A Randomized Controlled Trial to Compare Computer-assisted Motivational Intervention with Didactic Educational Counseling to Reduce Unprotected Sex in Female Adolescents.
A Randomized Controlled Trial to Compare Computer-assisted Motivational Intervention with Didactic Educational Counseling to Reduce Unprotected Sex in Female Adolescents.
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DOI：
10.1016/j.jpag.2015.06.001
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发表时间：
2016-02
影响因子：
1.8
通讯作者：
DiClemente C
中科院分区：
文献类型：
--
作者：
Gold MA;Tzilos GK;Stein LA;Anderson BJ;Stein MD;Ryan CM;Zuckoff A;DiClemente C
To examine a computer-assisted, counselor-guided motivational intervention (CAMI) aimed at reducing the risk of unprotected sexual intercourse. We conducted a 9-month, longitudinal randomized controlled trial with a multi-site recruitment strategy including clinic, university, and social referrals, comparing the CAMI to didactic educational counseling (DEC) with 572 female adolescents (mean age = 17; SD = 2.2 years old, (range 13–21 years); 59% African Americans) who were at risk for pregnancy and STDs. The primary outcome was the acceptability of the CAMI by self-reported rating scales. The secondary outcome was the reduction of pregnancy and STD risk using a 9-month, self-report Timeline follow-back calendar of unprotected sex. The CAMI was rated easy to use. Compared to the DEC, there was a significant effect of the intervention suggesting that the CAMI helped reduce unprotected sex among participants who completed the study. However, due to the high attrition rate, the intent-to-treat analysis did not demonstrate a significant effect of the CAMI on reducing unprotected sex. Among those who completed the intervention, the CAMI reduced unprotected sex among an at-risk, predominantly minority sample of female adolescents. Modifying the CAMI to address methodological issues that contributed to high drop-out rates are needed to make the intervention more acceptable and feasible among sexually active predominantly minority, at risk, female adolescents.
