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Practice Facilitation as a Strategy to Improve Alcohol Treatment Adoption and Implementation in HIV Care

RecruitingNAAges 18 Years - anyAllJohns Hopkins University
NCT05241990 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Despite availability of evidence-based alcohol reduction interventions (EBI), unhealthy alcohol use remains a barrier to HIV medication adherence, viral suppression and retention in HIV care and consequently HIV treatment as prevention (TASP). Guided by complementary implementation and evaluation frameworks-the Consolidated Framework for Implementation Research (CFIR) and RE-AIM (Reach, Effectiveness, Adoption, Implementation and Maintenance), The investigators will conduct a Hybrid Type 3 effectiveness-implementation evaluating implementation trial testing whether practice facilitation, an evidence-based multifaceted implementation strategy increases reach, adoption, implementation, and maintenance of stepped care for unhealthy alcohol use in three Center for AIDS Research (CFAR) Network of Integrated Clinical Systems (CNICS) HIV clinics located in Boston, San Diego, and Chapel Hill. Th

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📋 Eligibility rules (as published)
Inclusion Criteria: Clinic Staff * Age \> 18 years old * Confirmed to be clinic staff (clinical or administrative roles). * English speaking * Cognitively able to complete required survey or interview activities. Exclusion Criteria Clinic Staff * Unable to speak English Inclusion Criteria, Patients * Confirmed to be a person with HIV (PWH) receiving HIV care and participating in CNICS at one of the three clinic sites * Scoring AUDIT-C ≥3 for women or ≥4 for men, transgender women or men indicating unhealthy alcohol use. * Age ≥ 18 years old. * English speaking. * Cognitively able to participate in stepped care for unhealthy alcohol use. Exclusion Criteria, Patients * Scoring AUDIT-C \<3 for women or \<4 for men or \<4 for transgender women or men * Age \< 18 years old * Participants cognitively unable to participate in the stepped care for unhealthy alcohol use.
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What it tests

  • Practice Facilitation
  • Alcohol Stepped Care
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Where

3 sites
University of California, San Diego
San Diego, United States
Fenway Community Health
Boston, United States
University of North Carolina
Chapel Hill, United States
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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