Costs of a Brief Alcohol Consumption Reduction Intervention for Persons Living with HIV in Southwestern Uganda: Comparisons of Live Versus Automated Cell Phone-Based Booster Components.
Alcohol
Brief intervention
Costing
HIV
Mobile health
Sub-Saharan Africa
Technology
Journal
AIDS and behavior
ISSN: 1573-3254
Titre abrégé: AIDS Behav
Pays: United States
ID NLM: 9712133
Informations de publication
Date de publication:
Sep 2023
Sep 2023
Historique:
accepted:
24
01
2023
medline:
31
7
2023
pubmed:
23
2
2023
entrez:
22
2
2023
Statut:
ppublish
Résumé
Low-cost interventions are needed to reduce alcohol use among persons with HIV (PWH) in low-income settings. Brief alcohol interventions hold promise, and technology may efficiently deliver brief intervention components with high frequency. We conducted a costing study of the components of a randomized trial that compared a counselling-based intervention with two in-person one-on-one sessions supplemented by booster sessions to reinforce the intervention among PWH with unhealthy alcohol use in southwest Uganda. Booster sessions were delivered twice weekly by two-way short message service (SMS) or Interactive Voice Response (IVR), i.e. via technology, or approximately monthly via live calls from counsellors. We found no significant intervention effects compared to the control, however the cost of the types of booster sessions differed. Start up and recurring costs for the technology-delivered booster sessions were 2.5 to 3 times the cost per participant of the live-call delivered booster intervention for 1000 participants. These results suggest technology-based interventions for PWH are unlikely to be lower cost than person-delivered interventions unless they are at very large scale.
Identifiants
pubmed: 36807244
doi: 10.1007/s10461-023-04010-6
pii: 10.1007/s10461-023-04010-6
pmc: PMC10386919
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
2865-2874Subventions
Organisme : NIAAA NIH HHS
ID : K24 AA022586
Pays : United States
Organisme : NIAAA NIH HHS
ID : R01 AA024990
Pays : United States
Organisme : NIAAA NIH HHS
ID : R03 AA024586
Pays : United States
Organisme : NIAAA NIH HHS
ID : K24 AA024586
Pays : United States
Informations de copyright
© 2023. The Author(s).
Références
Drug Alcohol Depend. 2023 Mar 1;244:109783
pubmed: 36706675
AIDS Behav. 2021 Jul;25(7):2108-2119
pubmed: 33392969
J Acquir Immune Defic Syndr. 2014 Jun 1;66(2):e54-8
pubmed: 24828269
Alcohol Clin Exp Res. 2016 Oct;40(10):2056-2072
pubmed: 27696523
Alcohol Clin Exp Res. 2017 Jan;41(1):179-186
pubmed: 28019652
Lancet. 2017 Jan 14;389(10065):186-195
pubmed: 27988144
Cochrane Database Syst Rev. 2017 Sep 25;9:CD011479
pubmed: 28944453
AIDS Behav. 2017 Nov;21(Suppl 2):126-143
pubmed: 28831609
Lancet Glob Health. 2018 Sep;6(9):e954-e955
pubmed: 30103990
AIDS Behav. 2021 Dec;25(Suppl 3):237-250
pubmed: 33590322
Alcohol Clin Exp Res. 2015 Nov;39(11):2179-88
pubmed: 26463727
Glob Health Action. 2020 Dec 31;13(1):1814035
pubmed: 32892740
J Addict Med. 2021 Jan-Feb 01;15(1):3-7
pubmed: 32482955
Ann Intern Med. 2012 Nov 6;157(9):645-54
pubmed: 23007881
JAMA Netw Open. 2020 Sep 1;3(9):e2017115
pubmed: 32945875
J Health Commun. 2017 May;22(5):413-432
pubmed: 28394729
Front Commun (Lausanne). 2020 Nov;5:
pubmed: 33644162
AIDS Patient Care STDS. 2020 Feb;34(2):59-71
pubmed: 32049555
J Acquir Immune Defic Syndr. 2015 Oct 1;70(2):137-45
pubmed: 25967270
Addiction. 2021 May;116(5):1021-1033
pubmed: 33047865
Syst Rev. 2019 Oct 28;8(1):244
pubmed: 31661030
Nutrients. 2021 Sep 23;13(10):
pubmed: 34684318