# Advancing Integrated Alcohol-HIV Training of Frontline Providers in a Global Priority Setting

> **NIH NIH P01** · BROWN UNIVERSITY · 2021 · $204,929

## Abstract

PROJECT SUMMARY
South Africa is at the epicenter of the global HIV pandemic with the largest country population of individuals
living with HIV in the world. South Africa also has alarming rates of alcohol use, which pose a significant
challenge to the HIV care cascade. Integrated alcohol-HIV care is the gold standard, but delivery of integrated
care in South Africa is extremely rare. To promote treatment integration, the South Africa HIV ATTC (led by M-
PIs Becker, Kuo, and Sibeko) was established in October 2017. The South Africa HIV ATTC is a national
center, jointly funded by the Substance Abuse and Mental Health Services Administration (SAMHSA) and the
President’s Emergency Plan for AIDS Relief (PEPFAR), dedicated to providing training to health professionals
and lay workers who serve patients with HIV, alcohol use, and other mental health problems. On an annual
basis, the South Africa HIV ATTC is charged with training 1,000 individuals as a means of driving the uptake of
evidence-based approaches to address alcohol-HIV throughout the country. Recognizing the detrimental
effects of heavy alcohol use and alcohol use disorders on the HIV care cascade, and in response to a needs
assessment of national stakeholders and policy-makers, the South Africa HIV ATTC is preparing to roll out a
national training initiative on Screening, Brief Intervention, and Referral to Treatment (SBIRT) for risky alcohol
use. Using a novel task sharing approach, the South Africa HIV ATTC will provide SBIRT training and ongoing
consultation to over 900 health professionals and lay workers embedded within HIV treatment organizations
over a three-year period. Rollout of this national initiative presents unparalleled opportunities to advance
implementation science for integrated alcohol-HIV treatment in a global priority site. However, research and
data collected by the South Africa HIV ATTC is severely restricted under the SAMSHA and PEPFAR funded
streams. Indeed, the only data currently collected by the South Africa HIV ATTC is a brief SAMHSA-required
form called the Government Performance and Reporting Act (GPRA) tool, which measures satisfaction of
training attendees. Thus, the current study proposes to first codify and then conduct comprehensive evaluation
of training effectiveness on a range of key implementation science constructs. Study activities will occur across
three phases. First, we will develop a SBIRT train-the-trainer manual consisting of a coding system to measure
training fidelity, which will greatly enhance the rigor of the proposed training rollout. Second, we will evaluate
the effectiveness of the SBIRT train-the-trainer model on key implementation science outcomes measured at
the trainer (e.g., fidelity, knowledge), provider (e.g., attitudes, self-efficacy, acceptability), and patient levels
(e.g., proportion of patients who receive each component of SBIRT – screening, brief intervention, and referral
to treatment). Finally, we will examine the relat...

## Key facts

- **NIH application ID:** 10207342
- **Project number:** 5P01AA019072-12
- **Recipient organization:** BROWN UNIVERSITY
- **Principal Investigator:** Sara Becker
- **Activity code:** P01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $204,929
- **Award type:** 5
- **Project period:** 2010-09-30 → 2025-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10207342

## Citation

> US National Institutes of Health, RePORTER application 10207342, Advancing Integrated Alcohol-HIV Training of Frontline Providers in a Global Priority Setting (5P01AA019072-12). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10207342. Licensed CC0.

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