title: Evaluating a Brief, Video-Based Sexual Risk Reduction Intervention and Assessment Reactivity with STI Clinic Patients: Results from a Randomized Controlled Trial.
abstract: We report results from a randomized controlled trial designed to evaluate the efficacy of a video-based sexual risk reduction intervention and to measure assessment reactivity. Patients (N = 1010; 56 % male; 69 % African American) receiving care at a sexually transmitted infection (STI) clinic were assigned to one of four conditions formed by crossing assessment condition (i.e., sexual health vs. general health) with intervention condition (i.e., sexual risk reduction intervention vs. general health promotion). After completing their assigned baseline assessment, participants received their assigned intervention, and subsequently returned for follow-up assessments at 3, 6, 9, and 12 months. Participants in all conditions reduced their self-reported sexual risk behavior, and the incidence of new STIs declined from baseline through the follow-ups; however, there was no effect of intervention or assessment condition. We conclude that further risk reduction will require more intensive interventions, especially in STI clinics that already provide excellent clinical care.
authors.affiliation: Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Coro Building, Suite 309, 164 Summit Avenue, Providence, RI, 02906, USA, Michael_Carey@brown.edu.
authors.forename: Michael P
authors.initials: MP
authors.lastname: Carey
authors.forename: Theresa E
authors.initials: TE
authors.lastname: Senn
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Walsh
authors.forename: Patricia
authors.initials: P
authors.lastname: Coury-Doniger
authors.forename: Marguerite A
authors.initials: MA
authors.lastname: Urban
authors.forename: Thierry
authors.initials: T
authors.lastname: Fortune
authors.forename: Peter A
authors.initials: PA
authors.lastname: Vanable
authors.forename: Kate B
authors.initials: KB
authors.lastname: Carey
mesh_terms: D000293:Adolescent; D000328:Adult; D000554:Ambulatory Care Facilities; D001521:Behavior Therapy / Q000379:methods; D003376:Counseling; D005260:Female; D005500:Follow-Up Studies; D015658:HIV Infections / Q000517:prevention & control*; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D040242:Risk Reduction Behavior; D012725:Sexual Behavior; D012747:Sexual Partners; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology; D014741:Video Recording