2008
DOI: 10.7326/0003-4819-149-7-200810070-00011
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Behavioral Counseling to Prevent Sexually Transmitted Infections: A Systematic Review for the U.S. Preventive Services Task Force

Abstract: Good-quality evidence suggests that behavioral counseling interventions with multiple sessions conducted in STI clinics and primary care effectively reduces STI incidence in "at-risk" adult and adolescent populations. Additional trial evidence is needed for both lower-intensity behavioral counseling interventions and lower-risk patient populations.

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Cited by 69 publications
(48 citation statements)
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“…To move from reflection to HIV prevention action, it is important to reinforce positive attitudes toward the dual protection offered by condoms, develop individualized risk-reduction plans, and offer opportunities to develop condom negotiation skills, in line with behavioral counseling models that have been shown to reduce the risk of sexually transmitted infections among minority women in the United States and female sex workers in Mexico (Lin, Whitlock, O'Connor, & Bauer, 2008;Patterson et al, 2008). Culturally specific educational interventions that incorporate these behavioral strategies but also promote empowerment and address social contexts and pressing concerns such as housing and employment have been shown to be effective for HIV-risk reduction and improved quality of life among African American drug-using women (Wechsberg, Lam, Zule, & Bobashev, 2004).…”
Section: Downloaded By [University North Carolina -Chapel Hill] At 07mentioning
confidence: 99%
“…To move from reflection to HIV prevention action, it is important to reinforce positive attitudes toward the dual protection offered by condoms, develop individualized risk-reduction plans, and offer opportunities to develop condom negotiation skills, in line with behavioral counseling models that have been shown to reduce the risk of sexually transmitted infections among minority women in the United States and female sex workers in Mexico (Lin, Whitlock, O'Connor, & Bauer, 2008;Patterson et al, 2008). Culturally specific educational interventions that incorporate these behavioral strategies but also promote empowerment and address social contexts and pressing concerns such as housing and employment have been shown to be effective for HIV-risk reduction and improved quality of life among African American drug-using women (Wechsberg, Lam, Zule, & Bobashev, 2004).…”
Section: Downloaded By [University North Carolina -Chapel Hill] At 07mentioning
confidence: 99%
“…While the intensity of the brief interventions tested in this study was not great, it may have been sufficient to achieve change. Content and method of delivery were seemingly less important than participating in some type of intervention (Lin et al, 2008). It also does not appear dose had an effect on study outcomes.…”
Section: Discussionmentioning
confidence: 96%
“…Nevertheless, the fi eld of public health includes a persistent proportion of practitioners and scientists who assert that behavioral interventions do not affect STD incidence. A recent systematic review of behavioral counseling concluded-based on 15 randomized, controlled trials (RCTs) in 21 published articles-that good-quality evidence supports the effectiveness of multiple sessions delivered in STD clinics and primary care settings on reducing STD incidence [19]. Many clinic staff will blanch at the prospect of more than a single session at point-of-care, but it is worth remembering that DIS ideally re-interview index patients; therefore, multiple meetings with the same person are not new to partner notifi cation.…”
Section: Brief Counseling At Point Of Carementioning
confidence: 95%
“…Many clinic staff will blanch at the prospect of more than a single session at point-of-care, but it is worth remembering that DIS ideally re-interview index patients; therefore, multiple meetings with the same person are not new to partner notifi cation. However, better evidence of single-session interventions would be valuable, as Lin et al [19] found insuffi cient evidence to support lower-intensity interventions.…”
Section: Brief Counseling At Point Of Carementioning
confidence: 97%