OVERVIEW
STUDY DATES: 2020 – 2024
Research Title: Development and pilot testing of a combination intervention to reduce heavy drinking and improve HIV care engagement among fisherfolk in Uganda
The specific objective of this study was to evaluate the preliminary efficacy of Kisoboka, a combined behavioral and structural intervention to reduce alcohol use and improve ART adherence via economic strengthening. Kisoboka incorporates behavioral economic mechanisms and motivational interviewing techniques to promote social support and reinforcement for healthy living from peers through group “problem-solving” sessions, increases the salience of delayed rewards via text messages, and increases savings through increased access to mobile banking. We hypothesized that participants receiving Kisoboka would have greater reductions in report (and objective measurement) of heavy alcohol use and greater improvement in ART adherence through 6-month follow-up compared to the control condition and that the intervention would be feasible.
Principal Investigators (PIs)
Susan M. Kiene, PhD, MPH1
Collaborating partner PI: Nazarius Mbona Tumwesigye, PhD2
PI Affiliation
1San Diego State University School of Public Health, San Diego, California, USA
2Makerere Uganda School of Public Health, Kampala, Uganda
PARTNERS
- Makerere University School of Public Health
- Mildmay Uganda
- University of California, San Francisco
LOCATION
Wakiso District, Uganda
FUNDER: NIH, National Institute on Alcohol Abuse and Alcoholism
Contact us with any inquiries or questions
OUTCOMES and PUBLICATIONS
Naigino, R., Miller, A. P., Ediau, M., Anecho, A., Senoga, U., Tumwesigye, N. M., Wanyenze, R. K., Mukasa, B., Hahn, J. A., Reed, E., Sileo, K. M., & Kiene, S. M. (2023). Stakeholder perspectives on the Kisoboka intervention: a behavioral and structural intervention to reduce hazardous alcohol use and improve HIV care engagement among men living with HIV in Ugandan fishing communities. Drug and Alcohol Dependence, 253, 1-10. https://doi.org/10.1016/j.drugalcdep.2023.111011
Presentations:
Kiene, S. M., Miller, A. P., Ediau, M., Sileo, K, M., Naigino, R., Anecho, A., Reed, E., Mukasa, B., Wanyenze, R., & Tumwesigye, N. M. (2024, December). Context matters: Leveraging pilot implementation data to enhance scale-up of an alcohol reduction and HIV treatment engagement intervention in Uganda. Oral presentation at the 17th Annual Conference on the Science of Dissemination and Implementation in Health, Arlington, VA.
Miller, A.P., Ediau, M., Murphy, J., Naigino, R., Tuhebwe, D., Anecho, A., Sileo, K., Hahn, J.A., Reed, E., Mukasa, B., Tumwesgye, N.M., Wanyenze, R.K., & Kiene, S. (2024, June). Assessing Appropriateness of Kisoboka, an Alcohol Reduction Intervention for Fisherfolk Men Living with HIV in Uganda, Through a Contextual Reinforcer Pathology Lens. Poster presentation at the 47th Research Society on Alcohol Scientific Meeting, Minneapolis, MN.
Miller, A.P., Murphy, J., Ediau, M., Naigino, R., Tuhebwe, D., Anecho, A., Sileo, K., Hahn, J.A., Reed, E., Mukasa, B., Tumwesgye, N.M., Wanyenze, R.K., & Kiene, S., (2024, June). The Kisoboka Intervention Reduced Delayed Reward Discounting Among Male Fisherfolk Living with HIV in Uganda: Results from a Randomized Controlled Trial. Enoch Gordis Postdoctoral Research Award finalist and oral presentation at the 47th Research Society on Alcohol Scientific Meeting, Minneapolis, MN.
Tuhebwe, D., Barker, K., Miller, A., Anecho, A., Ediau, M., Naigino, R, Hahn, J., Reed, E., Lin, C. D., Mukasa, B., Sileo, K., Wanyenze, R., Tumwesigye, N., Kiene, S. (2024, June). Concordance Between Self-Reported Hazardous Alcohol Use by The AUDIT-C and Phosphatidylethanol (PEth) Among Heavy Drinking Fisherfolk Men Living with HIV in Uganda. Poster presentation at the 47th Research Society on Alcohol Scientific Meeting, Minneapolis, MN.
Tuhebwe, D., Naigino, R., Anecho, A., Ediau, M., Wanyenze, R. K., Tumwesigye, N. M., Hahn, J. A., Reed, E., Lin, C. D., Miller, A. P., Sileo, K., Mukasa, B., & Kiene, S. M. (2023, November). The association between hazardous alcohol use and antiretroviral therapy (ART) adherence among fisherfolk men living with HIV in Uganda. Poster presentation at the American Public Health Association (APHA) Annual Meeting, Atlanta, GA.
Kiene, S. M., Miller, A. P., Ediau, M., Naigino, R., Tuhebwe, D., Anecho, A., Sileo, K. M., Hahn, J. A., Reed, E., Mukasa, B., Tumwesigye, N. M., & Wanyenze, R. K. (2023, June). Positive effect on ART adherence in Kisoboka, an alcohol, HIV care, economic strengthening intervention for Ugandan men: a randomized controlled trial. Oral presentation at the 15th AIDS Impact Conference, Stockholm, Sweden.
Kiene, S. M., Tuhebwe, D., Miller, A. P., Naigino, R., Ediau, M. Anecho, A., Sileo, K. M., Hahn, J. A., Reed, E., Mukasa, B., Wanyenze, R. K., & Tumwesigye, N. M. (2023, June). The Kisoboka intervention reduced hazardous alcohol use among fisherfolk men living with HIV in Uganda: results from a randomized controlled trial. Poster presentation at the 15th AIDS Impact Conference, Stockholm, Sweden.
Miller, A. P., Naigino, R., Ediau, M., Anecho, A., Tumwesigye, N. M., & Kiene, S. M. (2023, June). Alcohol use and depressive symptoms among male fisherfolk living with HIV in the Kisoboka study in Uganda. Poster presentation at the 46th Research Society on Alcohol Scientific Meeting, Bellevue, Washington.
MEDIA COVERAGE:
“New Intervention Reduces Alcohol Use, Increases Access to HIV Treatment among Fishermen.” Kyotalengerire, Agnes. New Vision, Uganda. April 28, 2023. https://www.newvision.co.ug/category/news/new-intervention-reduces-alcohol-use-increase-159194
“Scientists Call for Integration of Alcohol Use Interventions in HIV Care. Nassaka, Flavia. Uganda Radio Network.” April 19, 2023. https://ugandaradionetwork.net/story/scientists-call-for-integration-of-alcohol-use-interventions-in-hiv-care-
“Scientists Warn of Alcohol Use Among People Living with HIV.” The Independent, Uganda. April 19, 2023. https://www.independent.co.ug/scientists-warn-of-alcohol-use-among-people-living-with-hiv/
“HIV and Alcohol Consumption among Fisherfolks.” [Live TV News] Uganda Broadcasting Corporation. April 19, 2023.
Building Research Initiatives Advancing Global Health Equity (BRIDGE) at San Diego State University
