Interventions for HIV+ Mothers With Problem Drinking

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

Official Title
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Interventions for HIV+ Mothers With Problem Drinking

Conditions
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Substance Use Disorders

Intervention / Treatment
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* Behavioral: Family First


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 11 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 14 session behavioral intervention<br>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 | Behavioral: Family First<br>* Family First = 14 sessions lasting 1.5 hours each based on Social Action Theory and Motivational Interviewing (7 sessions on reducing alcohol and drug use and 7 sessions on reducing parenting challenges). Brief Video Intervention was a single session designed to increase motivation to reduce/eliminate problem drinking or drug use.<br>|
| Active Comparator: Brief Video Intervention<br>Single session brief video intervention to build motivation to reduce or eliminate problem drinking/drug use | Behavioral: Family First<br>* Family First = 14 sessions lasting 1.5 hours each based on Social Action Theory and Motivational Interviewing (7 sessions on reducing alcohol and drug use and 7 sessions on reducing parenting challenges). Brief Video Intervention was a single session designed to increase motivation to reduce/eliminate problem drinking or drug use.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Reduction or elimination of alcohol and drug use |  | 18 months | 
| Reduction or elimination of alcohol/drug use problems |  | 18 months | 
| Improvement in parenting behaviors (monitoring, communication, etc) |  | 18 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Reduction or elimination of sexual risk behavior |  | 18 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Substance use disorders, Parent child relationship