Effect of ASSIST-linked alcohol screening and brief intervention on moderate risk drinking behaviors in people living with human immunodeficiency virus at antiretroviral drugs clinic, Ko-Kha hospital ,Lampang
Keywords:
ASSIST-linked brief therapy, Drinking behaviors, People living with HIVAbstract
Hazardous alcohol use is common among people living with HIV (PLHIV) and may decrease antiretroviral therapy (ART) adherence. This study was a quasi-experimental study with pre-posttest two groups design. This study was aimed to compared alcohol consumption behavior before and after receiving the ASSIST-linked brief intervention and between the experimental group and the control group. It also examined the relationship between the ASSIST-linked brief intervention and the antiretroviral therapy adherence in PLHIV. The samples consisted of 100 PLHIV aged 20-60 years old, had moderate risk behaviors and took antiretroviral drugs regularly. The samples were equally divided into a control group and an experimental group. An experimental group received the ASSIST-linked brief intervention on moderate risk drinking, while a control group received the routine nursing care. The instrument for collecting data was the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) developed by WHO. Data were analyzed by using descriptive statistics, analysis of paired t-test and independent t-test and also binary logistic regression analysis.
The study revealed that after intervention for 16 weeks: The experimental group had significantly lower mean score of drinking behaviors than before the intervention. (p-value < .001) The experimental group had significantly lower mean score of drinking behaviors than the control group. (p-value < .001) The experimental group had the opportunity to take antiretroviral drugs more than 95% for 3.76 times when compared to the control group (p-value = .008)
It could be seen that the ASSIST-linked brief intervention can be effective for modifying behavior in PLHIV and increasing antiretroviral therapy adherence.
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