This project will test the effects of a telehealth counseling program on reducing alcohol use and improving HIV viral control among people with HIV who drink heavily. In total, 600 heavy drinkers with HIV will be assigned to either (a) a single session of brief counseling on alcohol use or (b) brief counseling plus referral to a telehealth counseling program that includes multiple sessions of counseling by videoconferencing and text messaging support. To understand the effects of the program, participants' alcohol use, HIV outcomes, and health will be assessed over a 2-year period.
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Alcoholics drinks consumed per week
Timeframe: 12 months
Alcoholics drinks consumed per week
Timeframe: 24 months
Number of heavy drinking days
Timeframe: 12 months
Number of heavy drinking days
Timeframe: 24 months
Proportion of participants with a detectable HIV viral load
Timeframe: 12 months
Proportion of participants with a detectable HIV viral load
Timeframe: 24 months