The Well Woman Program: a community-based randomized trial to prevent sexually transmitted infections in low-income African American women.
In this sexually transmitted infection (STI) prevention study, we compared the efficacy of the Well Woman Program (WWP), a nurse practitioner-directed, culturally specific, intensive intervention, to minimal intervention (MI), brief lecture, and referral to usual care, in a community-based randomized controlled trial. African American women having past STIs and residing in high-risk communities were randomly assigned to the two groups. STI outcome was measured at baseline and three later points. A random effects logistic longitudinal regression model showed that, at baseline, approximately 75% of participants tested positive for an STI, predominantly trichomoniasis. At month 15, the estimated probability of a WWP participant having an STI was 20% less than an MI participant. Better STI outcomes were due to the intensive individualized intervention.
School of Nursing, Medical College of Georgia, 1120 15th St., Augusta, GA 30912, USA.
Lucy N
LN
Marion
Lorna
L
Finnegan
Richard T
RT
Campbell
Laura A
LA
Szalacha
D000328:Adult; D001741:Black or African American / Q000193:education / Q000208:ethnology; D016009:Chi-Square Distribution; D002641:Chicago / Q000453:epidemiology; D003151:Community Health Centers / Q000458:organization & administration*; D005260:Female; D006266:Health Education / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016013:Likelihood Functions; D016015:Logistic Models; D008137:Longitudinal Studies; D015999:Multivariate Analysis; D009722:Nurse Practitioners / Q000458:organization & administration*; D015403:Nursing Evaluation Research; D011203:Poverty; D018570:Risk Assessment; D012749:Sexually Transmitted Diseases / Q000208:ethnology / Q000517:prevention & control; D014932:Women's Health Services / Q000458:organization & administration*