Taylor Erica, Patel Darshti, Marconi Vincent, Whitmire Alexis, Hansen Nathan, Kershaw Trace, Fiellin David, Lauckner Carolyn
Department of Health Promotion & Behavior, University of Georgia College of Public Health, Athens, Georgia, USA.
Atlanta VAMC, Emory University School of Medicine, Rollins School of Public Health, Atlanta, GA, USA.
Mil Behav Health. 2023;11(1-2):66-77. doi: 10.1080/21635781.2023.2221465. Epub 2023 Jun 14.
Veterans engage in disproportionate levels of alcohol use, which can impact treatment outcomes among veterans with HIV. The TRAC (Tracking and Reducing Alcohol Consumption) intervention, which combines smartphones, mobile breathalyzers, and motivational interviewing (MI), was developed to help reduce alcohol use among this population. This study reports results of an 8-week pilot trial of TRAC among veterans with HIV ( = 10). Participants attended weekly MI sessions conducted videoconferencing or phone and completed twice-daily self-monitoring of alcohol consumption using breathalyzers and surveys. They also completed pre- and post-intervention questionnaires and a qualitative interview. Analyses explored adherence to self-monitoring tasks, perceptions of the intervention, and preliminary effects of TRAC on alcohol use and readiness to change drinking behavior. Participants completed 76% of breathalyzer readings and 73% of surveys and completed more daytime than evening monitoring tasks. AUDIT hazardous drinking scores significantly decreased between baseline and post-test. Qualitative interviews revealed positive attitudes toward the technologies and MI sessions. Overall, this pilot demonstrated that the TRAC intervention has potential to reduce alcohol use among veterans with HIV, though additional effort is needed to improve adherence to mobile monitoring. Results were used to refine the intervention in preparation for a randomized controlled trial.
退伍军人的酒精使用水平过高，这可能会影响感染艾滋病毒退伍军人的治疗效果。TRAC（追踪和减少酒精消费）干预措施结合了智能手机、移动呼气酒精含量探测器和动机性访谈（MI），旨在帮助减少这一人群的酒精使用。本研究报告了TRAC在10名感染艾滋病毒退伍军人中进行的为期8周的试点试验结果。参与者参加了通过视频会议或电话进行的每周一次的动机性访谈，并使用呼气酒精含量探测器和调查问卷完成了每日两次的酒精消费自我监测。他们还完成了干预前后的问卷调查和一次定性访谈。分析探讨了对自我监测任务的依从性、对干预措施的看法，以及TRAC对酒精使用和改变饮酒行为意愿的初步影响。参与者完成了76%的呼气酒精含量读数和73%的调查问卷，并且白天完成的监测任务比晚上多。在基线和测试后，酒精使用障碍鉴定测试（AUDIT）中的危险饮酒分数显著下降。定性访谈显示对这些技术和动机性访谈持积极态度。总体而言，这项试点表明，TRAC干预措施有潜力减少感染艾滋病毒退伍军人的酒精使用，不过需要付出更多努力来提高对移动监测的依从性。研究结果被用于完善干预措施，为随机对照试验做准备。
