title: A programmatic and methodologic review and synthesis of clinic-based risk-reduction interventions for sexually transmitted infections: research and practice implications.
abstract: The over-arching goal of this article is to systematically review and synthesize empirical findings for sexually transmitted disease risk-reduction programs that were developed and implemented specifically for adolescents seeking health care services at clinical venues. The objective is to examine the reported efficacy of these programs in reducing adolescents' sexually transmitted infection (STI)-associated behavior, in enhancing theoretically and empirically important psychosocial mediators associated with the adoption of STI-preventive behaviors, and, most important, in reducing adolescents' risk of acquiring an STI. In addition, our review assesses program and methodologic characteristics of the studies, determines compliance with standardized reporting guidelines, identifies a subset of program characteristics that are related to efficacy in terms of modifying adolescents' sexual risk behaviors, and examines the research and practice implications of these findings for implementing evidence-based STI risk-reduction programs in clinics.
authors.affiliation: Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA. rdiclem@sph.emory.edu
authors.forename: Ralph J
authors.initials: RJ
authors.lastname: DiClemente
authors.forename: Robin
authors.initials: R
authors.lastname: Milhausen
authors.forename: Jessica McDermott
authors.initials: JM
authors.lastname: Sales
authors.forename: Laura F
authors.initials: LF
authors.lastname: Salazar
authors.forename: Richard A
authors.initials: RA
authors.lastname: Crosby
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D000554:Ambulatory Care Facilities; D001521:Behavior Therapy / Q000379:methods*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D011314:Preventive Health Services / Q000379:methods*; D040242:Risk Reduction Behavior; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*