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Sponsored by: |
National Institute on Alcohol Abuse and Alcoholism (NIAAA) |
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Information provided by: | National Institute on Alcohol Abuse and Alcoholism (NIAAA) |
ClinicalTrials.gov Identifier: | NCT00483483 |
The objective of this study is to test in a randomized controlled trial the effectiveness of a US secondary HIV prevention program to reduce HIV risk behaviors, STD acquisition, and alcohol consumption among HIV-infected patients with risky drinking in the Russian inpatient setting.
Condition | Intervention | Phase |
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HIV Infections |
Behavioral: Individual and group HIV risk behavior counseling sessions Behavioral: health education and support group |
Phase III |
Study Type: | Interventional |
Study Design: | Prevention, Randomized, Single Blind (Outcomes Assessor), Active Control, Single Group Assignment, Efficacy Study |
Official Title: | Maximizing Opportunity: HIV Prevention in Hospitalized Russian Drinkers |
Estimated Enrollment: | 700 |
Study Start Date: | October 2007 |
Estimated Study Completion Date: | December 2011 |
Estimated Primary Completion Date: | February 2011 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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1: Experimental
Healthy Relationships Intervention (HRI)
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Behavioral: Individual and group HIV risk behavior counseling sessions
Healthy Relationships Intervention (HRI) culturally adapted and modified to address substance use and associated risk behaviors; subjects will attend three 2-hour structured group sessions in addition to two 1-hour individualized sessions over the course of 10 days.
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Attention-control group: Active Comparator
health education & support
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Behavioral: health education and support group
general health information (nutrition, stress reduction) in 2 individual sessions and 3 group sessions.
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Russia has one of the fastest growing AIDS epidemics in the world, with an estimated 1 million HIV-infected persons. Initially the Russian HIV epidemic was almost exclusively among injection drug users (IDUs); however, concern exists that HIV is expanding into the general population via sexual transmission. Alcohol use, highly prevalent in Russia, may increase high-risk sexual behaviors among IDUs and alcohol dependent persons. Furthermore, animal models suggest that alcohol consumption plays a permissive role for HIV replication as the resultant higher viral loads may increase risk of transmission. Thus alcohol use may accelerate HIV transmission to the general population in Russia.
The study will randomize 700 HIV-infected patients with risky alcohol consumption to an adapted Healthy Relationships Intervention (HRI) or attention-control support groups. The intervention will be culturally adapted and modified to address substance use and associated risk behaviors. Subjects participating in the HRI will attend five 2-hour structured group sessions in addition to two 1-hour individualized sessions over the course of 10 days. Subjects in the attention-control group will participate in general health information sessions in the same format (i.e., 2 individualized and 5 group sessions) during the same timeframe.
All patients will be assessed at baseline (pre-randomization) and 6-months and 12-months post-randomization at the recruitment site. Primary outcomes are HIV sex and drug risk behaviors and sexually transmitted diseases. Additionally, subjects will be assessed regarding secondary outcomes including alcohol consumption, quality of life and social support, victimization, suicide, overdose, and disclosure of HIV serostatus.
We hypothesize that relative to the comparison group, participants receiving the adapted Healthy Relationships Intervention will have reduced HIV sex and drug risk behaviors and STD acquisition. If the intervention is effective among HIV-infected hospitalized patients, it could be used to address other HIV infected persons in a variety of Russian settings potentially reducing the transmission of HIV by decreasing risky sex and drug use behaviors among Russians.
Ages Eligible for Study: | 18 Years to 70 Years |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contact: Evgeny M. Krupitsky, MD, PhD | 9-011-7812-296-9905 | kru@ek3506.spb.edu |
Russian Federation | |
Pavlov State Medical University and Botkin Infectious Disease Hospital | Recruiting |
St. Petersburg, Russian Federation | |
Contact: Evgeny M. Krupitsky, MD, PhD 9-011-7812-296-9905 kru@ek3506.spb.edu | |
Principal Investigator: Edwin E. Zvartau, MD, PhD |
Principal Investigator: | Jeffrey H. Samet, MD, MA, MPH | Boston Medical Center, Boston University |
Responsible Party: | Boston Medical Center ( Jeffrey H. Samet, MD, MA, MPH ) |
Study ID Numbers: | NIAAASAM-016059, NIH Grant 1R01AA016059-01 |
Study First Received: | June 6, 2007 |
Last Updated: | December 1, 2008 |
ClinicalTrials.gov Identifier: | NCT00483483 |
Health Authority: | United States: Federal Government |
HIV Unsafe sex High-risk sex Needle sharing STDs |
Virus Diseases Sexually Transmitted Diseases, Viral HIV Infections Sexually Transmitted Diseases |
Acquired Immunodeficiency Syndrome Retroviridae Infections Immunologic Deficiency Syndromes |
RNA Virus Infections Slow Virus Diseases Immune System Diseases Lentivirus Infections Infection |