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Brief interventions to prevent sexually transmitted infections suitable for in-service use: a systematic review

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posted on 2023-06-09, 02:48 authored by L Long, C Abraham, R Paquette, M Shahmanesh, Carrie LlewellynCarrie Llewellyn, C Townsend, R Gilson
Background: Sexually transmitted infections (STIs) are more common in young people and men who have sex with men (MSM) and effective in-service interventions are needed. Methods: A systematic review of randomized control trials (RCTs) of waiting-room delivered,self-delivered and brief healthcare-provider-delivered interventions designed to reduce STIs, increase use of home-based STI testing, or reduce STI-risk behaviour was conducted. Six databases were searched between January 2000 to October 2014. Results: 17,916 articles were screened. 23 RCTs of interventions for young people met our inclusion criteria. Significant STI reductions were found in four RCTs of interventions using brief one-to-one counselling (2 RCTs), video (1 RCT) and a STI home-testing kit (1 RCT). Increase in STI test uptake was found in five studies using video (1 RCT), one-to-one counselling (1 RCT), home test kit (2 RCTs) and a web-based intervention (1 RCT). Reduction in STI-risk behaviour was found in seven RCTs of interventions using digital online (web-based) and offline (computer software) (3 RCTs), printed materials (1 RCT) and video (3 RCTs). Ten RCTs of interventions for MSM met our inclusion criteria. Three tested for STI reductions but none found significant differences between intervention and control groups. Increased STI test uptake was found in two studies using brief one-to-one counselling (1 RCT) and an online web-based intervention (1 RCT. Reduction in STI-risk behaviour was found in six studies using digital online (web-based) interventions (4 RCTs) and brief one-to one counselling (2 RCTs. Conclusion: A small number of interventions which could be used, or adapted for use, in sexual health clinics were found to be effective in reducing STIs among young people and in promoting self-reported STI-risk behaviour change in MSM.

History

Publication status

  • Published

File Version

  • Accepted version

Journal

Preventive Medicine

ISSN

0091-7435

Publisher

Elsevier

Volume

91

Page range

364-382

Department affiliated with

  • Primary Care and Public Health Publications

Full text available

  • Yes

Peer reviewed?

  • Yes

Legacy Posted Date

2016-09-16

First Open Access (FOA) Date

2017-07-02

First Compliant Deposit (FCD) Date

2016-09-16

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