Content of statement or question | Purpose |
---|---|
1. Friendly welcome greeting that varies by daya | Reinforce HealthCall-S use; add variety to daily script |
2. Request to enter password | Ensure privacy |
3. Statement that questions are about yesterday (morning, afternoon, evening or during the night) | Standardize timeframe regardless of when HealthCall-S is used |
4. Number of drinks of beer, wine, liquora,b? | Self-monitor drinking to increase self-awareness; provide data for 30- and 60-day personalized feedback |
5. How much wanted to drink? | Self-monitor craving to increase self-awareness |
6. Optional view of graph showing number of drinks daily over prior 7 daysa,b | Self-monitor progress to increase self-awareness (optional because not all patients wish to see the graph every day) |
7. Thought about pros and cons of drinkingb? (yes/no) | Remind patient of MI session to maintain or increase motivation to change |
8. Thought about drinking reduction goalb? (yes/no) | Remind patient of MI goal to maintain or increase motivation to change |
9. How important was drinking reduction? | |
10. How committed to drinking reduction? | |
11. IF DRANK: Reasons for drinkinga (yes/no to nine reasons, e.g., around others who drank; to improve mood; habit)? | Identify drinking motives and triggers (internal and social-contextual) to increase self-awareness, provide data for 30- and 60-day personalized feedback |
12. IF DID NOT DRINK: Reasons for not drinkinga (yes/no to nine reasons, e.g., my health; made commitment not to; no money for alcohol; feel good when do something positive for self)? | Maintain or increase self-efficacy and motivation to change |
13. Statement praising abstinence or meeting drinking goal (4 rotated, different statements), or continuing to call even if goals weren’t meta | Increase motivation and self-efficacy; reinforce continued HealthCall-S use; add variety to daily script |
14. Statement of one of 30 daily “tips” in random order (suggestions on how to cut down drinking or maintain abstinence)a | Suggest skills to patients for cutting down or staying abstinent based NIAAA evidence-based materials; also to add variety to daily script |
15. Drug use? | Identify potential substitute substance use pattern |
16. If on ART, were all HIV meds taken? | Self-monitoring of ART; identify if alcohol and ART adherence are linked |
17. If had sex, was it protectedb? | Self-monitoring of sexual risk behaviors |
18. Felt well physically? Stressed? Angry? sad/depressed? how was day overall? (5 yes/no questions)b | Increase self-awareness; identify drinking triggers and patterns; show concern for the whole person |
19. If reported at-risk drinking, counselor call offered via one-touch link to counselor’s phone/voicemaila | Provide counselor assistance if wished |
20. Outgoing tailored goodbye (15 versions) | Reinforce HealthCall-S use based on patients’ input and date/day of the week/weekend; add variety. |