Evidence map›Paper›PMID 32892740›Full record

ArticleGlobal health action2020

Implementation of two alcohol reduction interventions among persons with hazardous alcohol use who are living with HIV in Thai Nguyen, Vietnam: a micro-costing analysis.

Natalie A Blackburn, Vivian F Go, Quynh Bui, Heidi Hutton, Radhika P Tampi, Teerada Sripaipan, Tran V Ha, Carl Latkin, Shelley Golden, Carol Golin and 4 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Global health action, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.2field-weighted citation impact, top 37% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 1 country.

Natalie A BlackburnDepartment of Health Behavior, University of North Carolina at Chapel Hill Gillings School of Global Public Health , Chapel Hill, NC, USA.ORCID 0000-0001-7914-2658
Vivian F GoDepartment of Health Behavior, University of North Carolina at Chapel Hill Gillings School of Global Public Health , Chapel Hill, NC, USA.ORCID 0000-0003-4828-6880
Quynh BuiDepartment of Health Behavior, University of North Carolina at Chapel Hill Gillings School of Global Public Health , Chapel Hill, NC, USA.ORCID 0000-0003-2403-8479
Heidi HuttonDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine , Baltimore, MD, USA.ORCID 0000-0002-0882-4456
Radhika P TampiDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health , Baltimore, MD, USA.ORCID 0000-0002-6953-7768
Teerada SripaipanDepartment of Health Behavior, University of North Carolina at Chapel Hill Gillings School of Global Public Health , Chapel Hill, NC, USA.
Tran V HaDepartment of Health Behavior, University of North Carolina at Chapel Hill Gillings School of Global Public Health , Chapel Hill, NC, USA.ORCID 0000-0002-8549-4761
Carl LatkinDepartment of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health , Baltimore, MD, USA.ORCID 0000-0002-7931-2116
Shelley GoldenDepartment of Health Behavior, University of North Carolina at Chapel Hill Gillings School of Global Public Health , Chapel Hill, NC, USA.ORCID 0000-0002-3283-542X
Carol GolinDepartment of Health Behavior, University of North Carolina at Chapel Hill Gillings School of Global Public Health , Chapel Hill, NC, USA.ORCID 0000-0002-5546-3163
Geetanjali ChanderDepartment of Medicine, Johns Hopkins School of Medicine , Baltimore, MD, USA.ORCID 0000-0002-2216-6330
Constantine FrangakisDepartment of Biostatistics, Johns Hopkins Bloomberg School of Public Health , Baltimore, MD, USA.ORCID 0000-0002-6932-0614
Nisha GottfredsonDepartment of Health Behavior, University of North Carolina at Chapel Hill Gillings School of Global Public Health , Chapel Hill, NC, USA.ORCID 0000-0002-4765-7179
David W DowdyDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health , Baltimore, MD, USA.ORCID 0000-0003-0481-7475
University of North Carolina at Chapel Hill · USJohns Hopkins University · US

Funding

Virology, Immunology, and Microbiology CoreP30AI050410 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAVID M. MARGOLIS · 2001 to 2026
$76.9M
Reducing Hazardous Alcohol Use & HIV Viral Load:An RCT in ART Clinics in VietnamR01DA037440 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GO, VIVIAN F. · 2013 to 2017
$2.4M
An evaluation of a social network intervention for primary and secondary prevention of opioid overdoses.R01CE003021 · CE · JOHNS HOPKINS UNIVERSITY · PI LATKIN, CARL A · 2018 to 2020
$2.2M
Statistical methods for characterizing patients who highly-benefit from treatments and programs in Alzheimers, HIV, and other heterogeneous diseasesR01AI140854 · NIAID · JOHNS HOPKINS UNIVERSITY · PI FRANGAKIS, CONSTANTINE E · 2018 to 2021
$1.8M
NCIPC CDC HHS R01 CE003021NIAID NIH HHS P30 AI050410NIAID NIH HHS R01 AI140854NIDA NIH HHS R01 DA037440
6 · The paper itself

Abstract

backgroundHazardous alcohol use is detrimental to persons with HIV (PWH), impacting medication adherence and liver function, yet globally resources to target alcohol use behavior in this population are limited. Few studies have identified the costs of integrating alcohol reduction interventions into HIV care.

objectiveTo estimate the costs of implementing and delivering two evidence-based behavioral counseling interventions targeting hazardous alcohol use among persons with HIV and to estimate the costs of scale-up in ART clinics in Thai Nguyen, Vietnam.

methodsWe undertook a micro-costing approach to determine the costs of delivering two adapted evidence-based interventions to reduce alcohol use: an intensive combined cognitive behavioral therapy and motivational enhancement therapy-informed intervention (CoI) and an abbreviated brief alcohol intervention (BI). A total of 294 participants with hazardous alcohol use were identified through a brief screening tool and received the CoI (n = 147) and the BI (n = 147) over 3 months. We estimated costs using time and motion studies, budget analysis, staff interviews, and participant questionnaires. Data were collected from 2016 to 2018 in VND and converted to USD.

resultsThe total cost of implementation and administration of the intervention to 147 participants receiving the CoI was $13,900 ($95 per participant) and to 147 participants receiving the BI was $5700 ($39 per participant). Implementation and startup costs including training accounted for 27% of costs for the CoI and 28% for the BI. Counselor costs accounted for a large proportion of both the CoI (41%) and the BI (30%).

conclusionsImplementing and delivering alcohol reduction interventions to people with HIV in Vietnam with appropriate fidelity is costly. These costs may be reduced, particularly counselor labor costs, by using an evidence-based brief intervention format. Future research should explore the budgetary impact of brief and combined interventions to reduce hazardous alcohol use, particularly among vulnerable populations.

Indexed as

Behavior TherapyAdultAlcohol AbstinenceAlcohol DrinkingCognitive Behavioral TherapyFemaleHIV InfectionsHumansMaleMass ScreeningMedication AdherenceTemperanceThailandVietnamalcohol treatmentdissemination and implementationHIVlow-middle-income countriessubstance use

Identifiers

PMID32892740
PMCPMC7781886
OpenAlexW3084339745

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.