The overall goal for this R34 is to produce a culturally adapted, scalable HIV 'status-neutral' EBI for alcohol reduction and HIV prevention and treatment optimization to test in an R01 hybrid effectiveness-implementation trial. We will conduct a 2-arm pilot randomized controlled trial (RCT) comparing TrEAT4All to usual care to assess the preliminary efficacy and implementation of HIV prevention and treatment within one STI care setting which serves as an early Pre-exposure Prophylaxis (PrEP) implementation site in Lilongwe, Malawi.
Wake Forest University School of Medicine Team
Co-Principal Investigator, Department of Implementation Science
I am an associate professor in the Department of Implementation Science at the Wake Forest University School of Medicine. As an implementation scientist and epidemiologist, I'm passionate about enhancing global health equity with clear programmatic and policy implications for socially marginalized populations, particularly those who engage in sex work and people who use substances. My research addresses implementation gaps, tests interventions and evaluates impacts on the interrelationships among substance use, including drugs and alcohol, stigma and HIV/HCV/STI in global and domestic settings. I chair the Substance Use Working Group within the International epidemiology Databases to Evaluate AIDS (IeDEA), where I work with regional representatives and program staff from the National Institute of Allergy and Infectious Diseases (NIAID), the National Institutes of Mental Health (NIMH), the National Institute of Child Health and Human Development (NICHD), the National Institute on Alcohol Abuse and Alcoholism (NIAAA), and the National Institute on Drug Abuse (NIDA) to generate real-world evidence on substance use and HIV policy and practice.

Jaslyn Grullon, MPH
Project Manager II, Department of Implementation Science, Wake Forest University School of Medicine

Jaelyn Murphy, MPH
Assistant Project Manager, Department of Implementation Science, Wake Forest University School of Medicine
Angela Parcesepe, PhD, MPH, Co-Principal Investigator, Department of Maternal and Child Health, University of North Carolina at Chapel Hill
Mitch Matoga, Co-Investigator, UNC Project Malawi
Agatha Bula, Co-Investigator
Jimmy Msola, Co-Investigator
Eric Umar, Co-Investigator, KHuES
Judith Hahn, UCSF
Jessica Magidson, Co-Investigator, University of Maryland