title: Project REACH: a provider-delivered dual protection intervention for women using family planning services in New York City.
abstract: High rates of unintended pregnancies and sexually transmitted infection (STI), including HIV, highlight the importance of promoting dual protection (DP) - i.e., methods that offer concurrent protection against unintended pregnancies and STI - during contraceptive counseling. Using a Phase II quasi-experimental design, this study compared an individualized, clinic-based, nurse-delivered intervention designed to increase DP against standard of care among 101 HIV negative women accessing contraceptive services in medically under-served areas of New York City. Participants were evaluated at baseline, post-counseling, and six months later. Findings indicated that the intervention has possible benefit. At six-month follow-up, there was greater perceived susceptibility to STI and fewer condom-unprotected vaginal sex occasions in the intervention arm. Women in the intervention also had five times the odds of reporting female condom use. Results suggest that this intervention has the potential for a larger population impact and should be more rigorously evaluated in a Phase III trial.
authors.affiliation: HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute, Columbia University, New York, NY, USA. tme1@columbia.edu
authors.forename: Theresa M
authors.initials: TM
authors.lastname: Exner
authors.forename: Joanne E
authors.initials: JE
authors.lastname: Mantell
authors.forename: Susie
authors.initials: S
authors.lastname: Hoffman
authors.forename: Jessica
authors.initials: J
authors.lastname: Adams-Skinner
authors.forename: Zena A
authors.initials: ZA
authors.lastname: Stein
authors.forename: Cheng-Shiun
authors.initials: CS
authors.lastname: Leu
mesh_terms: D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D019111:Single-Use Internal Condom / Q000706:statistics & numerical data; D003376:Counseling / Q000193:education*; D003657:Decision Making; D005193:Family Planning Services / Q000193:education*; D005260:Female; D005500:Follow-Up Studies; D015658:HIV Infections / Q000517:prevention & control*; D006801:Humans; D009519:New York City; D009723:Nurse-Patient Relations; D010353:Patient Education as Topic; D011247:Pregnancy; D012309:Risk-Taking; D021841:Safe Sex; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*