First of all, as I understand it, the 8.1L engine generally shares nothing in common with the old 7.4L engine, except that it's big. Do not compare those two; it is more fair to contrast them.
Second, there is nothing wrong with the use of 5w-30. You can move up to a slightly higher vis, but that is a band-aid to whatever ails your truck. Have you owned this truck since new? Did your truck always consume oil this much, or has it started recently? If this has been a "newer" phenomenon, then I suggest you have issues elsewhere.
I agree that useage has a lot to do with consumption; have you changed the way you use the truck or experienced a significant shift in the environment you operate in?
Sometimes, simple age might be creeping up on the engine. The accumulated effected of byproducts from combustion might be at play here. I would suggest trying a product called Auto-RX. I had fantastic documented success with that product to restore my engine compression in an older Taurus; long story short, the rings were coked in the lands. A few cycles of ARX properly administered, and everything was back to factory spec, like new condition. The thing about ARX is that it's easy to use, it's not very expensive (compared to the alternative of major engine work) and it has a very high success rate. It will "clean" your engine better than any HM oil ever could. It will not, however, fix a mechanical failure such as damaged seal, etc. But it can liberate seals to become pliable again, and it can liberate piston rings to restore oil control. If you're sure the engine is not leaking oil, then it is consuming it. You might very well be able to significantly reduce the consumption.