Interventions for HIV+ Mothers With Problem Drinking

New York University118 enrolled

Overview

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.

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

118

Conditions

Substance Use Disorders

Interventions

Family FirstBEHAVIORAL

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.

Eligibility

Sex: ALLMin age: 11 Years

Medical Language ↔ Plain English

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

Locations (1)

National Development and Research Institutes, Inc

New York, New York, United States

Outcomes

Primary Outcomes

Reduction or elimination of alcohol and drug use

Time frame: 18 months

Reduction or elimination of alcohol/drug use problems

Time frame: 18 months

Improvement in parenting behaviors (monitoring, communication, etc)

Time frame: 18 months

Secondary Outcomes

Reduction or elimination of sexual risk behavior

Time frame: 18 months

Data from ClinicalTrials.gov

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