Randomized trial in family practice of a brief intervention to reduce STI risk in young adults

Family Practice
Elizabeth M ProudeJeanette E Ward

Abstract

Young adults represent a high-risk group for sexually transmissible infections (STIs). No randomized controlled trials of interventions in family practice to reduce sexual risk have been reported. We evaluated the impact of brief advice initiated in routine consultations in 20 family practices to modify young adults' risk perception and self-reported risk behaviour for STIs, particularly human immunodeficiency virus (HIV) and hepatitis. Patients aged 18-25 years completed self-administered confidential questionnaires in the waiting-room before seeing participating family physicians (FPs). Patients were unobtrusively randomized to receive advice about safe sex and complementary resources from their FP (INT group) or usual care (CONTROL group). Three months later, patients completed mailed follow-up questionnaires to assess changes in risk perception and behaviour. Three hundred and twelve patients completed baseline questionnaires. Of 237 who agreed to follow-up, 156 (68%) returned self-administered follow-up questionnaires. At post-test, we found equivalent self-reported use of questions to assess any new sexual partner's risk (33 versus 36%) and equivalent self-reported use of condoms on first occasion of sex with a new partne...Continue Reading

Citations

Oct 23, 2014·BJOG : an International Journal of Obstetrics and Gynaecology·B CooperS Hawkes
Oct 29, 2008·Infectious Disease Clinics of North America·Jeanna M Piper
Aug 12, 2016·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Michael J SagherianBlair T Johnson
Nov 13, 2016·Drug and Alcohol Dependence·Daniel J FeasterLisa R Metsch
Feb 4, 2016·The Cochrane Database of Systematic Reviews·Chioma OringanjeJohn E Ehiri
Jun 21, 2005·Family Practice·Samuel J Raveney, Pippa Oakeshott

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