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Completed

NCT Number: NCT03573167

Mobile Phone-Based Motivational Interviewing in Kenya

The primary objective of this study was to test whether motivational interviewing (MI) provided over the mobile phone would reduce alcohol use among adults, including people living with HIV/AIDS, visiting primary care in Kenya. Heavy alcohol users voluntarily consented to being randomized to one of three study arms: standard in-person MI, mobile MI, or waitlist control receiving no intervention for 1 month followed by mobile MI. Alcohol use problems were assessed using validated screeners and changes in alcohol use were assessed at 1 month and 6 months after receiving the intervention. The investigators hypothesized that alcohol use would reduce after MI treatment compared to waitlist control, there would be no difference between standard in-person MI and mobile MI, and these reductions would be sustained out to six months following the intervention.

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Key information

Conditions

Alcohol Use Disorder Alcohol-Related Disorders Alcoholism Chemically-Induced Disorders Mental Disorders Substance-Related Disorders

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Adults visiting the primary care clinic and screening positive for potential alcohol use problems.

Exclusion criteria

  • Persons younger than 18 years old, with severe psychiatric morbidity, or cognitive impairment were not eligible for the study

Treatment and study plan

In-Person Motivational Interviewing (MI)

Behavioral

This is a counseling intervention to support behavior change conducted in-person (face-to-face) between the investigator and the participant.

Mobile Motivational Interviewing (MI)

Behavioral

This is a counseling intervention to support behavior change conducted entirely over the mobile phone between the investigator and the participant

Primary outcomes

  1. Reduction in alcohol use score as measured by the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) from baseline to one (1) month.

    Time frame: 1 month

    The investigators compared the change in AUDIT-C alcohol use score from baseline to one (1) month after the intervention between the investigators' three study arms.

  2. Reduction in alcohol use score as measured by the Alcohol Use Disorders Identification Test (AUDIT) and AUDIT-C from baseline to six (6) months.

    Time frame: 6 months

    The investigators compared the change in AUDIT and AUDIT-C alcohol use scores from baseline to six (6) months after the intervention between the investigators' two active study arms: 1) In-Person Motivational Interviewing (MI) and 2) Mobile MI.

Secondary outcomes

  1. Reduction in alcohol use score as measured by the AUDIT and AUDIT-C moderated by HIV co-morbidity from baseline to one (1) month and from baseline to six (6) months.

    Time frame: 1 and 6 months

    The investigators compared the change in AUDIT and AUDIT-C alcohol use scores over time moderated by HIV status.

  2. Reduction in alcohol use score as measured by the AUDIT moderated by mental health co-morbidity, as measured by the Achenbach System of Empirically Based Assessments (ASEBA) Adults Self-Report, from baseline to six (6) months.

    Time frame: 6 months

    The investigators compared the change in AUDIT alcohol use scores over time moderated by ASEBA mental health diagnoses.

Sponsors and collaborators

Lead sponsor

University of Vermont

Other

Collaborators

  • Africa Institute of Mental and Brain Health (AFRIMEB)

Registry information

Official study title

Mobile Phone-Based Motivational Interviewing to Reduce Alcohol Use Problems in Kenya

Important dates

Study start
2014
Primary completion
2015
Study completion
2015
First posted
Jun 29, 2018
Registry last updated
Jun 29, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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