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Brief interventions to prevent sexually transmitted infections suitable for in-service use: a systematic review
journal contribution
posted on 2023-06-09, 02:48 authored by L Long, C Abraham, R Paquette, M Shahmanesh, Carrie LlewellynCarrie Llewellyn, C Townsend, R GilsonBackground: 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 MedicineISSN
0091-7435Publisher
ElsevierExternal DOI
Volume
91Page range
364-382Department affiliated with
- Primary Care and Public Health Publications
Full text available
- Yes
Peer reviewed?
- Yes
Legacy Posted Date
2016-09-16First Open Access (FOA) Date
2017-07-02First Compliant Deposit (FCD) Date
2016-09-16Usage metrics
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