Abstract
BackgroundChronic pain and heavy drinking commonly co-occur and can influence the course of HIV. There have been no interventions designed to address both of these conditions among people living with HIV (PLWH), and none that have used telehealth methods. The purpose of this study was to better understand pain symptoms, patterns of alcohol use, treatment experiences, and technology use among PLWH in order to tailor a telehealth intervention that addresses these conditions.SubjectsTen participants with moderate or greater chronic pain and heavy drinking were recruited from a cohort of patients engaged in HIV-care (Boston Alcohol Research Collaborative on HIV/AIDS Cohort) and from an integrated HIV/primary care clinic at a large urban hospital.MethodsOne-on-one interviews were conducted with participants to understand experiences and treatment of HIV, chronic pain, and alcohol use. Participants’ perceptions of the influence of alcohol on HIV and chronic pain were explored as was motivation to change drinking. Technology use and treatment preferences were examined in the final section of the interview. Interviews were recorded, transcribed and uploaded into NVivo® v12 software for analysis. A codebook was developed based on interviews followed by thematic analysis in which specific meanings were assigned to codes. Interviews were supplemented with Likert-response items to evaluate components of the proposed intervention.ResultsA number of themes were identified that had implications for intervention tailoring including: resilience in coping with HIV; autonomy in health care decision-making; coping with pain, stress, and emotion; understanding treatment rationale; depression and social withdrawal; motives to drink and refrain from drinking; technology use and capacity; and preference for intervention structure and style. Ratings of intervention components indicated that participants viewed each of the proposed intervention content areas as “helpful” to “very helpful”. Videoconferencing was viewed as an acceptable modality for intervention delivery.ConclusionsResults helped specify treatment targets and provided information about how to enhance intervention delivery. The interviews supported the view that videoconferencing is an acceptable telehealth method of addressing chronic pain and heavy drinking among PLWH.
Highlights
Chronic pain and heavy drinking commonly co-occur and can influence the course of HIV
The interviews supported the view that videoconferencing is an acceptable telehealth method of addressing chronic pain and heavy drinking among people living with HIV (PLWH)
Rates of chronic pain are higher among those who engage in heavy drinking and chronic pain has a negative impact on alcohol outcomes [15, 16]
Summary
Chronic pain and heavy drinking commonly co-occur and can influence the course of HIV. Heavy drinking among people living with HIV/AIDS (PLWH) has direct effects on HIV-related symptoms and indirect, deleterious effects on HIV outcomes through non-adherence to care recommendations [1]. These considerations have led to recent efforts to integrate alcohol interventions into HIV-care. Brief interventions that emphasize motivational interviewing have been examined in HIV-care settings [2,3,4] These interventions have shown some promise, the beneficial effects on drinking outcomes have been limited and have suggested that a more intensive approach may be required to motivate and maintain change in alcohol use [2], among those with significant comorbid conditions [5].
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
