Development and Content Validation of a Patient-Reported Sexual Risk Measure for Use in Primary Care

Fredericksen, Rob J.; Mayer, Kenneth H.; Gibbons, Laura E.; Edwards, Todd C.; Yang, Frances M.; Walcott, Melonie; Brown, Sharon; Dant, Lydia; Loo, Stephanie; Gutiérrez, Cristina; Páez, Edgar; Fitzsimmons, Emma; Wu, Albert W.; Mugavero, Michael J.; Mathews, William C; Lober, William B.; Kitahata, Mari M.; Patrick, Donald L.; Crane, Paul K.; Crane, Heidi M.

doi:10.1007/s11606-018-4496-5

Cited by 9 publications

(6 citation statements)

References 44 publications

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“…Comparison of the chart reviews relating to phases when providers did and did not receive the PRO results used the Fisher exact test with a significance level of 0.05. Yes Depression (PHQ-9) [34,35] Yes Yes Anxiety (HIV symptoms inventory) [36] Yes Yes Adherence (VAS) Yes Yes Satisfaction with HIV medications (HATQoL) [37] Yes Yes Nicotine use Yes Yes Alcohol use (AUDIT-C) [38] Yes Yes Substance use (ASSIST) [39] Yes Yes Gender identity Yes Yes Sexual risk behavior (SRBI) [40] Yes Yes Sexual orientation Yes Yes Intimate partner violence (IPV-4) [41] Yes Yes Acceptability E-scale [18] Yes…”

Section: Discussionmentioning

confidence: 99%

Utility and Impact of the Implementation of Same-Day, Self-administered Electronic Patient-Reported Outcomes Assessments in Routine HIV Care in two North American Clinics

et al. 2022

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The PROgress study assessed the value and feasibility of implementing web-based patient-reported outcomes assessments (PROs) within routine HIV care at two North American outpatient clinics. People with HIV (PWH) completed PROs on a tablet computer in clinic before their routine care visit. Data collection included PROs from 1632 unique PWH, 596 chart reviews, 200 patient questionnaires, and 16 provider/staff questionnaires. During an initial setup phase involving 200 patients, PRO results were not delivered to providers; for all subsequent patients, providers received PRO results before the consultation. Chart review demonstrated that delivery of PRO results to providers improved patient-provider communication and increased the number of complex health and behavioral issues identified, recorded, and acted on, including suicidal ideation (88% with vs 38% without PRO feedback) and anxiety (54% with vs 24% without PRO feedback). In post-visit questionnaires, PWH (82%) and providers (82%) indicated that the PRO added value to the visit.

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Section: Discussionmentioning

confidence: 99%

Utility and Impact of the Implementation of Same-Day, Self-administered Electronic Patient-Reported Outcomes Assessments in Routine HIV Care in two North American Clinics

et al. 2022

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“…Dialogues about sensitive topics such as sexual health with adolescents and young adults may create discomfort for both provider and patient [63], consistent with the views expressed by our key informants. For providers, sexual health training, youth/ young adult-targeted sexual health guidelines, and sexual risk assessment decision aids, such as the touch-screen-administered measure Sexual Risk Behavior Inventory (SRBI) for primary care patients [64], may help instill confidence and ability. Engagement of adolescents/young adults in such discussions requires establishment of trust and emotional comfort initiated by informal conversation [63].…”

Section: Recommendationsmentioning

confidence: 99%

Key informant perspectives on sexual health services for travelling young adults: a qualitative study

Gareau

Phillips

2022

BMC Health Serv Res

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Background International travel has become increasingly popular among young adults. Young adults often engage in casual sexual relationships abroad, exhibit sexual risk behaviours and may thus be at risk of contracting sexually transmitted and blood-borne infections. Pre-travel interventions and consultations may mitigate this risk. At present, we know little about sexual health-related pre-travel interventions. The aim of this study was therefore to document key informants’ experiences, perceptions and recommendations in the context of sexual health of young adult travellers. Methods Key informants were professionals working in Ottawa, Canada travel clinics, travel organizations or sexual health clinics with a young adult clientele. This study used a qualitative approach and consisted of 13 in-person or Skype semi-structured interviews with key informants. Thematic content analysis was informed by a sexual health framework, with themes emerging both inductively and deductively. Results Sexual health was not common in pre-travel interventions described by key informants. Risk-assessment, and practical or purpose-driven pre-travel interventions were identified, resulting in risk mitigation strategies tailored to the destination region and/or mission/culture of the travel organization. Dissemination (e.g. limited time, lack of training) and uptake (e.g. young adults’ embarrassment, provider discomfort, financial constraints) barriers limited in-depth discussions of pre-travel interventions related to sexual health. Key informants acknowledged the importance of early sexual health education, and recommended ongoing, comprehensive sexual education for both youth and young adults. Conclusion The findings of this study suggest that more time and resources should be allocated to the topic of sexual health during pre-travel interventions with young adults. Professionals who guide and prepare young adults for travel must develop concomitant skills in sexual health promotion. Early, comprehensive sexual education is recommended to improve overall sexual health in young adults and mitigate risk behaviours during travel.

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“…The report frames the recommendations in a sexual health and ethical context, with a focus on social justice, sexual rights, addressing stigma, and recognizing the premise of individual autonomy (Chapter 1, pages [27][28]. This framework invites multidisciplinary action and response from professionals working in the field of sexual health and STI prevention.…”

Section: Adopt a Sexual Health Paradigmmentioning

confidence: 99%

“…Surveillance systems need to be improved to provide better and more timely data (see also Recommendation 12-4, pages 627–628), including data that address STI disparities. At the provider level, greater attention to sexual health assessment is needed, including collection of SOGI data 26–30 …”

Section: Recommendations and Implications For Sti Practitionersmentioning

confidence: 99%

Report From the National Academies of Sciences, Engineering and Medicine—STI: Adopting a Sexual Health Paradigm—A Synopsis for Sexually Transmitted Infection Practitioners, Clinicians, and Researchers

et al. 2021

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Despite decades of medical, diagnostic, and public health advances related to diagnosis and management of sexually transmitted infections (STIs), rates of reportable STIs continue to grow. A 2021 National Academies of Sciences, Engineering, and Medicine report on the current state of STI management and prevention in the United States, entitled Sexually Transmitted Infections: Adopting a Sexual Health Paradigm, offers recommendations on future public health programs, policy, and research. This new report builds upon the 1997 Institute of Medicine report, The Hidden Epidemic: Confronting Sexually Transmitted Diseases, and provides 11 recommendations organized under 4 action areas: (1) adopt a sexual health paradigm, (2) broaden ownership and accountability for responding to STIs, (3) bolster existing systems and programs for responding to STIs, and (4) embrace innovation and policy change to improve sexual health. We present our interpretive synopsis of this report, highlighting elements of particular interest to STI and sexual health practitioners, including clinicians, researchers, disease intervention specialists, community outreach workers, and public health staff. The report asserts that it is possible to create a healthier and more equitable future where fewer adolescents and adults are infected, fewer babies are born with STIs, and people entering their sexual debut and continuing throughout the life span are taught the language and skills to conceptualize and enact their own vision for what it means to be sexually healthy.

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Development and Content Validation of a Patient-Reported Sexual Risk Measure for Use in Primary Care

Abstract: The SRBI is a brief, skip-patterned, clinically relevant measure that ascertains sexual risk behavior across sex, sexual orientation, gender identity, partner HIV serostatus, and partner treatment status, furnishing providers with context to determine gradations of risk for HIV/STI.

Cited by 9 publications

References 44 publications

Utility and Impact of the Implementation of Same-Day, Self-administered Electronic Patient-Reported Outcomes Assessments in Routine HIV Care in two North American Clinics

Utility and Impact of the Implementation of Same-Day, Self-administered Electronic Patient-Reported Outcomes Assessments in Routine HIV Care in two North American Clinics

Key informant perspectives on sexual health services for travelling young adults: a qualitative study

Report From the National Academies of Sciences, Engineering and Medicine—STI: Adopting a Sexual Health Paradigm—A Synopsis for Sexually Transmitted Infection Practitioners, Clinicians, and Researchers

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