Efficacy of risk-reduction counseling to prevent human immunodeficiency virus and sexually transmitted diseases - A randomized controlled trial
Efficacy of risk-reduction counseling to prevent human immunodeficiency virus and sexually transmitted diseases - A randomized controlled trial
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DOI：
10.1001/jama.280.13.1161
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发表时间：
1998-10-07
影响因子：
120.7
通讯作者：
Peterman, TA
中科院分区：
文献类型：
--
作者：
Kamb, ML;Fishbein, M;Peterman, TA
背景。-咨询，以防止感染人类免疫缺陷病毒（艾滋病毒）和其他性传播疾病（性病）的有效性还没有得到明确的显示。比较2个交互式艾滋病毒/性病咨询干预措施的效果与典型的教学预防信息的现行做法。多中心随机对照试验（Project ECOECT），患者被分配到3个单独的面对面干预中的1个。1993年7月至1996年9月期间，五家公共性病诊所（马里兰州巴尔的摩;丹佛，科尔;加利福尼亚州长滩;新泽西州纽瓦克;加利福尼亚州旧金山弗朗西斯科）。共有5758名14岁或以上的异性恋艾滋病毒阴性患者前来接受性病检查。第1组接受强化咨询，4次互动理论课程。第2组接受了简短的咨询，2次互动式风险降低会议。第3组和第4组各接受2条当前护理的典型简短教育信息。入组后，在第3、6、9和12个月进行问卷调查，并在第6和12个月进行STD检查，对第1、2和3组进行积极随访。意向治疗分析用于比较干预措施。自我报告的安全套使用和新的性病诊断（淋病，衣原体，梅毒，艾滋病毒）通过实验室测试定义。在3个月和6个月随访访视时！自报100%安全套使用率高于对照组（P
Context.-The efficacy of counseling to prevent infection with the human immunodeficiency virus (HIV) and other sexually transmitted diseases (STDs) has not been definitively shown.Objective.-To compare the effects of 2 interactive HIV/STD counseling interventions with didactic prevention messages typical of current practice.Design.-Multicenter randomized controlled trial (Project RESPECT), with par ticipants assigned to 1 of 3 individual face-to-face interventions.Setting.-Five public STD clinics (Baltimore, Md; Denver, Cole; Long Beach, Calif; Newark, NJ; and San Francisco, Calif) between July 1993 and September 1996.Participants.-A total of 5758 heterosexual, HIV-negative patients aged 14 years or older who came for STD examinations.Interventions.-Arm 1 received enhanced counseling, 4 interactive theory based sessions. Arm 2 received brief counseling, 2 interactive risk-reduction sessions. Arms 3 and 4 each received 2 brief didactic messages typical of current care. Arms 1, 2, and 3 were actively followed up after enrollment with questionnaires at 3, 6, 9, and 12 months and STD tests at 6 and 12 months. An intent-to-treat analysis was used to compare interventions.Main Outcome Measures.-Self-reported condom use and new diagnoses of STDs (gonorrhea, chlamydia, syphilis, HIV) defined by laboratory tests.Results.-At the 3- and 6-month follow-up visits! self-reported 100% condom use was higher (P