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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Randomized Clinical Trial of Brief Risk Reduction Counseling for Sexually Transmitted Infection Clinic Patients in Cape Town, South Africa</title><author><name sortKey="Kalichman, Seth C" sort="Kalichman, Seth C" uniqKey="Kalichman S" first="Seth C." last="Kalichman">Seth C. Kalichman</name></author><author><name sortKey="Cain, Demetria" sort="Cain, Demetria" uniqKey="Cain D" first="Demetria" last="Cain">Demetria Cain</name></author><author><name sortKey="Eaton, Lisa" sort="Eaton, Lisa" uniqKey="Eaton L" first="Lisa" last="Eaton">Lisa Eaton</name></author><author><name sortKey="Jooste, Sean" sort="Jooste, Sean" uniqKey="Jooste S" first="Sean" last="Jooste">Sean Jooste</name></author><author><name sortKey="Simbayi, Leickness C" sort="Simbayi, Leickness C" uniqKey="Simbayi L" first="Leickness C." last="Simbayi">Leickness C. Simbayi</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">21778486</idno><idno type="pmc">3154219</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3154219</idno><idno type="RBID">PMC:3154219</idno><idno type="doi">10.2105/AJPH.2011.300236</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">000E14</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000E14</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Randomized Clinical Trial of Brief Risk Reduction Counseling for Sexually Transmitted Infection Clinic Patients in Cape Town, South Africa</title><author><name sortKey="Kalichman, Seth C" sort="Kalichman, Seth C" uniqKey="Kalichman S" first="Seth C." last="Kalichman">Seth C. Kalichman</name></author><author><name sortKey="Cain, Demetria" sort="Cain, Demetria" uniqKey="Cain D" first="Demetria" last="Cain">Demetria Cain</name></author><author><name sortKey="Eaton, Lisa" sort="Eaton, Lisa" uniqKey="Eaton L" first="Lisa" last="Eaton">Lisa Eaton</name></author><author><name sortKey="Jooste, Sean" sort="Jooste, Sean" uniqKey="Jooste S" first="Sean" last="Jooste">Sean Jooste</name></author><author><name sortKey="Simbayi, Leickness C" sort="Simbayi, Leickness C" uniqKey="Simbayi L" first="Leickness C." last="Simbayi">Leickness C. Simbayi</name></author></analytic><series><title level="j">American Journal of Public Health</title><idno type="ISSN">0090-0036</idno><idno type="eISSN">1541-0048</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><italic>Objectives.</italic> We examined the effects of a brief counseling intervention designed to reduce HIV risk behaviors and sexually transmitted infections (STIs) among patients receiving STI services in Cape Town, South Africa.</p><p><italic>Methods.</italic> After randomization to either a 60-minute risk reduction counseling session or a 20-minute HIV–STI educational session, patients completed computerized sexual behavior assessments. More than 85% of the participants were retained at the 12-month follow-up.</p><p><italic>Results.</italic> There were 24% fewer incident STIs and significant reductions in unprotected vaginal and anal intercourse among participants who received risk reduction counseling relative to members of the control condition. Moderator analyses showed shorter lived outcomes for heavy alcohol drinkers than for lighter drinkers. The results were not moderated by gender.</p><p><italic>Conclusions.</italic> Brief single-session HIV prevention counseling delivered to STI clinic patients has the potential to reduce HIV infections. Counseling should be enhanced for heavier drinkers, and sustained outcomes will require relapse prevention techniques. Disseminating effective, brief, and feasible behavioral interventions to those at highest risk for HIV infection should remain a public health priority.</p></div></front></TEI><pmc article-type="collection"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Am J Public Health</journal-id><journal-id journal-id-type="publisher-id">ajph</journal-id><journal-title-group><journal-title>American Journal of Public Health</journal-title></journal-title-group><issn pub-type="ppub">0090-0036</issn><issn pub-type="epub">1541-0048</issn><publisher><publisher-name>American Public Health Association</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">21778486</article-id><article-id pub-id-type="pmc">3154219</article-id><article-id pub-id-type="publisher-id">300236</article-id><article-id pub-id-type="doi">10.2105/AJPH.2011.300236</article-id><article-categories><subj-group subj-group-type="hwp-journal-coll"><subject>39</subject><subject>53</subject><subject>65</subject></subj-group><subj-group subj-group-type="heading"><subject>Online Only</subject></subj-group></article-categories><title-group><article-title>Randomized Clinical Trial of Brief Risk Reduction Counseling for Sexually Transmitted Infection Clinic Patients in Cape Town, South Africa</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Kalichman</surname><given-names>Seth C.</given-names></name><degrees>PhD</degrees></contrib><contrib contrib-type="author"><name><surname>Cain</surname><given-names>Demetria</given-names></name><degrees>MPH</degrees></contrib><contrib contrib-type="author"><name><surname>Eaton</surname><given-names>Lisa</given-names></name><degrees>PhD</degrees></contrib><contrib contrib-type="author"><name><surname>Jooste</surname><given-names>Sean</given-names></name><degrees>MS</degrees></contrib><contrib contrib-type="author"><name><surname>Simbayi</surname><given-names>Leickness C.</given-names></name><degrees>DPhil</degrees></contrib><aff>Seth C. Kalichman, Demetria Cain, and Lisa Eaton are with the Department of Psychology, University of Connecticut, Storrs, and the Southeastern HIV/AIDS Research and Evaluation (SHARE) Project, Atlanta, GA. Sean Jooste and Leickness C. Simbayi are with the HIV/AIDS, STIs and TB Research Program, Human Sciences Research Council, Cape Town, South Africa.</aff></contrib-group><author-notes><corresp>Correspondence should be sent to Seth C. Kalichman, PhD, Department of Psychology, 406 Babbidge Rd, University of Connecticut, Storrs, CT 06269 (e-mail <email>seth.k@uconn.edu</email>). Reprints can be ordered at <ext-link ext-link-type="uri" xlink:href="http://www.ajph.org">http://www.ajph.org</ext-link> by clicking the “Reprints/Eprints” link.</corresp><fn><p>Peer Reviewed</p></fn><fn><p><bold>Contributors</bold></p><p>S. C. Kalichman was responsible for the intervention conceptualization and development, experimental design, trial execution, interpretation of findings, and the writing of the article. D. Cain was responsible for study implementation, assessment programming, staff training, quality assurance, institutional coordination, and data management. L. Eaton served as the primary data analyst and contributed to the writing of the article. S. Jooste oversaw all field operations and staff supervision. L. C. Simbayi contributed to the study conceptualization, design, and implementation.</p></fn></author-notes><pub-date pub-type="ppub"><month>9</month><year>2011</year></pub-date><volume>101</volume><issue>9</issue><fpage>e9</fpage><lpage>e17</lpage><history><date date-type="accepted"><day>21</day><month>3</month><year>2011</year></date></history><permissions><copyright-statement>© American Public Health Association 2011</copyright-statement><copyright-year>2011</copyright-year></permissions><abstract><p><italic>Objectives.</italic> We examined the effects of a brief counseling intervention designed to reduce HIV risk behaviors and sexually transmitted infections (STIs) among patients receiving STI services in Cape Town, South Africa.</p><p><italic>Methods.</italic> After randomization to either a 60-minute risk reduction counseling session or a 20-minute HIV–STI educational session, patients completed computerized sexual behavior assessments. More than 85% of the participants were retained at the 12-month follow-up.</p><p><italic>Results.</italic> There were 24% fewer incident STIs and significant reductions in unprotected vaginal and anal intercourse among participants who received risk reduction counseling relative to members of the control condition. Moderator analyses showed shorter lived outcomes for heavy alcohol drinkers than for lighter drinkers. The results were not moderated by gender.</p><p><italic>Conclusions.</italic> Brief single-session HIV prevention counseling delivered to STI clinic patients has the potential to reduce HIV infections. Counseling should be enhanced for heavier drinkers, and sustained outcomes will require relapse prevention techniques. Disseminating effective, brief, and feasible behavioral interventions to those at highest risk for HIV infection should remain a public health priority.</p></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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