title: Reducing risk of sexually transmitted disease (STD) and human immunodeficiency virus infection in a military STD clinic: evaluation of a randomized preventive intervention trial.
abstract: Three single-session preventive interventions for reducing sexually transmitted disease (STD) and human immunodeficiency virus infection risk behaviors were evaluated with a sample of 400 men who attended a large military STD clinic. A quasi-experimental, pre-evaluation/postevaluation design was used, comparing standard clinic care alone versus standard care combined with 1 of 3 experimental interventions: health-risk appraisal, interactive video, and targeted situational behaviors. Questionnaire data were collected at baseline and during follow-up visits at 2 weeks and 2 months. Findings indicated that the health-risk appraisal and interactive video increased adherence with clinic recommendations to abstain from sex (chi(2)3199=19.67; P<.001) and increased readiness to change "risky" partner-selection behavior (chi(2)2194=6.42; P<.04). Follow-up data suggested that STD-related risk behavior was particularly resistant to change but that the single-session intervention had some impact, which could be viewed as a "priming" effect that enhances multisession interventions.
authors.affiliation: Care Clinic, Fayetteville, NC 28305-3438, USA.
authors.forename: P R
authors.initials: PR
authors.lastname: Jenkins
authors.forename: R A
authors.initials: RA
authors.lastname: Jenkins
authors.forename: E D
authors.initials: ED
authors.lastname: Nannis
authors.forename: K T
authors.initials: KT
authors.lastname: McKee
authors.forename: L R
authors.initials: LR
authors.lastname: Temoshok
mesh_terms: D000328:Adult; D000428:Alcohol Drinking; D017280:Condoms; D015658:HIV Infections / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008889:Military Personnel; D010349:Patient Compliance; D012307:Risk Factors; D012725:Sexual Behavior; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D011795:Surveys and Questionnaires