Cited by 973HIV/AIDS Research and InterventionsAdolescent Sexual and Reproductive HealthHIV, Drug Use, Sexual Risk

The DOI matches its Crossref record; 22 of the 22 references it cites were found in a registry or an index.

Efficacy of Risk-Reduction Counseling to Prevent Human Immunodeficiency Virus and Sexually Transmitted Diseases: A Randomized Controlled Trial

Kamb, Mary L., Fishbein, Martin, Douglas, Jr, John M., Rhodes, Fen, Rogers, Judy, Bolan, Gail, Zenilman, Jonathan, Hoxworth, Tamara, Malotte, C. Kevin, Iatesta, Michael, Kent, Charlotte, Lentz, Andrew, Graziano, Sandra, Byers, Robert H., Peterman, Thomas A., for the Project RESPECT Study Group·1998·JAMA

DOI 10.1001/jama.280.13.1161

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Abstract

CONTEXT: The efficacy of counseling to prevent infection with the human immunodeficiency virus (HIV) and other sexually transmitted diseases (STDs) has not been definitively shown. OBJECTIVE: To compare the effects of 2 interactive HIV/STD counseling interventions with didactic prevention messages typical of current practice. DESIGN: Multicenter randomized controlled trial (Project RESPECT), with participants assigned to 1 of 3 individual face-to-face interventions. SETTING: Five public STD clinics (Baltimore, Md; Denver, Colo; Long Beach, Calif; Newark, NJ; and San Francisco, Calif) between July 1993 and September 1996. PARTICIPANTS: A total of 5758 heterosexual, HIV-negative patients aged 14 years or older who came for STD examinations. INTERVENTIONS: Arm 1 received enhanced counseling, 4 interactive theory-based sessions. Arm 2 received brief counseling, 2 interactive risk-reduction sessions. Arms 3 and 4 each received 2 brief didactic messages typical of current care. Arms 1, 2, and 3 were actively followed up after enrollment with questionnaires at 3, 6, 9, and 12 months and STD tests at 6 and 12 months. An intent-to-treat analysis was used to compare interventions. MAIN OUTCOME MEASURES: Self-reported condom use and new diagnoses of STDs (gonorrhea, chlamydia, syphilis, HIV) defined by laboratory tests. RESULTS: At the 3- and 6-month follow-up visits, self-reported 100% condom use was higher (P<.05) in both the enhanced counseling and brief counseling arms compared with participants in the didactic messages arm. Through the 6-month interval, 30% fewer participants had new STDs in both the enhanced counseling (7.2%; P= .002) and brief counseling (7.3%; P= .005) arms compared with those in the didactic messages arm (10.4%). Through the 12-month study, 20% fewer participants in each counseling intervention had new STDs compared with those in the didactic messages arm (P = .008). Consistently at each of the 5 study sites, STD incidence was lower in the counseling intervention arms than in the didactic messages intervention arm. Reduction of STD was similar for men and women and greater for adolescents and persons with an STD diagnosed at enrollment. CONCLUSIONS: Short counseling interventions using personalized risk reduction plans can increase condom use and prevent new STDs. Effective counseling can be conducted even in busy public clinics.

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“Each study site developed its own study protocol and intervention with consensus around eligibility criteria and questionnaire measures [31–33].”
Prevalence and Correlates of Unknown HIV Infection among Patients Seeking Care in a Public Hospital Emergency Department
Zetola, N. M., Kaplan, B., Dowling, T., Jensen, T., Louie, B., Shahkarami, M., Colfax, G. N., & Klausner, J. D. (2008) · Public Health Reports · doi:10.1177/00333549081230s306 · Cited by 22
Social Network and Risk-Taking Behavior Most Associated with Rapid HIV Testing, Circumcision, and Preexposure Prophylaxis Acceptability Among High-Risk Indian Men
Schneider, J. A., Kumar, R., Dandona, R., Kumar, S. P., Kumar, A., Lakshmi, V., Laumann, E. O., Mayer, K. H., & Dandona, L. (2012) · AIDS Patient Care and STDs · doi:10.1089/apc.2012.0188 · Cited by 22
Enhancing Recruitment and Retention of Minority Young Women in Community-Based Clinical Research
Wiemann, C. M., Chacko, M. R., Tucker, J. C., Velasquez, M. M., Smith, P. B., DiClemente, R. J., & von Sternberg, K. L. (2005) · Journal of Pediatric and Adolescent Gynecology · doi:10.1016/j.jpag.2005.09.006 · Cited by 22
2008 European Guideline on HIV testing
Poljak, M., Smit, E., & Ross, J. M. (2009) · International Journal of STD & AIDS · doi:10.1258/ijsa.2008.008438 · Cited by 22
HIV Risk-Reduction Counseling and Testing on Behavior Change of MSM
Huan, X., Tang, W., Babu, G. R., Li, J., Zhang, M., Liu, X., Yan, H., Fu, G., Zhao, J., Yang, H., et al. (2013) · PLoS ONE · doi:10.1371/journal.pone.0069740 · Cited by 22
“[34] The counseling sessions play a significant role in imparting HIV prevention education, and can clear up misconceptions and misinformation regarding HIV.”
Background
Reductions in sexually transmitted infections associated with popular opinion leaders in China in a randomised controlled trial
Rotheram‐Borus, M. J., Wu, Z., Liang, L.-J., Li, L., Detels, R., Guan, J., Yin, Y., Swendeman, D. T., & the NIMH Collaborative HIV/STD Prevention Trial Group (2011) · Sexually Transmitted Infections · doi:10.1136/sti.2010.046243 · Cited by 22
Mediation and moderation of an efficacious theory-based abstinence-only intervention for African American adolescents.
Zhang, J., Jemmott, J. B., & Jemmott, L. S. (2015) · Health Psychology · doi:10.1037/hea0000244 · Cited by 22
“…intervention was based on the social–cognitive theory (Bandura, 1986) and the theory of reasoned action (Ajzen & Fishbein, 1980), theories used in tandem in several efficacious interventions (Jemmott, Jemmott, & Fong, 1998; Jemmott, Jemmott, Fong, & McCaffree, 1999; Kamb et al., 1998).”
Method
The Dynamics of Repeat HIV Testing, and Interventions for Repeat HIV Testers
Fisher, J. D., DelGado, B. P., Melchreit, R., & Spurlock-McLendon, J. (2002) · AIDS and Behavior · doi:10.1023/a:1015405416826 · Cited by 22
Pediatric Emergency Department-Based Rapid HIV Testing
Haines, C. J., Uwaezuoke, K., Zussman, B. M., Parrino, T., Laguerre, R., & Foster, J. (2010) · Pediatric Emergency Care · doi:10.1097/pec.0b013e3182037cde · Cited by 22
“These results contribute a new perspective in relation to prior mixed interpretations of HIV counseling efficacy.(21,22) Youth preferences for HIV counselors themselves were less uniform.”
Result
The HIV transmission gradient: relationship patterns of protection
Bell, D. C., Atkinson, J. S., Mosier, V., Riley, M. A., & Brown, V. L. (2006) · AIDS and Behavior · doi:10.1007/s10461-006-9192-5 · Cited by 22
“These items were modified from those used in Project RESPECT (Kamb et al., 1998).”
Method
Applying a transtheoretical behavioral change model to HIV/STD and pregnancy prevention in adolescent clinics
Hacker, K. A., Brown, E., Cabral, H., & Dodds, D. (2005) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2005.05.007 · Cited by 22
Integrating HIV care and HIV prevention: legal, policy and programmatic recommendations
Remien, R. H., Berkman, A., Myer, L., Bastos, F. I., Kagee, A., & El-Sadr, W. M. (2008) · AIDS · doi:10.1097/01.aids.0000327437.13291.86 · Cited by 22
“‘Scale-up’ of effective behavioral interventions and training of staff to provide these interventions Various sexual risk-reduction behavioral interventions have been shown to be effective among HIV-infected men, women and adolescents [8,57–59], although these studies have been conducted primarily in the United States…”
Background
Sexually Transmitted Diseases and Managed Care: An Inquiry and Review of Issues Affecting Service Delivery
Chorba, T. L., Scholes, D., BlueSpruce, J., Operskalski, B. H., & Irwin, K. L. (2004) · American Journal of Medical Quality · doi:10.1177/106286060401900403 · Cited by 22
The cost-effectiveness of the WINGS intervention: a program to prevent HIV and sexually transmitted diseases among high-risk urban women
Chesson, H. W., Greenberg, J. B., & Hennessy, M. H. (2002) · BMC Infectious Diseases · doi:10.1186/1471-2334-2-24 · Cited by 23
“Improving the cost-effectiveness of HIV prevention interventions The finding that the condom use skills component was more cost-effective than the complete intervention is consistent with previous studies demonstrating the effectiveness of brief STD/HIV counselling sessions for persons at high risk for HIV and STDs [8…”
HIV Testing of At Risk Patients in a Large Integrated Health Care System
Owens, D. K., H, V. S. M. P., Lazzeroni, L. C., Douglass, L. R., Tempio, P., Holodniy, M., Sanders, G. D., Shadle, V. M., McWhorter, V. C., Agoncillo, T., et al. (2007) · Journal of General Internal Medicine · doi:10.1007/s11606-006-0028-9 · Cited by 22
Accessible health care is critical to the effective control of sexually transmitted infections
Fairley, C. K., Chow, E. P. F., Simms, I., Hocking, J. S., & Ong, J. J. (2022) · Sexual Health · doi:10.1071/sh22042 · Cited by 21
Understanding People Who Have Never Received HIV Medical Care: A Population-Based Approach
Fagan, J. L., Bertolli, J., & McNaghten, A. D. (2010) · Public Health Reports · doi:10.1177/003335491012500406 · Cited by 21
Acceptability and Use of Sexual Barrier Products and Lubricants among HIV-Seropositive Zambian Men
Jones, D. L., Weiss, S. M., Chitalu, N. W., Mumbi, M., Shine, A. E., Vamos, S., & Villar, O. (2008) · AIDS Patient Care and STDs · doi:10.1089/apc.2007.0212 · Cited by 21
Participation in counseling programs: High-risk participants are reluctant to accept HIV-prevention counseling.
Earl, A. N., Albarracín, D., Durantini, M. R., Gunnoe, J. B., Leeper, J., & Levitt, J. H. (2009) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0015763 · Cited by 21
“Project RESPECT Study Group.”
Influential
In STI interventions, size matters
Crosby, R. A., & Rothenberg, R. (2004) · Sexually Transmitted Infections · doi:10.1136/sti.2003.007625 · Cited by 19
The role of testing and counselling for HIV prevention and care in the era of scaling-up antiretroviral therapy
Hallett, T. B., Dube, S., Cremin, Í., Lopman, B. A., Mahomva, A., Ncube, G., Mugurungi, O. M., Gregson, S., & Garnett, G. P. (2009) · Epidemics · doi:10.1016/j.epidem.2009.02.001 · Cited by 21
Toward Errorless Condom Use: A Comparison of Two Courses to Improve Condom Use Skills
Lindemann, D. F., Brigham, T. A., Harbke, C. R., & Alexander, T. (2005) · AIDS and Behavior · doi:10.1007/s10461-005-9017-y · Cited by 21
Women at risk for sexually transmitted diseases: correlates of intercourse without barrier contraception
Peipert, J. F., Lapane, K. L., Allsworth, J. E., Redding, C. A., Blume, J., Lozowski, F., & Stein, M. D. (2007) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2007.03.032 · Cited by 21
Strategies for Primary HIV Prevention That Target Behavioral Change
Safren, S. A., Wingood, G. M., & Altice, F. L. (2007) · Clinical Infectious Diseases · doi:10.1086/522554 · Cited by 21
“This model consisted of HIV counseling and testing and was demonstrated to be efficacious in a study of heterosexual patients at sexually transmitted diseases (STD) clinics [9].”
Method
Patterns of Sexual Risk Behavior Change Among Sexually Transmitted Infection Clinic Patients
Kalichman, S. C., Cain, D. N., Knetch, J., & Hill, J. D. (2005) · Archives of Sexual Behavior · doi:10.1007/s10508-005-3119-5 · Cited by 21
HIV Risk Behavior Before and After HIV Counseling and Testing in Jail: A Pilot Study
Beckwith, C. G., Liu, T., Bazerman, L. B., DeLong, A. K., Desjardins, S., Poshkus, M., & Flanigan, T. (2010) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0b013e3181c997b1 · Cited by 21
Acceptability of Sexually Transmitted Infection Screening Among Women in Short-Term Substance Abuse Treatment
Lally, M., ALVAREZ, S., MacNevin, R., Cenedella, C., DiSpigno, M., Harwell, J. I., Pugatch, D. L., & Flanigan, T. (2002) · Sexually Transmitted Diseases · doi:10.1097/00007435-200212000-00003 · Cited by 21
Use of and Exposure to HIV Prevention Programs and Services by Persons at High Risk for HIV
Kellerman, S., Drake, A. J., Lansky, A., & Klevens, R. M. (2006) · AIDS Patient Care and STDs · doi:10.1089/apc.2006.20.391 · Cited by 21
The role of behavioral counseling in sexually transmitted disease prevention program settings.
Brookmeyer, K. A., Hogben, M., & Kinsey, J. (2016) · Sexually Transmitted Diseases · doi:10.1097/olq.0000000000000327 · Cited by 20
“Project RESPECT’s two sessions were delivered over a 7 – 10 day period; adding a booster session 6 months later had no effect in a later RCT. 22 An STD program that has the capacity to follow-up with patients or that does so for purposes like re-interviews (i.e., if partner notification is involved) may use such oppor…”
Influential
HIV Prevention Services Received at Health Care and HIV Test Providers by Young Men who Have Sex with Men: An Examination of Racial Disparities
Behel, S. K., MacKellar, D. A., Valleroy, L. A., Secura, G. M., Bingham, T. A., Celentano, D. D., Koblin, B. A., LaLota, M., Shehan, D. A., Torian, L. V., et al. (2008) · Journal of Urban Health · doi:10.1007/s11524-008-9303-x · Cited by 20
Behavioral Interventions for STDs: Theoretical Models and Intervention Methods
Lawrence, J. S. S., & Fortenberry, J. D. (2007) · Springer eBooks · doi:10.1007/978-0-387-48740-3_2 · Cited by 20
Results of a Pilot Study to Reduce Methamphetamine Use and Sexual Risk Behaviors Among Methamphetamine-Using Men Who Have Sex with Men (MSM) Not Currently in Treatment
Zule, W. A., Poulton, W., Coomes, C. M., Mansergh, G., Charania, M. R., Wechsberg, W. M., & Jones, H. E. (2012) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2012.736794 · Cited by 20
“Previous studies have shown that a brief client-centered intervention was as effective as a multisession theory-based intervention in reducing new sexually transmitted infections among sexually transmitted disease clinic patients (Kamb et al. 1998).”
Background
A New Era of HIV Risk: It's Not What You Know, It's Who You Know (and How Infectious).
Cortopassi, A., Driver, R., Eaton, L. A., & Kalichman, S. (2019) · Annual Review of Psychology · doi:10.1146/annurev-psych-010418-102927 · Cited by 19
“Early studies demonstrated that risk reduction counseling in the context of HIV testing is effective in reducing HIV transmission risks (Kamb et al. 1998); these results became the basis for numerous evidence-based behavioral interventions delivered to individuals, groups, families, and communities.”
Background
The Voluntary HIV-1 Counseling and Testing Efficacy Study: Design and Methods
Kamenga, M. C., Sweat, M. D., Zoysa, I. D., Dallabetta, G., Coates, T. J., Grinstead, O. A., Gregorich, S. E., Heilbron, D. C., Wolf, W. P., Choi, K., et al. (2000) · AIDS and Behavior · doi:10.1023/a:1009528505965 · Cited by 20
“A recent controlled study in the United States offered strong support for the effectiveness and feasibility of short counseling interventions with testing (Kamb et al., 1998).”
Background
Do STD Clinic Patients Who Consent to Sexual Health Research Differ From Those Who Decline? Findings From a Randomized Controlled Trial With Implications for the Generalization of Research Results
Carey, M. P., Senn, T. E., Vanable, P. A., Coury-Doniger, P. A., & Urban, M. A. (2008) · Sexually Transmitted Diseases · doi:10.1097/olq.0b013e318148b4ba · Cited by 20
“In addition, some patients would be asked to attend (4) a 4-hour educational workshop within 2 weeks.”
Background
Association of Violence Victimization with Inconsistent Condom Use in HIV-Infected Persons
Chuang, C. H., Liebschutz, J., Horton, N. J., & Samet, J. (2006) · Aids and Behavior · doi:10.1007/s10461-005-9046-6 · Cited by 24
“Although these efforts are successful at reducing risky sexual behaviors ( Kamb et al., 1998; National Institute of Mental Health [NIMH] Multisite HIV Prevention Trial Group, 1998) and should continue, targeting HIV-infected populations about the continued risks of transmitting disease is increasingly being emphasized…”
Background

Authors: Kamb, M. L., Fishbein, M., Douglas, Jr., Rhodes, F., Rogers, J., Bolan, G., Zenilman, J., Hoxworth, T., Malotte, C. K., Iatesta, M., Kent, C., Lentz, A., Graziano, S., Byers, R. H., Peterman, T. A., & for the Project RESPECT Study Group
Affiliations: Centers for Disease Control and Prevention (US)
ORCID: Kamb, Mary L.
Bolan, Gail
Hoxworth, Tamara
Venue: JAMA
Publisher: American Medical Association (AMA)
Published: 1998-10-07
Volume: 280
Issue: 13
Pages: 1161
ISSN: 0002-9955 (ISSN-L)
0098-7484
DOI: 10.1001/jama.280.13.1161
OpenAlex: W2153335467
Cited by: 973
References: 22
Citations by year: 2026: 5 · 2025: 3 · 2024: 5 · 2023: 6 · 2022: 14 · 2021: 11 · 2020: 11 · 2019: 17 · 2018: 21 · 2017: 18 · 2016: 32 · 2015: 26 · 2014: 57 · 2013: 35 · 2012: 49
FWCI: 29.60
Type: journal article
Language: en
Open access: closed
Locations: JAMA (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Adolescent Sexual and Reproductive Health
Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
Keywords: HIV prevention, sexually transmitted infections, risk reduction counseling, condom use, STD incidence, gonorrhea, chlamydia, syphilis, HIV, STD clinics, adolescents, HIV-negative patients, sexual behavior change
MeSH terms: Adolescent, Adult, Community Health Services, Counseling, Female, Humans, Male, Risk Factors, Sexually Transmitted Diseases, United States, HIV Infections

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Efficacy of Risk-Reduction Counseling to Prevent Human Immunodeficiency Virus and Sexually Transmitted Diseases: A Randomized Controlled Trial

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