Cultural Adaptation of 2 Evidence-Based Alcohol Interventions for Antiretroviral Treatment Clinic Patients in Vietnam

J Int Assoc Provid AIDS Care. 2019 Jan-Dec:18:2325958219854368. doi: 10.1177/2325958219854368.


In Vietnam where alcohol use is culturally normative and little treatment is available, persons living with HIV (PLWH) who consume alcohol at unhealthy levels are at greatly increased risk for negative health outcomes. We describe the first systematic adaptation of 2 evidence-based alcohol interventions for use in Vietnam: a combined motivational enhancement therapy/cognitive behavioral therapy and a brief alcohol intervention. Using the situated information, motivation and behavioral skills model, and systematic procedures for tailoring evidence-based treatments, we identified core intervention content to be preserved and key characteristics to be tailored for relevance to the clinical setting. We describe the use of in-depth interviews with antiretroviral treatment clients and providers, expert input, and counselor training procedures to develop tailored manuals for counselors and clients. Adapting evidence-based alcohol treatments for global settings is facilitated by the use of a model of behavior change and systematic procedures to operationalize the approach.

Keywords: HIV; Vietnam; alcohol intervention; alcohol use; cultural adaptation.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Alcohol Drinking / epidemiology
  • Alcohol Drinking / prevention & control*
  • Alcohol Drinking / psychology*
  • Ambulatory Care Facilities
  • Anti-Retroviral Agents / therapeutic use*
  • Counseling
  • Culturally Competent Care / methods*
  • Culturally Competent Care / statistics & numerical data
  • Female
  • HIV Infections / drug therapy*
  • HIV Infections / epidemiology
  • Humans
  • Male
  • Middle Aged
  • Motivation
  • Prevalence
  • Vietnam / epidemiology


  • Anti-Retroviral Agents