Efficacy of a Motivational Behavioral Intervention to Promote Chlamydia and Gonorrhea Screening in Young Women: A Randomized Controlled Trial

Mariam R. Chacko, Constance M. Wiemann, Claudia A. Kozinetz, Kirk von Sternberg, Mary M. Velasquez, Peggy B. Smith, Ralph DiClemente

Research output: Contribution to journalArticle

Abstract

Background: Seeking screening and treatment for chlamydia (CT) and gonorrhea (GC) by young women is critical to reduction of asymptomatic cervicitis and its complications. Objectives: To evaluate the efficacy of a client-centered motivational behavioral intervention (MBI), to promote seeking of sexually tranmitted infection (STI) checkups by young women. Methods: Three hundred seventy-six of 770 eligible sexually active, nonpregnant, English-speaking women (mean age 18.5 years) were recruited from an urban reproductive health clinic and randomized to two groups: intervention plus standard care (MBI) or standard care alone (SC). MBI (two sessions plus booster) was based on the Transtheoretical Model of Change and employed motivational interviewing. Outcome measures monitored for 12 months included: client-initiated clinic visits for STI checkups in response to seven high-risk sexual behaviors by self-report (primary), consistent condom use, number of CT and GC episodes, and movement along the stages of change obtained at baseline and 6- and 12-month follow-up assessments (secondary). Analyses included chi-square, logistic regression, and generalized estimating equations. Results: At baseline, more than 70% endorsed the action stage of change for seeking STI checkups for three of seven high-risk sexual behaviors. No significant differences were noted between the two groups for the primary or secondary outcomes. Across groups, having multiple partners and being pregnant or thinking one might be pregnant were associated with STI checkups. Conclusions: This is the first known client-centered clinical trial to promote STI screening. Risk-taking and health-seeking behaviors are complex and interrelated with STI and pregnancy concerns. The intervention may have an effect if it is targeted to women in a less medically connected community-based sample.

Original languageEnglish (US)
Pages (from-to)152-161
Number of pages10
JournalJournal of Adolescent Health
Volume46
Issue number2
DOIs
StatePublished - Feb 1 2010

Fingerprint

Chlamydia
Gonorrhea
Randomized Controlled Trials
Risk-Taking
Infection
Sexual Behavior
Uterine Cervicitis
Motivational Interviewing
Urban Health
Sexual Partners
Reproductive Health
Condoms
Ambulatory Care
Self Report
Logistic Models
Outcome Assessment (Health Care)
Clinical Trials
Pregnancy
Health

Keywords

  • Chlamydia in young women
  • Chlamydia screening
  • Gonorrhea screening
  • Promoting STI screening
  • STI screening
  • Transtheoretical model and STI screening

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health

Cite this

Efficacy of a Motivational Behavioral Intervention to Promote Chlamydia and Gonorrhea Screening in Young Women : A Randomized Controlled Trial. / Chacko, Mariam R.; Wiemann, Constance M.; Kozinetz, Claudia A.; von Sternberg, Kirk; Velasquez, Mary M.; Smith, Peggy B.; DiClemente, Ralph.

In: Journal of Adolescent Health, Vol. 46, No. 2, 01.02.2010, p. 152-161.

Research output: Contribution to journalArticle

Chacko, Mariam R. ; Wiemann, Constance M. ; Kozinetz, Claudia A. ; von Sternberg, Kirk ; Velasquez, Mary M. ; Smith, Peggy B. ; DiClemente, Ralph. / Efficacy of a Motivational Behavioral Intervention to Promote Chlamydia and Gonorrhea Screening in Young Women : A Randomized Controlled Trial. In: Journal of Adolescent Health. 2010 ; Vol. 46, No. 2. pp. 152-161.
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