Evaluating a Brief, Video-Based Sexual Risk Reduction Intervention and Assessment Reactivity with STI Clinic Patients: Results from a Randomized Controlled Trial

Michael P. Carey, Theresa E. Senn, Jennifer L. Walsh, Patricia Coury-Doniger, Marguerite A. Urban, Thierry Fortune, Peter A. Vanable, Kate B. Carey

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)1228-1246
Number of pages19
JournalAIDS and Behavior
Volume19
Issue number7
DOIs
StatePublished - Jul 25 2015

Keywords

  • Assessment reactivity
  • HIV
  • Prevention
  • Randomized controlled trial (RCT)
  • Sexual behavior
  • Sexual risk reduction
  • Sexually transmitted disease (STD)
  • Sexually transmitted infection (STI)

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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