Efficacy of a motivational behavioral intervention to promote chlamydia and gonorrhea screening in young women: a randomized controlled trial.

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
Mariam R ChackoRalph DiClemente

Abstract

Seeking screening and treatment for chlamydia (CT) and gonorrhea (GC) by young women is critical to reduction of asymptomatic cervicitis and its complications. To evaluate the efficacy of a client-centered motivational behavioral intervention (MBI), to promote seeking of sexually tranmitted infection (STI) checkups by young women. Three hundred seventy-six of 770 eligible sexually active, nonpregnant, English-speaking women (mean age 18.5 years) were recruited from an urban reproductive health clinic and randomized to two groups: intervention plus standard care (MBI) or standard care alone (SC). MBI (two sessions plus booster) was based on the Transtheoretical Model of Change and employed motivational interviewing. Outcome measures monitored for 12 months included: client-initiated clinic visits for STI checkups in response to seven high-risk sexual behaviors by self-report (primary), consistent condom use, number of CT and GC episodes, and movement along the stages of change obtained at baseline and 6- and 12-month follow-up assessments (secondary). Analyses included chi-square, logistic regression, and generalized estimating equations. At baseline, more than 70% endorsed the action stage of change for seeking STI checkups for...Continue Reading

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Citations

May 22, 2010·Current Opinion in Pediatrics·Richard J ChungElizabeth Goodman
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Jan 19, 2016·Sexually Transmitted Diseases·Melanie M TaylorIna U Park
Jan 23, 2021·The American Journal of Drug and Alcohol Abuse·Abhishek Ghosh, Kshitiz Sharma

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