Understanding Patients’ Experiences with a Brief Alcohol Reduction Intervention among People Living with HIV in Uganda: A Qualitative Study
Open accessAbstract
Background: Brief alcohol reduction interventions for people living with HIV (PLWH) have resulted in mixed findings with some studies showing null or limited treatment effects. To better understand factors that may contribute to their success or failure, this qualitative study sought to explore participants’ experiences in a randomized trial (RCT) of a brief counseling-based alcohol reduction intervention, including challenges that may have impeded alcohol reduction. Methods: We conducted in-depth semi-structured interviews with 24 PLWH engaging in unhealthy alcohol use, who were enrolled in an RCT to reduce alcohol consumption conducted in southwestern Uganda in 2019–2020 (NCT03928418). We used a collaborative thematic approach to analyze data from transcribed and translated audio recordings. Results: Perceived benefits of the intervention included increased awareness of alcohol use and its impact on personal finances, the relationship between alcohol use and violence, and a commitment to drinking reduction. Participants experienced several barriers to decreasing their alcohol use, including: prevailing social norms about alcohol use, lack of social support, and economic and social consequences of the COVID-19 pandemic. Conclusion: Factors in the immediate contexts of PLWH in low-income settings, including social norms influencing alcohol consumption and lack of social support, may impede the impact of alcohol reduction interventions, especially during times of stress such as the COVID-19 pandemic.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In PLWH in Uganda, participants reported reduced alcohol use, increased financial savings, and awareness of the social and physical impact of alcohol; peer pressure and lack of social support constituted barriers to alcohol reduction.
“Participants reported reduced alcohol use, increased financial savings, awareness of the social and physical impact of alcohol. Peer pressure, and lack of social support constituted barriers to alcohol reduction.”
From A scoping review of substance use brief interventions in Africa (2024) · cites this paper as [102]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Sobell, L. C., & Sobell, M. B. (1992) · Measuring Alcohol Consumption · doi:10.1007/978-1-4612-0357-5_3 · Cited by 4,110 · see citing works
Fisher, J. D., & Fisher, W. A. (1992) · Psychological Bulletin · doi:10.1037/0033-2909.111.3.455 · Cited by 2,459 · see citing works
Codebook Development for Team-Based Qualitative Analysis
MacQueen, K. M., McLellan, E., Kay, K., & Milstein, B. (1998) · CAM Journal · doi:10.1177/1525822x980100020301 · Cited by 1,675 · see citing works
Mixed method designs in implementation research
Palinkas, L. A., Aarons, G. A., Horwitz, S., Chamberlain, P., Hurlburt, M., & Landsverk, J. (2011) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-010-0314-z · Cited by 1,187 · see citing works
Alcohol Use and Antiretroviral Adherence: Review and Meta-Analysis
Hendershot, C. S., Stoner, S. A., Pantalone, D. W., & Simoni, J. M. (2009) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0b013e3181b18b6e · Cited by 485 · see citing works
Lockdown measures in response to COVID-19 in nine sub-Saharan African countries
Haider, N., Osman, A. Y., Gadzekpo, A. S., Akipede, G. O., Asogun, D., Ansumana, R., Lessells, R. J., Khan, P. Y., Hamid, M. M. A., Yeboah‐Manu, D., et al. (2020) · BMJ Global Health · doi:10.1136/bmjgh-2020-003319 · Cited by 429 · see citing works
Benefits of peer support groups in the treatment of addiction
Tracy, K., & Wallace, S. (2016) · Substance Abuse and Rehabilitation · doi:10.2147/sar.s81535 · Cited by 308 · see citing works
Nguyen, V., Ako, C. Y., Niamba, P., Sylla, A., & Tiendrébéogo, I. (2007) · AIDS · doi:10.1097/01.aids.0000298100.48990.58 · Cited by 163 · see citing works
Velloza, J., Kemp, C. G., Aunon, F. M., Ramaiya, M., Creegan, E., & Simoni, J. M. (2019) · AIDS and Behavior · doi:10.1007/s10461-019-02716-0 · Cited by 144 · see citing works
The MASH Research Team, Scott-Sheldon, L. A. J., Carey, K. B., Johnson, B. T., & Carey, M. P. (2017) · AIDS and Behavior · doi:10.1007/s10461-017-1886-3 · Cited by 133 · see citing works
Walther, L., de Bejczy, A., Löf, E., Hansson, T., Andersson, A., Guterstam, J., Hammarberg, A., Asanovska, G., Franck, J., Söderpalm, B., et al. (2015) · Alcoholism: Clinical and Experimental Research · doi:10.1111/acer.12883 · Cited by 112 · see citing works
Nadin, S. J., & Cassell, C. M. (2004) · SAGE Publications Ltd eBooks · doi:10.4135/9781446280119.n22 · Cited by 102 · see citing works
Hahn, J. A., Emenyonu, N. I., Fatch, R., Muyindike, W. R., Kekiibina, A., Carrico, A. W., Woolf‐King, S., & Shiboski, S. (2016) · Addiction · doi:10.1111/add.13173 · Cited by 97 · see citing works
Self-citationThe potential of asset‐based development strategies for poverty alleviation in Sub‐Saharan Africa
Ssewamala, F. M., Sperber, E., Zimmerman, J. M., & Karimli, L. (2010) · International Journal of Social Welfare · doi:10.1111/j.1468-2397.2010.00738.x · Cited by 85 · see citing works
Chander, G., Hutton, H. E., Lau, B., Xu, X., & McCaul, M. E. (2015) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0000000000000679 · Cited by 83 · see citing works
Wandera, B., Tumwesigye, N. M., Nankabirwa, J. I., Kambugu, A. D., Parkes-Ratanshi, R., Mafigiri, D. K., Kapiga, S., & Sethi, A. K. (2015) · PLOS ONE · doi:10.1371/journal.pone.0126236 · Cited by 72 · see citing works
Mayo‐Wilson, L. J., Ssewamala, F. M., & Nabunya, P. (2015) · AIDS Care · doi:10.1080/09540121.2015.1109585 · Cited by 66 · see citing works
Ssewamala, F. M., Dvalishvili, D., Mellins, C. A., Geng, E. H., Makumbi, F., Neilands, T. B., McKay, M. M., Damulira, C., Nabunya, P., Bahar, O. S., et al. (2020) · PLoS ONE · doi:10.1371/journal.pone.0228370 · Cited by 65 · see citing works
Nalwadda, O., Rathod, S. D., Nakku, J. E. M., Lund, C., Prince, M. J., & Kigozi, F. N. (2018) · International Journal of Mental Health Systems · doi:10.1186/s13033-018-0191-5 · Cited by 64 · see citing works
Wandera, B., Tumwesigye, N. M., Nankabirwa, J. I., Mafigiri, D. K., Parkes-Ratanshi, R. M., Kapiga, S., Hahn, J., & Sethi, A. K. (2017) · Journal of the International Association of Providers of AIDS Care (JIAPAC) · doi:10.1177/2325957416649669 · Cited by 61 · see citing works
Self-citationMadhombiro, M., Musekiwa, A., January, J., Chingono, A., Abas, M., & Seedat, S. (2019) · Systematic Reviews · doi:10.1186/s13643-019-1176-4 · Cited by 57 · see citing works
Madhombiro, M., Kidd, M., Dube, B., Dube, M., Mutsvuke, W., Muronzie, T., Zhou, D. T., Derveeuw, S., Chibanda, D., Chingono, A., et al. (2020) · Journal of the International AIDS Society · doi:10.1002/jia2.25641 · Cited by 49 · see citing works
The future of translational research on alcohol use disorder
Ray, L. A., Grodin, E. N., Leggio, L., Bechtholt, A. J., Becker, H. C., Ewing, S. W. F., Jentsch, D., King, A. C., Mason, B. J., O’Malley, S. S., et al. (2020) · Addiction Biology · doi:10.1111/adb.12903 · Cited by 47 · see citing works
Sileo, K. M., Miller, A. P., Wagman, J. A., & Kiene, S. M. (2021) · Addiction · doi:10.1111/add.15227 · Cited by 47 · see citing works
Camlin, C. S., Charlebois, E. D., Getahun, M., Akatukwasa, C., Atwine, F., Itiakorit, H., Bakanoma, R., Maeri, I., Owino, L., Onyango, A., et al. (2020) · Journal of the International AIDS Society · doi:10.1002/jia2.25647 · Cited by 45 · see citing works
Self-citationWomen who fall by the roadside: gender, sexual risk and alcohol in rural Uganda
Wolff, B., Busza, J. R., Bufumbo, L., & Whitworth, J. (2006) · Addiction · doi:10.1111/j.1360-0443.2006.01516.x · Cited by 44 · see citing works
Carrasco, M., Esser, M. B., Sparks, A. C., & Kaufman, M. R. (2015) · AIDS and Behavior · doi:10.1007/s10461-015-1233-5 · Cited by 42 · see citing works
Russell, S., Namukwaya, S., Zalwango, F., & Seeley, J. (2015) · Qualitative Health Research · doi:10.1177/1049732315597654 · Cited by 37 · see citing works
Papas, R. K., Gakinya, B. N., Mwaniki, M. M., Lee, H., Keter, A. K., Martino, S., Klein, D. A., Liu, T., Loxley, M. P., Sidle, J. E., et al. (2021) · Addiction · doi:10.1111/add.15112 · Cited by 37 · see citing works
Huis in ‘t Veld, D., Ensoy-Musoro, C., Pengpid, S., Peltzer, K., & Colebunders, R. (2019) · PLOS ONE · doi:10.1371/journal.pone.0220799 · Cited by 35 · see citing works
Sundararajan, R. L., Wyatt, M. A., Woolf‐King, S. E., Pisarski, E. E., Emenyonu, N. I., Muyindike, W. R., Hahn, J. A., & Ware, N. C. (2014) · AIDS and Behavior · doi:10.1007/s10461-014-0918-5 · Cited by 27 · see citing works
Self-citationHahn, J. A., Fatch, R., Emenyonu, N. I., Sanyu, N., Katusiime, A., Levine, B., John Boscardin, W., Chander, G., Hutton, H., Camlin, C. S., et al. (2023) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2023.109783 · Cited by 22 · see citing works
Self-citationPerkins, J. M., Kakuhikire, B., Baguma, C., Jurinsky, J., Rasmussen, J. D., Satinsky, E. N., Namara, E. B., Ahereza, P., Kyokunda, V., Perkins, H. W., et al. (2021) · Addiction · doi:10.1111/add.15615 · Cited by 18 · see citing works
Self-citationWechsberg, W. M., Browne, F. A., Ndirangu, J., Bonner, C. P., Kline, T. L., Gichane, M., & Zule, W. A. (2021) · AIDS and Behavior · doi:10.1007/s10461-021-03251-7 · Cited by 16 · see citing works
Self-citationLeddy, A. M., Hahn, J. A., Getahun, M., Emenyonu, N. I., Woolf‐King, S. E., Sanyu, N., Katusiime, A., Fatch, R., Chander, G., Hutton, H. E., et al. (2021) · AIDS and Behavior · doi:10.1007/s10461-021-03186-z · Cited by 13 · see citing works
Self-citationCurrent Interventions for People Living with HIV Who Use Alcohol: Why Gender Matters
Wechsberg, W. M., Browne, F. A., Bonner, C. P., Washio, Y., Howard, B. N., & van der Drift, I. (2021) · Current HIV/AIDS Reports · doi:10.1007/s11904-021-00558-x · Cited by 10 · see citing works
Heavy Alcohol Use Among Women and Men Living With HIV in Uganda, Russia, and the United States
Gnatienko, N., Calver, K. E., Sullivan, M. M., Forman, L. S., Heeren, T., Blokhina, E. A., Emenyonu, N. I., Ventura, A. S., Tsui, J. I., Muyindike, W. R., et al. (2021) · Journal of Studies on Alcohol and Drugs · doi:10.15288/jsad.2021.82.486 · Cited by 8 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
A scoping review of substance use brief interventions in Africa
Jaguga, F., Kiburi, S. K., Temet, E., Aalsma, M. C., Ott, M. A., Maina, R. W., Wachira, J., Mostert, C., Kosgei, G., Tenge, A., et al. (2024) · PLOS Global Public Health · doi:10.1371/journal.pgph.0003340 · Cited by 10 · see citing works
- Authors
- Gichane, M. W., Camlin, C. S., Getahun, M., Emenyonu, N., Woolf-King, S., Sanyu, N., Katusiime, A., Fatch, R., Muyindike, W., & Hahn, J. A.
- Affiliations
- University of California, San Francisco (US)
- Department of Psychology, Syracuse University, Syracuse, New York, USA
- Mbarara University of Science and Technology (UG)
- Corresponding author
- Gichane, Margaret W.
- ORCID
- Venue
- Substance Use & Misuse
- Publisher
- Informa UK Limited
- Published
- 2023-08-08
- Volume
- 58
- Issue
- 13
- Pages
- 1714-1721
- ISSN
- 1082-6084 (ISSN-L)
- 1532-2491
- PMC
- PMC10538401
- OpenAlex
- W4385659831
- Cited by
- 1
- References
- 37
- Citations by year
- 2024: 1
- FWCI
- 0.20
- Type
- journal article
- Language
- en
- Open access
- hybrid
- dx.doi.org
- Licence
- Locations
- Substance Use & Misuse (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by-nc-nd)
- Funders
- National Institutes of Health (NIH K24, NIH-R01)
- National Institute on Alcohol Abuse and Alcoholism (K24AA022586, R01AA024990)
- National Institute of Mental Health (K24MH126808)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Keywords
- alcohol reduction interventions, people living with HIV, brief counseling, patient experience, social norms, social support, COVID-19 pandemic, low-income settings, Uganda
- MeSH terms
- COVID-19, Ethanol, HIV, Humans, Uganda, HIV Infections, Qualitative Research, Pandemics
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 ›
Are you an author, or do you see a problem with this page? Request a review
