The Less is More Study

ConditionAlcohol Use
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age35-70
SponsorUniversity of Florida

About this trial

In this project, the investigators will implement innovations to extend use of Contingency Management (CM) to facilitate alcohol use reduction among people living with HIV (PLWH). The investigators' approach to extending CM will use mobile health (mHealth) tools including a smartphone breathalyzer device with accompanying app and a wrist worn alcohol biosensor. Participants will be engaged in mobile facilitated CM for 30-60 days with follow-up out to 6 months.

Eligibility criteria

Qualifiers

Frequent alcohol use in the past 30 days based on responses on the Timeline Followback (TLFB; Sobell and Sobell, 2003)

HIV positive

Fluency in English

Willingness to attempt alcohol abstinence for at least 30 days and then to attempt alcohol use on fewer days than at baseline after that

Disqualifiers

Psychiatric conditions that would interfere with participation in the study

Current alcohol withdrawal as indicated by a score of 8 or higher on the Clinical Institute Withdrawal Scale (CIWA; Sullivan et al., 1989) or lifetime history of medically assisted detoxification

Two positive breath alcohol concentration (BrAC) readings (i.e., > 0.00%) at an in-person screening appointment. After participants blow their first positive BrAC, they will be allowed to reschedule and participate at another time, however if they blow a second positive BrAC, they will be excluded from this study and offered referrals for alcohol treatment.

Currently seeking or past-12-month history of inpatient or intensive treatment for addictive behaviors

Trial design

Treatments tested in this trial

  • Counseling
  • mHealth
  • Counseling

Treatment groups

120 Participants
are divided into 3 treatment groups

Sponsors and collaborators

University of Florida

Lead sponsor

University of Miami

Collaborator

University of Louisville

Collaborator

Florida State University

Collaborator

National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Collaborator