Madhombiro 2017.

Study name	A cluster randomised controlled trial protocol of an adapted intervention for alcohol use disorders in people living with HIV and AIDS: impact on alcohol use, general functional ability, quality of life and adherence to HAART
Methods	Cluster‐randomised controlled trial
Participants	Clusters are HIV care clinics in Zimbabwe Patients with HIV on HAART and with alcohol use disorder Inclusion criteria 1. Age 18 to 75 2. Clients must be on antiretroviral treatment for ≥ 3 months; male clients must score ≥ 8 on the WHO Alcohol Use Disorders Identification Test, and females must score ≥ 7 on the same screener Exclusion criteria 1. Score on AUDIT > 21 2. On another alcohol treatment programme 3. Abusing other drugs 3. Having a psychotic disorder 4. Unable to follow and participate in therapy
Interventions	Intervention An adapted motivational interviewing cognitive‐behavioural therapy intervention. 4 sessions per month at baseline, 3, 6, and 12 months; 45 minutes every session. Using principle of motivational interviewing, the client is moved into readiness to change in use of alcohol. When ready to change, the client is taken through process that will sustain the change. This involves building coping skills and assertiveness Control WHO mental health GAP. 4 sessions per month at baseline, 3, 6, and 12 months; 45 minutes every session. Clients will be assessed as to their alcohol use; if they are dependent on alcohol, they will be referred for specialist care. If they are at risk ‐ hazardous or harmful users of alcohol ‐ then they go for the brief intervention
Outcomes	Primary outcome AUDIT score Secondary outcomes 1. Viral load 2. CD4 3. WHODAS2 score
Starting date	1/7/2016
Contact information	Munyaradzi Madhombiro, mmadhombiro@gmail.com, 263773064519, 36 East Road, Avondale, Harare, HG 841, Zimbabwe
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