Development of a Telephone-Delivered Acceptance and Commitment Therapy Intervention for People Living with HIV who are Hazardous Drinkers
Open accessAbstract
Alcohol use among people living with HIV (PWH) has been increasingly recognized as an important component of HIV care. Transdiagnostic treatments, such as Acceptance and Commitment Therapy (ACT), that target core processes common to multiple mental health and substance-related problems, may be ideal in HIV treatment settings where psychological and behavioral health comorbidities are high. In advance of a randomized clinical trial (RCT), the overall objective of this study was to systematically adapt an ACT-based intervention originally developed for smoking cessation, into an ACT intervention for PWH who drink at hazardous levels. Consistent with the ADAPT-ITT model, the adaptation progressed systematically in several phases, which included structured team meetings, three focus group discussions with PWH (N = 13), and in-depth interviews with HIV providers (N = 10), and development of standardized operating procedures for interventionist training, supervision, and eventual RCT implementation. The procedures described here offer a template for transparent reporting on early phase behavioral RCTs.
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- Authors
- Woolf-King, S. E., Firkey, M., Foley, J. D., Bricker, J., Hahn, J. A., Asiago-Reddy, E., Wikier, J., Moskal, D., Sheinfil, A. Z., Ramos, J., & Maisto, S. A.
- Affiliations
- Syracuse University (US)
- Massachusetts General Hospital (US)
- University of Washington (US)
- University of California, San Francisco (US)
- SUNY Upstate Medical University (US)
- Buffalo VA Medical Center (US)
- ORCID
- Venue
- AIDS and Behavior
- Published
- 2022-03-18
- Volume
- 26
- Issue
- 9
- Pages
- 3029-3044
- ISSN
- 1090-7165 (ISSN-L)
- 1573-3254
- PMC
- PMC8931450
- OpenAlex
- W4220883152
- Semantic Scholar
- 989bf160cfd7bfdbf7ceae8d863aec7236b2d07e
- Cited by
- 10
- References
- 72
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 2 · 2023: 2 · 2022: 1
- FWCI
- 1.62
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- AIDS and Behavior (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (R34AA026246, K24AA022586)
- National Center for Complementary and Alternative Medicine (T32AT00005)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Keywords
- acceptance and commitment therapy, people living with HIV, hazardous drinking, alcohol consumption, telephone-delivered intervention, transdiagnostic treatment, intervention adaptation, smoking cessation
- MeSH terms
- Humans, Mental Health, Telephone, HIV Infections, Smoking Cessation, Acceptance and Commitment Therapy
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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