Practice Facilitation to Improve Alcohol Treatment in HIV Care

This study is looking at how to better provide alcohol treatment to people living with HIV. It's testing a strategy called "Practice Facilitation," where a coach helps clinics offer different levels of alcohol treatment (called "Alcohol Stepped Care") to patients. This stepped care can include brief interventions, cognitive behavioral therapy, or medication, depending on how much alcohol a patient uses. The study wants to see if Practice Facilitation helps more patients get these alcohol treatments. You could be eligible to participate if you are clinic staff (clinical or administrative) or a person with HIV receiving care at specific centers. The study will measure success by looking at the percentage of patients who receive an alcohol intervention over 12 months. The current recruitment status is unclear.

Study design
This interventional study plans to enroll 300 participants. It is testing a behavioral strategy called Practice Facilitation.
What's involved
Not specified in the trial record.
Compensation
Not stated in the trial record.
Follow-up
The primary endpoint is measured at 12 months, which suggests follow-up for at least that long.

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NCT05241990

Practice Facilitation as a Strategy to Improve Alcohol Treatment Adoption and Implementation in HIV Care

Recruiting
NAAges 18+InterventionalTreatment
Johns Hopkins University
~300 participants
Updated 2026-06-26 on ClinicalTrials.gov
What's tested:Practice FacilitationAlcohol Stepped Care

At a glance

Recruiting sites
1 of 3 listed sites are recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Implementation as assessed by the percent of patients receiving an alcohol intervention
Measured over 12 months
Hiv
Alcohol Use, Unspecified
3 sites across 3 states
California1
Massachusetts1
North Carolina1
  • Geetanjali Chander, MD · PRINCIPAL_INVESTIGATOR · Johns Hopkins University
  • Betsy McCaul, PhD · PRINCIPAL_INVESTIGATOR · Johns Hopkins University

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Eligibility criteria

Inclusion

Age \> 18 years old
Confirmed to be clinic staff (clinical or administrative roles).
English speaking
Cognitively able to complete required survey or interview activities.
Confirmed to be a person with HIV (PWH) receiving HIV care and participating in CNICS at one of the three clinic sites
Scoring AUDIT-C ≥3 for women or ≥4 for men, transgender women or men indicating unhealthy alcohol use.
Age ≥ 18 years old.
English speaking.
Cognitively able to participate in stepped care for unhealthy alcohol use.

Exclusion

Unable to speak English
Scoring AUDIT-C \<3 for women or \<4 for men or \<4 for transgender women or men
Age \< 18 years old
Participants cognitively unable to participate in the stepped care for unhealthy alcohol use.
  • Implementation as assessed by the percent of patients receiving an alcohol intervention12 months

    Percent of patients receiving an alcohol intervention since their last visit among all eligible individuals.