunime, N.
Adams, R. A.
Kanyinga, G.
Fischer-Walker, C.
Agolory, S.
Prybylski, D.
Mutenda, N.
Sughrue, S.
Walker, D. D.
Rennie, T.
Zahralban-Steele, M.
Kerrigan, A.
Hong, S. Y.
author_facet Tang, A. M.
Hamunime, N.
Adams, R. A.
Kanyinga, G.
Fischer-Walker, C.
Agolory, S.
Prybylski, D.
Mutenda, N.
Sughrue, S.
Walker, D. D.
Rennie, T.
Zahralban-Steele, M.
Kerrigan, A.
Hong, S. Y.
author_sort Tang, A. M.
collection PubMed
description Alcohol is the most widely abused substance in Namibia and is associated with poor adherence and retention in care among people on antiretroviral therapy (ART). Electronic screening and brief interventions (eSBI) are effective in reducing alcohol consumption in various contexts. We used a mixed methods approach to develop, implement, and evaluate the introduction of an eSBI in two ART clinics in Namibia. Of the 787 participants, 45% reported some alcohol use in the past 12 months and 25% reported hazardous drinking levels. Hazardous drinkers were more likely to be male, separated/widowed/divorced, have a monthly household income > $1000 NAD, and report less than excellent ART adherence. Based on qualitative feedback from participants and providers, ART patients using the eSBI for the first time found it to be a positive and beneficial experience. However, we identified several programmatic considerations that could improve the experience and yield in future implementation studies.
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spelling pubmed-68012082019-11-01 Introduction of an Alcohol-Related Electronic Screening and Brief Intervention (eSBI) Program to Reduce Hazardous Alcohol Consumption in Namibia’s Antiretroviral Treatment (ART) Program Tang, A. M. Hamunime, N. Adams, R. A. Kanyinga, G. Fischer-Walker, C. Agolory, S. Prybylski, D. Mutenda, N. Sughrue, S. Walker, D. D. Rennie, T. Zahralban-Steele, M. Kerrigan, A. Hong, S. Y. AIDS Behav Original Paper Alcohol is the most widely abused substance in Namibia and is associated with poor adherence and retention in care among people on antiretroviral therapy (ART). Electronic screening and brief interventions (eSBI) are effective in reducing alcohol consumption in various contexts. We used a mixed methods approach to develop, implement, and evaluate the introduction of an eSBI in two ART clinics in Namibia. Of the 787 participants, 45% reported some alcohol use in the past 12 months and 25% reported hazardous drinking levels. Hazardous drinkers were more likely to be male, separated/widowed/divorced, have a monthly household income > $1000 NAD, and report less than excellent ART adherence. Based on qualitative feedback from participants and providers, ART patients using the eSBI for the first time found it to be a positive and beneficial experience. However, we identified several programmatic considerations that could improve the experience and yield in future implementation studies. Springer US 2019-08-23 2019 /pmc/articles/PMC6801208/ /pubmed/31444711 http://dx.doi.org/10.1007/s10461-019-02648-9 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Paper
Tang, A. M.
Hamunime, N.
Adams, R. A.
Kanyinga, G.
Fischer-Walker, C.
Agolory, S.
Prybylski, D.
Mutenda, N.
Sughrue, S.
Walker, D. D.
Rennie, T.
Zahralban-Steele, M.
Kerrigan, A.
Hong, S. Y.
Introduction of an Alcohol-Related Electronic Screening and Brief Intervention (eSBI) Program to Reduce Hazardous Alcohol Consumption in Namibia’s Antiretroviral Treatment (ART) Program
title Introduction of an Alcohol-Related Electronic Screening and Brief Intervention (eSBI) Program to Reduce Hazardous Alcohol Consumption in Namibia’s Antiretroviral Treatment (ART) Program
title_full Introduction of an Alcohol-Related Electronic Screening and Brief Intervention (eSBI) Program to Reduce Hazardous Alcohol Consumption in Namibia’s Antiretroviral Treatment (ART) Program
title_fullStr Introduction of an Alcohol-Related Electronic Screening and Brief Intervention (eSBI) Program to Reduce Hazardous Alcohol Consumption in Namibia’s Antiretroviral Treatment (ART) Program
title_full_unstemmed Introduction of an Alcohol-Related Electronic Screening and Brief Intervention (eSBI) Program to Reduce Hazardous Alcohol Consumption in Namibia’s Antiretroviral Treatment (ART) Program
title_short Introduction of an Alcohol-Related Electronic Screening and Brief Intervention (eSBI) Program to Reduce Hazardous Alcohol Consumption in Namibia’s Antiretroviral Treatment (ART) Program
title_sort introduction of an alcohol-related electronic screening and brief intervention (esbi) program to reduce hazardous alcohol consumption in namibia’s antiretroviral treatment (art) program
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6801208/
https://www.ncbi.nlm.nih.gov/pubmed/31444711
http://dx.doi.org/10.1007/s10461-019-02648-9
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