Alcohol Dependence Clinical Trial
Official title:
HIV Prevention Partnership in Russian Alcohol Treatment
The purpose of this study is to test an HIV prevention intervention in a Russian substance abuse treatment facility using a randomized trial study design.
A randomized controlled trial of an HIV prevention intervention in a narcology hospital using
a stratified randomization design (by gender and substance use diagnosis) will be
implemented.
We will conduct a trial among 180 inpatient subjects undergoing treatment at the LRCA. This
adapted HIV prevention intervention (adapted Enhanced-RESPECT), Project RESPECT, is a
2-session, one-on-one HIV prevention counseling and testing activity with a trained health
educator. By random assignment, half of the subjects will receive the Enhanced-RESPECT
intervention, which will include 3 additional booster sessions. And half will receive CDC
post-test counseling or standard of care depending on the results of their HIV antibody test.
The post-test counseling will follow CDC counseling and testing guidelines. Subjects in the
Control group who are not HIV-infected will receive the current standard of care in Russia
for non-infected patients; receipt of negative test results by a clinician. HIV pre-test
counseling occurs within the first 48 hours of patient arrival at LRCA. CDC post-test
counseling guidelines represent a higher standard of care than currently exists within this
facility for HIV-infected patients and is equivalent to the standard of care recommended for
US HIV testing facilities.
All study participants will be evaluated regarding substance abuse and HIV risk behaviors at
baseline and follow-up. Follow up interviews will take place at 3 time points (just before
discharge from the hospital and at 3 and 6 months post-randomization). All Intervention
participants will receive the basic 2-session adapted RESPECT intervention while inpatients;
booster sessions for adapted Enhanced-RESPECT HIV Intervention participants will take place
after discharge. Booster sessions will be offered once a month for 3 months.
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