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Table 1 Showing the MI/CBT intervention sessions

From: Intervention for alcohol use disorders at an HIV care clinic in Harare: a pilot and feasibility study

Session 1a, 30 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, 30 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, 30 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, 30 min Triggers
Drink refusals skills
  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, 30 min Planning future direction
Life is back to normal: Do I drink?
Dealing with anger and criticism
Dealing with failure
Conclusion and planning the future