scholarly journals A Modified Alcohol SBI for Use among Older Adults Living with HIV

2020 ◽  
Vol 42 (12) ◽  
pp. 1155-1162
Author(s):  
Annie L. Nguyen ◽  
Jordan E. Lake ◽  
Diane Preciado ◽  
Diana Liao ◽  
Alison A. Moore ◽  
...  
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Alcohol Use ◽  
Risk Evaluation ◽  
Screening Tool ◽  
Hiv Care ◽  
Personalized Feedback ◽  
Evaluation Tool ◽  
Living With Hiv ◽  
Alcohol Risk

Older adults living with HIV may have health conditions that amplify the potentially negative health effects of alcohol use. We adapted the Comorbidity Alcohol Risk Evaluation Tool (CARET) screening tool for at-risk drinking to reflect HIV/AIDS and related conditions, medications, and behaviors. The adapted CARET-HIV along with a brief intervention was administered to 27 older men living with HIV. The CARET-HIV identified the same number of at-risk drinkers as the original CARET (n = 24) but identified more risk domains. Most participants welcomed receiving information about risks associated with their drinking, but some felt “embarrassed” or “guilty” discussing their drinking. This is particularly salient within the context of HIV discourse, which has historically assigned blame of HIV infection on personal choices. The SBI was generally acceptable to participants. The modified CARET can help providers integrate discussion of alcohol use into the context of HIV care for personalized feedback.

scholarly journals Evolving Toward Shared HIV Care Using the Champlain BASE eConsult Service

2019 ◽  
Vol 4 (2) ◽  
pp. 238146831986821
Author(s):  
Claire E. Kendall ◽  
Janessa E. Porter ◽  
Esther S. Shoemaker ◽  
Rachel Seoyeon Kang ◽  
Michael Fitzgerald ◽  
...  
Keyword(s):  
At Risk ◽  
Primary Care Providers ◽  
Question Type ◽  
Hiv Care ◽  
People Living With Hiv ◽  
Local Health ◽  
Care Providers ◽  
Patients At Risk ◽  
Survey Responses ◽  
Living With Hiv

Background. Electronic consultation (eConsultation) is a potential strategy to improve access to specialist expertise and facilitate collaborative care models. The Champlain BASE eConsult service allows for asynchronous communication between primary care providers (PCP) and specialists on a secure, web-based system. HIV experts accessible include HIV physician specialists, HIV pharmacists, and social workers with expertise in HIV. Objective. This study aims to describe the use, value, and utility of this eConsultation service in the care of people living with HIV and to characterize the common question types and clinical topics asked by PCPs. Methods. We analyzed the data from eConsults sent to the HIV specialty group in Ontario’s Champlain Local Health Integration Network between February 2015 and December 2017. Usage data and close-out survey responses were analyzed using descriptive statistics, eConsults were classified using a predefined list of validated taxonomy, and a thematic analysis was performed on the consultation logs to identify common clinical themes. Results. Among the 46 eConsults, the most common question type related to drug treatment (58.7%, n = 27) and management (19.6%, n = 9). The main clinical themes involved the care of significant complexities in people living with HIV, such as comorbidities and drug interactions, and suggestions of coordinated patient care. As well, eConsult was used for advice regarding pre-exposure prophylaxis for HIV-negative patients at risk of HIV infection. PCPs highly valued the eConsult service (average rating 4.8/5). Conclusion. Overall, this study demonstrates that eConsult provides an efficient and valuable service to PCPs caring for patients living with or at risk for HIV by improving access to HIV specialists and facilitating the delivery of team-based comprehensive care.

‘What will it take’: addressing alcohol use among people living with HIV in South Africa

2019 ◽  
Vol 30 (11) ◽  
pp. 1049-1054 ◽  
Author(s):  
K Sorsdahl ◽  
NK Morojele ◽  
CD Parry ◽  
CT Kekwaletswe ◽  
N Kitleli ◽  
...  
Keyword(s):  
South Africa ◽  
Alcohol Use ◽  
Brief Intervention ◽  
Hiv Treatment ◽  
Hiv And Aids ◽  
Hiv Care ◽  
People Living With Hiv ◽  
Screening And Brief Intervention ◽  
Treatment Services ◽  
Living With Hiv

Given that hazardous and harmful alcohol use has been identified as a significant barrier to adherence to antiretroviral therapy (ART) in South Africa, alcohol reduction interventions delivered within HIV treatment services are being investigated. Prior to designing and implementing an alcohol-focused screening and brief intervention (SBI), we explored patients’ perceptions of alcohol as a barrier to HIV treatment, the acceptability of providing SBIs for alcohol use within the context of HIV services and identifying potential barriers to patient uptake of this SBI. Four focus groups were conducted with 23 participants recruited from three HIV treatment sites in Tshwane, South Africa. Specific themes that emerged included: (1) barriers to ART adherence, (2) available services to address problematic alcohol use and (3) barriers and facilitators to delivering a brief intervention to address alcohol use within HIV care. Although all participants in the present study unanimously agreed that there was a great need for SBIs to address alcohol use among people living with HIV and AIDS, our study identified several areas that should be considered prior to implementing such a programme.

Examining a Brief Suicide Screening Tool in Older Adults Engaging in Risky Alcohol Use

2012 ◽  
Vol 42 (4) ◽  
pp. 405-415 ◽  
Author(s):  
Jessica D. Ribeiro ◽  
Scott R. Braithwaite ◽  
Jon J. Pfaff ◽  
Thomas E. Joiner
Keyword(s):  
Older Adults ◽  
Alcohol Use ◽  
Screening Tool ◽  
Risky Alcohol ◽  
Suicide Screening

scholarly journals Level of Alcohol Use Associated with HIV Care Continuum Targets in a National U.S. Sample of Persons Living with HIV Receiving Healthcare

2018 ◽  
Vol 23 (1) ◽  
pp. 140-151 ◽  
Author(s):  
Emily C. Williams ◽  
Kathleen A. McGinnis ◽  
E. Jennifer Edelman ◽  
Theresa E. Matson ◽  
Adam J. Gordon ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Hiv Care ◽  
Hiv Care Continuum ◽  
Care Continuum ◽  
Persons Living With Hiv ◽  
Living With Hiv

scholarly journals Age of Last Alcohol Use Disorder Relates to Processing Speed Among Older Adults Living with HIV

2019 ◽  
Vol 54 (2) ◽  
pp. 139-147 ◽  
Author(s):  
Emily W Paolillo ◽  
Sarah M Inkelis ◽  
Anne Heaton ◽  
Rowan Saloner ◽  
Raeanne C Moore ◽  
...  
Keyword(s):  
Older Adults ◽  
Alcohol Use ◽  
Processing Speed ◽  
Alcohol Use Disorder ◽  
Living With Hiv

scholarly journals PREVALENCE AND CHARACTERISTICS ASSOCIATED WITH ALCOHOL USE AND ALCOHOL RELATED PROBLEMS IN COMMUNITY DWELLING OLDER ADULTS

2019 ◽  
pp. 1-11
Author(s):  
Y. van Gils ◽  
E. Franck ◽  
S.J.P. van Alphen ◽  
E. Dierckx
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Alcohol Use ◽  
Binge Drinking ◽  
Associated Factors ◽  
Alcohol Problems ◽  
Hazardous Drinking ◽  
Community Dwelling ◽  
Community Dwelling Older Adults ◽  
Alcohol Related Problems

Objective: This study examine the prevalence, characteristics and associated factors of alcohol use and alcohol related problems among Belgian community dwelling older adults. Design: Retrospective cross-sectional study by extensive examination survey. Setting: The participants were questioned in their homes or in community centres. Participants: Overall, 1,366 adults ≥65 years participated in this study. Method: Information about self-reported alcohol use during the past year, Health Related Quality of Life (HRQL) and alcohol related problems was gathered with respectively the AUDIT, SF36 and MAST-G. Results: Of the total sample, 84.4% reported alcohol consumption. Using the NIAAA guidelines, the overall prevalence for at risk drinking was 26.6% and for binge drinking 14.8%, both risky alcohol patterns. Logistic regression analyses were performed on the drinking sample to determine the predictors associated with at risk drinking, binge drinking and hazardous drinking. Being male, a smoker of former smoker and living alone were associated with at risk drinking. Being male, being aged 65-74 years, being a smoker, reporting polypharmacy, MCS and having recent loss experience were associated with binge drinking. More than 25% of respondents were classified as hazardous drinking (score ≥5 on MAST-G). Associated factors with hazardous drinking were being male, having a family history of alcohol problems, PCS and MCS. Conclusions: The prevalence rates for at risk alcohol patterns and alcohol related problems were higher than in previous studies. As older adults are more vulnerable to the adverse consequences of alcohol use, awareness about alcohol use should be raised among older adults, as well as amongst health care givers and researchers.

scholarly journals COAST: A Comprehensive Older-Adult Screening Tool

EDIS ◽  
2020 ◽  
Vol 2020 (4) ◽  
Author(s):  
Karima Alabasi ◽  
Nancy J. Gal ◽  
Wendy Dahl
Keyword(s):  
Older Adults ◽  
At Risk ◽  
Older Adult ◽  
Screening Tool ◽  
Community Dwelling ◽  
Lower Socioeconomic Status ◽  
Nutrition Risk ◽  
Lower Socioeconomic ◽  
Practical Tool ◽  
Community Dwelling Older Adults

Nutrition risk screening is a first step to quickly identify individuals who might be malnourished or at risk of malnutrition. A malnutrition screening tool should be easy to use, quick to administer, and valid&mdash;able to correctly identify those at risk of malnutrition. The Comprehensive Older Adult Screening Tool (COAST) is a valid and practical tool to determine if community-dwelling older adults, specifically older adults of lower socioeconomic status, are at risk for malnutrition. This new 6-page publication of the UF/IFAS Food Science and Human Nutrition Department, written by Karima Alabasi, Nancy J. Gal, and Wendy J. Dahl, provides an introduction to COAST as well as the 5-question screening tool.<br /><a href="https://edis.ifas.ufl.edu/fs393">https://edis.ifas.ufl.edu/fs393</a>

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