Evidence map›Paper›PMID 39465468›Full record

ArticleAIDS and behavior2025

The Feasibility and Acceptability of a Clinical Pharmacist-delivered Intervention to Reduce Bothersome Health Symptoms from Polypharmacy and Alcohol Use and Communicate Risk among People with HIV: Pilot Study Protocol.

Julie A Womack, Micaela M Leblanc, Annette S Sager, Lauren N Zaets, Stephen A Maisto, Adelyn Garcia, Lydia Aoun-Barakat, Shan-Estelle Brown, E Jennifer Edelman, David A Fiellin and 10 more

Abstract read
In one paragraph

Article in AIDS and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. Review
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

20 authors.

Julie A WomackVA Connecticut Healthcare System, West Haven, CT, USA. Julie.womack@yale.edu.ORCID http://orcid.org/0000-0002-1003-0276
Micaela M LeblancVA Connecticut Healthcare System, West Haven, CT, USA.
Annette S SagerVA Connecticut Healthcare System, West Haven, CT, USA.
Lauren N ZaetsVA Connecticut Healthcare System, West Haven, CT, USA.
Stephen A MaistoSyracuse University, Syracuse, NY, USA.
Adelyn GarciaVA Connecticut Healthcare System, West Haven, CT, USA.
Lydia Aoun-BarakatYale School of Medicine, New Haven, CT, USA.
Shan-Estelle BrownRollins College, Winter Park, FL, USA.
E Jennifer EdelmanYale School of Medicine, New Haven, CT, USA.
David A FiellinYale School of Medicine, New Haven, CT, USA.
Jeffrey FisherUniversity of Connecticut, Storrs, CT, USA.
Liana FraenkelYale School of Medicine, New Haven, CT, USA.
Farah Kidwai-KhanVA Connecticut Healthcare System, West Haven, CT, USA.
Vincent C MarconiAtlanta Veterans Affairs Medical Center, Division of Infectious Diseases, Emory University School of Medicine and Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Steve MartinoVA Connecticut Healthcare System, West Haven, CT, USA.
Rebecca PulkYale New Haven Health, Health Services Corporation, New Haven, CT, USA.
Derek D SatreDepartment of Psychiatry and Behavioral Sciences, University of California, San Francisco, CA, USA.
Michael VirataYale School of Medicine, New Haven, CT, USA.
Amy C Justice *VA Connecticut Healthcare System, West Haven, CT, USA.
Evelyn Hsieh *VA Connecticut Healthcare System, West Haven, CT, USA.

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Ann M Chahroudi, Colleen F Kelley · 2002 to 2026
$74.0M
The HIV and Alcohol Research center focused on Polypharmacy (HARP)P01AA029545 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2021 to 2025
$6.3M
NIAAA NIH HHS P01 AA029545NIAAA NIH HHS P01AA029545NIAID NIH HHS P30 AI050409
6 · The paper itself

Abstract

Among persons with HIV (PWH), unhealthy alcohol use and polypharmacy contribute to bothersome symptoms (e.g., fatigue, dizziness, memory loss). However, effective risk communication targeting these associations is challenging. The HIV and Alcohol Research center focused on Polypharmacy (HARP) is conducting a pilot study that will generate feasibility and acceptability data on a clinical pharmacist-delivered counseling intervention targeting the modification of unhealthy alcohol use and polypharmacy in PWH. Counseling is guided by the Information-Motivation-Behavioral Skills-Motivational Interviewing (IMB-MI) model. Herein, we describe the study protocol. This pilot uses a one-group pre-test/post-test design. We will recruit 50 participants from those who participated in the consented cohort of the Veterans Aging Cohort Study. Participants must be prescribed ≥ 5 long-term medications, have a self-reported Alcohol Use Disorders Identification Test score > 0, and be living with HIV. We will exclude those with moderate-severe alcohol use disorder as identified by an Alcohol Symptom Checklist score ≥ 4. Data are collected using three self-administered surveys (baseline, immediately after booster intervention, and 30-days post-intervention), two PEth blood tests (baseline, 30 days post-intervention), and medication data from the electronic health record (baseline). The intervention includes a 60-minute IMB-MI-based counseling session followed by a booster session 2 weeks later. Some participants will also be asked to participate in a qualitative interview to provide feedback on the intervention. The pilot investigates the impact of an intervention on alcohol consumption and the use of multiple medications among PWH, exploring how best to reduce bothersome symptoms, communicate risk, and support behavior change in this population.

Indexed as

Alcohol DrinkingAlcoholismCounselingHIV InfectionsPatient Acceptance of Health CarePharmacistsPolypharmacyAdultCommunicationFeasibility StudiesFemaleHumansMaleMiddle AgedMotivational InterviewingPilot ProjectsAlcoholHIVInterventionMotivational InterviewingPolypharmacy

Identifiers

PMID39465468
PMCPMC12323700

What OpenQuestion holds

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Registered trials

None linked

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.