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Attitudes and Training Needs of New England HIV Care and Addiction Treatment Providers: Opportunities for Better Integration of HIV and Alcohol Treatment Services

Montague, Brian T. DO, MS, MPH*; Kahler, Christopher W. PhD; Colby, Suzanne M. PhD; McHugh, R. Kathryn PhD*; Squires, Daniel PhD, MPH; Fitzgerald, Brieanne PMHNP, FNP, MPH; Operario, Don PhD; Gallagher, Donna APRN-C, MS, ANP, FAAN, MA; Monti, Peter M. PhD; Mayer, Kenneth H. MD§

Addictive Disorders & Their Treatment:
doi: 10.1097/ADT.0000000000000040
Original Articles
Abstract

Objectives: Unhealthy alcohol use is common among HIV-infected patients and contributes to comorbidities, cognitive decline, unprotected sex, and poor medication adherence. Studies consistently show missed opportunities to address unhealthy alcohol use as part of care. Although treatment of other drug use has been integrated into HIV care in some settings, more information is needed regarding provider attitudes regarding the need for integration of alcohol treatment and HIV care.

Materials and Methods: We surveyed 119 HIV and 159 addiction providers regarding the following domains: existing knowledge, desire for new knowledge (with subdomains relative advantage, compatibility, and complexity of integrating knowledge), and individual and program development needs. Scale scores for each domain were correlated with demographics to identify factors associated with training need.

Results: Both HIV and addiction providers reported agreement with statements of existing knowledge and the need for additional skills. The priority attributed to training, however, was low for both groups. Knowledge and perceived prevalence of HIV and unhealthy alcohol use increased with years of experience. Perceived prevalence correlated with compatibility but not the relative advantage of training.

Conclusions: Though addressing alcohol use and HIV was acknowledged to be important, the priority of this was low, particularly early career providers. These providers may be important targets for training focusing on motivating coordination of care and skills related to assessment and counseling.

Author Information

*Warren Alpert School of Medicine at Brown University

Center for Alcohol and Addiction Studies, Brown University School of Public Health, Providence, RI

University of Massachusetts Medical School, Worcester

§Harvard Medical School, Boston, MA

Supported by NIAAA 1 P01 AA019072.

The authors declare no conflict of interest.

Reprints: Brian T. Montague, DO, MS, MPH, Division of Infectious Diseases, Miriam Hospital, Warren Alpert School of Medicine at Brown University, 164 Summit Ave, Providence, RI 02906 (e-mail: brianmontaguedo@gmail.com).

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