WEPE300 - Poster Exhibition
Assessing the need for integration of alcohol treatment and HIV care: a survey of HIV and alcohol addiction treatment providers
B.T. Montague1,2, D. Squires3, S. Colby3, K. McHugh4, B. Fitzgerald5,6, D. Operario1, C.W. Kahler3, P.M. Monti3, D. Gallagher5,6, K.H. Mayer4
1Brown University Warren Alpert School of Medicine, Providence, United States, 2Miriam Hospital, Infectious Diseasese, Providence, United States, 3Brown University Center for Alcohol and Addiction Studies, Providence, United States, 4Harvard, Boston, United States, 5New England AIDS Education and Training Center, Boston, United States, 6University of Massachusetts, Boston, United States
Background: Excessive alcohol use is a common problem for HIV-infected patients,
and can contribute to clinical co-morbidities, cognitive decline, sexual risk
behavior, and poor medication adherence. Although treatment of opioid and other
drug use has been integrated into HIV care in some settings, integration of
alcohol treatment has been lagging.
Methods: To better understand the needs for education related to alcohol and
HIV, we surveyed 118 HIV care providers and 158 alcohol treatment providers
about their attitudes and beliefs regarding existing knowledge/resources,
desire for new knowledge/resources, and individual and program development
needs. All questions used a 5-pt Likert scale (strongly disagree to strongly
agree). HIV-provider surveys addressed alcohol addiction and treatment whereas
alcohol treatment provider surveys addressed HIV-related knowledge. Subscales
assessed the relative advantage of additional knowledge/resources, the
compatibility of new training/resources with current practice, and the
complexity of receiving training/implementing new services.
Results: Scale scores showed high internal consistency for existing knowledge
and training needs (alpha > 0.8). Less consistency was noted in scales for
advantage, compatibility and complexity of gaining additional training (alpha 0.6-0.8). Both HIV and alcohol providers reported weak
agreement with statements of knowledge (scale scores 3.9 vs 3.8), as well as
some need for training individually (scale scores 3.7 vs 3.6) and
programmatically (scale scores 3.8 vs 3.6).
Neither group felt increased training was a priority (mean 3.3 for
both). No significant differences were noted in any scale scores.
Conclusions: To address the co-occurrence of HIV and excessive alcohol use in clinic
and treatment settings, specific training related to the impact of alcohol use on
persons with HIV and the potential role of alcohol treatment providers in supporting
the care for persons with HIV may be important to motivate providers. Further
studies are needed to clarify providers´ attitudes toward integrated HIV and
alcohol treatment services.
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