TY - JOUR
T1 - Evaluating a Brief, Video-Based Sexual Risk Reduction Intervention and Assessment Reactivity with STI Clinic Patients
T2 - Results from a Randomized Controlled Trial
AU - Carey, Michael P.
AU - Senn, Theresa E.
AU - Walsh, Jennifer L.
AU - Coury-Doniger, Patricia
AU - Urban, Marguerite A.
AU - Fortune, Thierry
AU - Vanable, Peter A.
AU - Carey, Kate B.
N1 - Publisher Copyright:
© 2014, Springer Science+Business Media New York.
PY - 2015/7/25
Y1 - 2015/7/25
N2 - 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.
AB - 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.
KW - Assessment reactivity
KW - HIV
KW - Prevention
KW - Randomized controlled trial (RCT)
KW - Sexual behavior
KW - Sexual risk reduction
KW - Sexually transmitted disease (STD)
KW - Sexually transmitted infection (STI)
UR - http://www.scopus.com/inward/record.url?scp=84937973083&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84937973083&partnerID=8YFLogxK
U2 - 10.1007/s10461-014-0960-3
DO - 10.1007/s10461-014-0960-3
M3 - Article
C2 - 25433653
AN - SCOPUS:84937973083
SN - 1090-7165
VL - 19
SP - 1228
EP - 1246
JO - AIDS and Behavior
JF - AIDS and Behavior
IS - 7
ER -