Table 1 Showing the MI/CBT intervention sessions
Session 1a, 30Â min | General life personal goal setting Alcohol goals General life personal goal setting How alcohol use interfere with goals |
Session 1b, 30 min | Possible reasons why people drink Establish you clients’ reasons for drink Providing personal feedback moving the client towards change Explaining the implications of drinking on treatment as indicated on CD4 and viral load Meaning of improvement and the value of a functional life and quality of life Drinking problems warning signs |
Session 2a, 30Â min | Use MI to build rapport and develop readiness to change Assess readiness to change (using readiness ruler) Assess pros and cons of change (Decision-balance exercise) Use MI to try and shift participant Elicit a commitment to change |
Session 2b, 30Â min | Brief explanation and principles of CBT Explanation on what triggers, urges and cues are and how they lead to drinking Discussion on how triggers arise and how they lead to use and effects Managing thoughts about drink |
Session 3a, 30Â min | Triggers External Internal Drink refusals skills |
| Â | Managing situations were drinking are unavoidable |
Session 3a, 30 min | Dealing with specific treatment issues like  Receiving viral load and CD4 results, treatment problems, losing a spouse, employment threatened by illness, new illness related to the viral infection running out of medication |
Session 4, 30Â min | Planning future direction Life is back to normal: Do I drink? Dealing with anger and criticism Dealing with failure Self-referral Conclusion and planning the future |