Diane M Grimley1, Edward W Hook. 1. Department of Health Behavior, School of Public Health, University of Alabama, Birmingham, AL, USA. dgrimley@uab.edu
Abstract
BACKGROUND: Brief face-to-face-behavioral interventions have been shown to be efficacious, but are costly to sustain and to widely disseminate. This study evaluated the efficacy of a 15-minute theory-based behavioral intervention designed to increase condom use and reduce new cases of Neisseria gonorrhoeae and Chlamydia trachomatis. METHODS: Participants were randomly assigned via the computer to the intervention or the comparison group stratified by gender and their baseline stage of change (motivational readiness) for using condoms consistently (100%) with their main partners. Behavioral data and biologic specimens for testing of Neisseria gonorrhoeae and Chlamydia trachomatis were obtained at baseline and at 6 months post intervention. The intervention was delivered via an audio, multimedia, computerized application that provided individualized interventions to patients based on their responses to assessment items; comparison patients interacted with a 15-minute, computerized, multiple health risk assessment with no intervention. RESULTS:The majority of the sample (N = 430) was black (88%); 54.5% women; with a mean age = 24.5. Assuming all participants who did not return to the clinic at 6 months were not using condoms consistently, 32% of the treatment group versus 23% in the comparison group reported consistent condom use (P = 0.03). The combined Neisseria gonorrhoeae and Chlamydia trachomatis incidence declined to 6% in the intervention group versus 13% in the comparison group (P = 0.04). Results from a regression analysis revealed that the only statically significant predictor of sexually transmitted diseases infection at the follow-up was group assignment (OR = 1.91, 95% confidence index = 1.09-3.34; P = 0.043). CONCLUSIONS: These findings suggest that brief, interactive, computer-delivered interventions provided at the evaluation visit increase condom use and reduce sexually transmitted diseases without putting additional burden on clinicians or staff.
RCT Entities:
BACKGROUND: Brief face-to-face-behavioral interventions have been shown to be efficacious, but are costly to sustain and to widely disseminate. This study evaluated the efficacy of a 15-minute theory-based behavioral intervention designed to increase condom use and reduce new cases of Neisseria gonorrhoeae and Chlamydia trachomatis. METHODS:Participants were randomly assigned via the computer to the intervention or the comparison group stratified by gender and their baseline stage of change (motivational readiness) for using condoms consistently (100%) with their main partners. Behavioral data and biologic specimens for testing of Neisseria gonorrhoeae and Chlamydia trachomatis were obtained at baseline and at 6 months post intervention. The intervention was delivered via an audio, multimedia, computerized application that provided individualized interventions to patients based on their responses to assessment items; comparison patients interacted with a 15-minute, computerized, multiple health risk assessment with no intervention. RESULTS: The majority of the sample (N = 430) was black (88%); 54.5% women; with a mean age = 24.5. Assuming all participants who did not return to the clinic at 6 months were not using condoms consistently, 32% of the treatment group versus 23% in the comparison group reported consistent condom use (P = 0.03). The combined Neisseria gonorrhoeae and Chlamydia trachomatis incidence declined to 6% in the intervention group versus 13% in the comparison group (P = 0.04). Results from a regression analysis revealed that the only statically significant predictor of sexually transmitted diseases infection at the follow-up was group assignment (OR = 1.91, 95% confidence index = 1.09-3.34; P = 0.043). CONCLUSIONS: These findings suggest that brief, interactive, computer-delivered interventions provided at the evaluation visit increase condom use and reduce sexually transmitted diseases without putting additional burden on clinicians or staff.
Authors: Colleen A Redding; James O Prochaska; Kay Armstrong; Joseph S Rossi; Bettina B Hoeppner; Xiaowu Sun; Hisanori Kobayashi; Hui-Qing Yin; Donna Coviello; Kerry Evers; Wayne F Velicer Journal: Health Educ Res Date: 2014-05-02
Authors: Ann E Kurth; Freya Spielberg; Charles M Cleland; Barrot Lambdin; David R Bangsberg; Pamela A Frick; Anneleen O Severynen; Marc Clausen; Robert G Norman; David Lockhart; Jane M Simoni; King K Holmes Journal: J Acquir Immune Defic Syndr Date: 2014-04-15 Impact factor: 3.731
Authors: Lisa A Eaton; Tania B Huedo-Medina; Seth C Kalichman; Jennifer A Pellowski; Michael J Sagherian; Michelle Warren; Ami R Popat; Blair T Johnson Journal: Am J Public Health Date: 2012-09-20 Impact factor: 9.308
Authors: Lori A J Scott-Sheldon; Tania B Huedo-Medina; Michelle R Warren; Blair T Johnson; Michael P Carey Journal: J Acquir Immune Defic Syndr Date: 2011-12-15 Impact factor: 3.731
Authors: Jan Gryczynski; Shannon Gwin Mitchell; Arturo Gonzales; Ana Moseley; Thomas R Peterson; Steven J Ondersma; Kevin E O'Grady; Robert P Schwartz Journal: J Subst Abuse Treat Date: 2014-09-16