ReACH2Gether: Iterative Development of a Couples-Based Intervention to Reduce Alcohol use Among Sexual Minority Men Living with HIV and Their Partners

Unhealthy alcohol use, which encompasses heavy episodic drinking to alcohol use disorder, has been identified as a modifiable barrier to optimal HIV care continuum outcomes. Despite the demonstrated efficacy of couples-based interventions for addressing unhealthy alcohol use, there are no existing c...

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Bibliographic Details
Published in:AIDS and behavior 2024-04, Vol.28 (4), p.1244-1256
Main Authors: Gamarel, Kristi E., Durst, Ayla, Zelaya, David G., van den Berg, Jacob J., Souza, Timothy, Johnson, Mallory O., Wu, Elwin, Monti, Peter M., Kahler, Christopher W.
Format: Article
Language:English
Subjects:
Alcohol Drinking - epidemiology
Alcohol Drinking - prevention & control
Alcohol use
Alcoholism
Alcoholism - prevention & control
Alcohols
Couples
Drinking behavior
Gays & lesbians
Health Psychology
HIV
HIV Infections - epidemiology
HIV Infections - prevention & control
Human immunodeficiency virus
Humans
Infectious Diseases
Intervention
Intimate partner violence
Male
Medicine
Medicine & Public Health
Mens health
Original Paper
Population growth
Public Health
Sexual and Gender Minorities
Sexual Partners
Sexually transmitted diseases
STD
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Summary:Unhealthy alcohol use, which encompasses heavy episodic drinking to alcohol use disorder, has been identified as a modifiable barrier to optimal HIV care continuum outcomes. Despite the demonstrated efficacy of couples-based interventions for addressing unhealthy alcohol use, there are no existing couples-based alcohol interventions designed specifically for people living with HIV. This study presents the development and refinement of a three-session couples-based motivational intervention (ReACH2Gether) to address unhealthy alcohol use among a sample of 17 sexual minority men living with HIV and their partners living in the United States. To increase potential population reach, the intervention was delivered entirely remotely. Throughout an original and a modified version, results indicated that the ReACH2Gether intervention was acceptable and there were no reports of intimate partner violence or adverse events. Session engagement and retention were high. In pre-post-test analyses, the ReACH2Gether intervention showed trends in reducing Alcohol Use Disorder Identification Test scores and increasing relationship-promoting dynamics, such as positive support behaviors and goal congruence around alcohol use. Results support the need for continued work to evaluate the ReACH2Gether intervention.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-023-04148-3