Table 2 Primary and Secondary Study Outcomes

Primary implementation outcome

Fidelity to BAI as delivered

Delivering BAI as intended (within 7 weeks of the initial session)

% BAI sessions completed × average quality score

Secondary implementation outcomes

Acceptability of BAI

Perception that BAI is agreeable, palatable, or satisfactory

For BAI counselors: Mental Health Implementation Science Tools (mhIST) Acceptability Scale for providers [31]

For clinic staff: Acceptability of Intervention Measure (AIM) [30]

For PWH participants: Mental Health Implementation Science Tools (mhIST) Acceptability Scale for consumers [31]

Penetration

(1) Proportion of PWH initiating or on ART who are screened with the AUDIT-C; (2) Proportion of PWH that screen positive receiving at least one counseling session

Screening log: AUDIT-C & 1st session

Cost

Costs of BAI and its implementation

Directly measured non-research costs, including all costs of implementation

Sustainability

% of clinics continuing to offer BAI after completion of the study

Provider support of sustainment scale (PRESS) [32]

Fidelity [extended window]

Delivering BAI as intended (within 4 months of the initial session)

% BAI sessions completed × average quality score

Primary effectiveness outcome

Viral Suppression

% participants virally suppressed

viral load < 1000 copies/mL on a DBS sample

Secondary effectiveness outcomes

Clinical staff alcohol use

Heavy drinking days, number of drinking days, and number of drinks per drinking day

AUDIT

PWH alcohol use

Heavy drinking days, number of drinking days, and number of drinks per drinking day

AUDIT