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Addiction Science & Clinical Practice
Published in: Addiction Science & Clinical Practice 1/2014

Open Access 01-12-2014 | Research

HealthCall for the smartphone: technology enhancement of brief intervention in HIV alcohol dependent patients

Authors: Deborah S Hasin, Efrat Aharonovich, Eliana Greenstein

Published in: Addiction Science & Clinical Practice | Issue 1/2014

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Abstract

Background

Heavy drinking jeopardizes the health of patients in HIV primary care. In alcohol dependent patients in HIV primary care, a technological enhancement of brief intervention, HealthCall administered via interactive voice response (HealthCall-IVR) was effective at reducing heavy drinking. The smartphone offered a technology platform to improve HealthCall.

Methods

Working with input from patients, technology experts, and HIV clinic personnel, we further developed HealthCall, harnessing smartphone technological capacities (HealthCall-S). In a pilot study, we compared rates of HealthCall-S daily use and drinking outcomes in 41 alcohol dependent HIV-infected patients with the 43 alcohol dependent HIV-infected patients who used HealthCall-IVR in our previous efficacy study. Procedures, clinic, personnel, and measures were largely the same in the two studies, and the two groups of patients were demographically similar (~90% minority).

Results

Pilot patients used HealthCall-S a median of 85.0% of the 60 days of treatment, significantly greater than the corresponding rate (63.8%) among comparison patients using HealthCall-IVR (p < .001). Mean end-of-treatment drinks per drinking day was similar in the two groups. Patients were highly satisfied with HealthCall-S (i.e., 92% reported that they liked using HealthCall-S).

Conclusions

Among alcohol dependent patients in HIV primary care, HealthCall delivered via smartphone is feasible, obtains better patient engagement than HealthCall-IVR, and is associated with decreased drinking. In HIV primary care settings, HealthCall-S may offer a way to improve drinking outcomes after brief intervention by extending patient engagement with little additional demands on staff time.
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Metadata
Title
HealthCall for the smartphone: technology enhancement of brief intervention in HIV alcohol dependent patients
Authors
Deborah S Hasin
Efrat Aharonovich
Eliana Greenstein
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Addiction Science & Clinical Practice / Issue 1/2014
Electronic ISSN: 1940-0640
DOI
https://doi.org/10.1186/1940-0640-9-5

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