For local adaptation, more information on types of alcoholic drinks, additional drinking triggers, motivators, and activities to substitute for drinking alcohol were suggested by all focus group participants. HCP focus group participants noted the importance of adding information on the effects of alcohol on HIV and TB outcomes because patients were not viewed as appreciating these linkages. Additionally, interaction with a live human counselor would further enhance the program’s effectiveness by providing more flexible interaction. All focus group participants preferred a human virtual counselor to an animal virtual counselor so as to potentially increase CBI engagement. Overall, in-depth interview participants found the virtual counselor to be acceptable and felt comfortable honestly answering alcohol-related questions. Feedback was organized into 3 domains: (1) virtual counselor acceptability, (2) intervention adaptability, and (3) feasibility of the CBI intervention in clinic settings. AA focus group participants were all male (12/12), and HCP focus group participants were predominantly female (n=15). The majority (9/10) of in-depth interview respondents were male, with median age 42 (IQR 38-45) years.
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