protocolSection identificationModule nctId: NCT06358885, orgStudyIdInfo id: 22-3123, secondaryIdInfos id: R01AA030480, type: NIH, link: https://reporter.nih.gov/quickSearch/R01AA030480, briefTitle: IGHID 12230 - An Implementation Trial of an Experiential Brief Alcohol Intervention for HIV Prevention, acronym: EBAI, statusModule overallStatus: NOT_YET_RECRUITING, startDateStruct date: 2024-04, primaryCompletionDateStruct date: 2027-04, completionDateStruct date: 2027-04, studyFirstPostDateStruct date: 2024-04-11, lastUpdatePostDateStruct date: 2024-04-11, sponsorCollaboratorsModule leadSponsor name: University of North Carolina, Chapel Hill, class: OTHER, collaborators name: National Institute on Alcohol Abuse and Alcoholism (NIAAA), collaborators name: National Institutes of Health (NIH), collaborators name: Hanoi Medical University, collaborators name: Johns Hopkins University, collaborators name: University of Washington, collaborators name: Washington University School of Medicine, descriptionModule briefSummary: 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., conditionsModule conditions: HIV-1-infection, conditions: Unhealthy Alcohol Use, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: RANDOMIZED, interventionModel: PARALLEL, interventionModelDescription: A two-arm cluster-randomized implementation trial comparing two strategies to scale-up an evidence-based brief alcohol intervention (BAI), in Vietnam, examining the mechanisms of BAI scale-up and the impact of experiential BAI (EBAI) on clinic staff. The two implementation approaches are facilitation only (FAC) and facilitation plus an experiential brief alcohol intervention (EBAI+FAC)., primaryPurpose: HEALTH_SERVICES_RESEARCH, maskingInfo masking: DOUBLE, whoMasked: INVESTIGATOR, whoMasked: OUTCOMES_ASSESSOR, enrollmentInfo count: 930, type: ESTIMATED, armsInterventionsModule interventions name: Facilitation (FAC), interventions name: Experiential Brief Alcohol Intervention (EBAI), outcomesModule primaryOutcomes measure: Fidelity Score, primaryOutcomes measure: Viral Suppression, secondaryOutcomes measure: BAI Acceptability Score - Clinic Staff: Acceptability of Intervention Measure (AIM) scale, secondaryOutcomes measure: BAI Acceptability score Counselors: Mental Health Implementation Science Tools (mhIST) Acceptability Scale for Providers, secondaryOutcomes measure: BAI Acceptability PWH: Mental Health Implementation Science Tools (mhIST) Acceptability Scale for Consumers, secondaryOutcomes measure: Penetration- Proportion of PWH Screened with the AUDIT-C, secondaryOutcomes measure: Penetration - Proportion of PWH who screen positive who receive at least one counseling session, secondaryOutcomes measure: Costs, secondaryOutcomes measure: Sustainability Score: Provider Support of Sustainment Scale (PRESS), secondaryOutcomes measure: AUDIT (total score) - Clinic staff, secondaryOutcomes measure: AUDIT (total score) - PWH, secondaryOutcomes measure: Fidelity (Extended Window), eligibilityModule sex: ALL, minimumAge: 18 Years, stdAges: ADULT, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: Hanoi Medical University, city: Hanoi, country: Vietnam, contacts name: Le Minh Giang, MD, PhD, role: CONTACT, email: leminhgiang@hmu.edu.vn, geoPoint lat: 21.0245, lon: 105.84117, hasResults: False