Introduction of an Alcohol-Related Electronic Screening and Brief Intervention (eSBI) Program to Reduce Hazardous Alcohol Consumption in Namibia’s Antiretroviral Treatment (ART) Program
Open accessAbstract
Alcohol is the most widely abused substance in Namibia and is associated with poor adherence and retention in care among people on antiretroviral therapy (ART). Electronic screening and brief interventions (eSBI) are effective in reducing alcohol consumption in various contexts. We used a mixed methods approach to develop, implement, and evaluate the introduction of an eSBI in two ART clinics in Namibia. Of the 787 participants, 45% reported some alcohol use in the past 12 months and 25% reported hazardous drinking levels. Hazardous drinkers were more likely to be male, separated/widowed/divorced, have a monthly household income > $1000 NAD, and report less than excellent ART adherence. Based on qualitative feedback from participants and providers, ART patients using the eSBI for the first time found it to be a positive and beneficial experience. However, we identified several programmatic considerations that could improve the experience and yield in future implementation studies.
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The brief intervention was reported as appropriate and acceptable by patients, caregivers, and providers.
“The BI was reported as appropriate and acceptable by patients, caregivers, and providers [19,73].”
From A scoping review of substance use brief interventions in Africa (2024) · cites this paper as [19]
The Results (Qualitative Results; page unavailable) describe generally favorable patient feedback and providers who saw benefits in the eSBI program. The Methods (Participant Enrollment; page unavailable) identify patients and providers as interview participants, but not caregivers. The paper therefore supports acceptability among patients and some providers, not the claim about caregivers. (LLM, conf=0.88)
Experimental — accuracy not yet measuredAnother intervention was delivered through a self-administered app.
“Another intervention was delivered through a self-administered app [19].”
From A scoping review of substance use brief interventions in Africa (2024) · cites this paper as [19]
BIs can be delivered by a wide range of providers including primary healthcare workers, lay providers, and through digital means.
“Secondly, BIs can be delivered by a wide range of providers including primary healthcare workers [17], lay providers [18] and through digital means [19].”
From A scoping review of substance use brief interventions in Africa (2024) · cites this paper as [19]
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References 34 · Cited by 14
- Authors
- Tang, A. M., Hamunime, N., Adams, R. A., Kanyinga, G., Fischer-Walker, C., Agolory, S., Prybylski, D., Mutenda, N., Sughrue, S., Walker, D. D., Rennie, T., Zahralban-Steele, M., Kerrigan, A., & Hong, S. Y.
- Affiliations
- Tufts University (US)
- Ministry of Health and Social Services (NA)
- Centers for Disease Control and Prevention (US)
- University of Washington (US)
- University of Namibia (NA)
- Corresponding author
- Tang, A. M.
- ORCID
- Venue
- AIDS and Behavior
- Published
- 2019-08-23
- Volume
- 23
- Issue
- 11
- Pages
- 3078-3092
- ISSN
- 1090-7165 (ISSN-L)
- 1573-3254
- PMC
- PMC6801208
- OpenAlex
- W2969292337
- Cited by
- 14
- References
- 34
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 2 · 2022: 7 · 2021: 2 · 2020: 1
- FWCI
- 1.90
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- AIDS and Behavior (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Centers for Disease Control and Prevention (NAM-PHAME-14390)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Keywords
- alcohol consumption, hazardous drinking, antiretroviral therapy, HIV, medication adherence, retention in care, program implementation, Namibia
- MeSH terms
- Adult, Alcohol Drinking, Counseling, Female, Humans, Interviews as Topic, Male, Mass Screening, Namibia, HIV Infections, Focus Groups, Qualitative Research, Anti-Retroviral Agents
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