Adapting a computer-delivered brief alcohol intervention for veterans with Hepatitis C

ABSTRACT

Objective: This study adapted an existing computer-delivered brief alcohol intervention (cBAI) for use in Veterans with the hepatitis C virus (HCV) and examined its acceptability and feasibility in this patient population. Methods: A four-stage model consisting of initial pilot testing, qualitative interviews with key stakeholders, development of a beta version of the cBAI, and usability testing was used to achieve the study objectives. Results: In-depth interviews gathered feedback for modifying the cBAI, including adding HCV-related content such as the health effects of alcohol on liver functioning, immune system functioning, and management of HCV, a preference for concepts to be displayed through “newer looking” graphics, and limiting the use of text to convey key concepts. Results from usability testing indicated that the modified cBAI was acceptable and feasible for use in this patient population. Conclusions: The development model used in this study is effective for gathering actionable feedback that can inform the development of a cBAI and can result in the development of an acceptable and feasible intervention for use in this population. Findings also have implications for developing computer-delivered interventions targeting behavior change more broadly.

KEYWORDS:

• Hepatitis C
• alcohol consumption
• brief intervention
• computer-delivered interventions

Funding

This work was supported by funding from the Department of Veterans Affairs Health Services Research and Development Service to Dr. Cucciare and Dr. Humphreys. The views expressed in this article are those of the authors and do not necessarily reflect the official position of the Department of Veterans Affairs. The authors would also like to thank Kenneth R. Weingardt and John Baer for their guidance in modifying this intervention.

Declaration of interest

Dr. Cheung has received research funding from Gilead Sciences and AbbVie.

List of Abbreviations

AUDIT-C = Alcohol Use Disorders Identification Test – consumption items

BAC = Blood Alcohol Concentration

BAIs = Brief Alcohol Interventions

cBAIs = Computer-delivered Brief Alcohol Interventions

CPRS = Computerized Patient Record System

HCV = Hepatitis C virus

PI = Principal Investigator

US = United States

VA = Veterans Health Administration

Additional information

Funding

This work was supported by funding from the Department of Veterans Affairs Health Services Research and Development Service to Dr. Cucciare and Dr. Humphreys. The views expressed in this article are those of the authors and do not necessarily reflect the official position of the Department of Veterans Affairs. The authors would also like to thank Kenneth R. Weingardt and John Baer for their guidance in modifying this intervention.