The role of behavioral counseling in sexually transmitted disease prevention program settings.

Brookmeyer, Kathryn A.; Hogben, Matthew; Kinsey, Jennine

doi:10.1097/olq.0000000000000327

Cited by 20Reproductive tract infections researchHIV/AIDS Research and InterventionsAdolescent Sexual and Reproductive Health

The role of behavioral counseling in sexually transmitted disease prevention program settings.

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Brookmeyer, Kathryn A., Hogben, Matthew, Kinsey, Jennine·2016·Sexually Transmitted Diseases

DOI 10.1097/olq.0000000000000327PMC PMC4717909

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BACKGROUND: Behavioral counseling for sexually transmitted disease (STD) prevention is recommended for persons at risk, and the body of evidence yields numerous interventions that have STD preventive efficacy. What is needed is a review of the subset of these interventions that could be feasible in clinical settings, especially settings in STD prevention programs. METHODS: We reviewed existing systematic reviews of the literature and abstracted from them studies that fit the following criteria in that the interventions: (1) used no more than 60 minutes of contact time in 1 to 2 sessions, (2) were individual level and face to face, (3) took place in a clinical setting, (4) had STD outcomes available, (5) were based in the United States, (6) were peer reviewed, and (7) had a control group. RESULTS: From 6 reviews (published 2006-2014) covering 91 studies, we found 13 analyses representing 11 intervention studies that fit the selection criteria. Of these 13, 5 returned lower STD rates in the intervention group at follow-up; one study reported a higher rate of STD in one subset of the intervention group (men who have sex with men). Studies with effects on STD at follow-up were quite similar to studies across populations, settings, and follow-up periods, although successful interventions were more likely to demonstrate behavioral effects as well (5/5 vs. 2/5 among 10 interventions measuring behavior change). CONCLUSIONS: Counseling is likely to benefit some STD clinic attendees, although unlikely to benefit men who have sex with men. The balance of costs and benefits of implementing behavioral counseling in STD programs is unclear, but feasibility would be improved if behavioral counseling were implemented in the context of other prevention efforts. Because populations outside typical STD clinic settings could also benefit, programs may exercise a valuable role through partnerships.

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A review of 11 studies reported that brief prevention messages delivered by providers and health counselors are feasible and decrease subsequent STIs in STD clinic and HIV care settings.
“A review of 11 studies evaluated brief prevention messages delivered by providers and health counselors and reported them to be feasible and to decrease subsequent STIs in STD clinic settings (7) and HIV care settings (8).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [7]
The Methods report 13 articles representing 11 studies, including seven studies with STD-clinic settings. The Results report lower STD rates at follow-up in only five analyses; the remaining eight found no difference, so the sentence overstates the evidence for reduced subsequent STIs. The Discussion considers these short interventions feasible to deliver, but the abstract Conclusions say the balance of implementation costs and benefits is unclear. HIV-care settings are attached to citation (8), not this source. (LLM, conf=0.88)
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Authors: Brookmeyer, K. A., Hogben, M., & Kinsey, J.
Affiliations: Centers for Disease Control and Prevention (US)
Corresponding author: Brookmeyer, Kathryn A.
ORCID: Brookmeyer, Kathryn A.
Hogben, Matthew
Venue: Sexually Transmitted Diseases
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2016-02
Volume: 43
Issue: 2S
Pages: S102-S112
ISSN: 0148-5717 (ISSN-L)
DOI: 10.1097/olq.0000000000000327
PMC: PMC4717909
OpenAlex: W2514925515
Cited by: 20
References: 34
Citations by year: 2025: 1 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 6 · 2020: 2 · 2019: 2 · 2018: 3 · 2016: 1
FWCI: 0.16
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Sexually Transmitted Diseases (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (CC999999)
Topics: Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
Keywords: behavioral counseling, STD prevention, STD clinic attendees, brief counseling intervention, behavior change, men who have sex with men, intervention feasibility
MeSH terms: Behavior Therapy, Humans, Mass Screening, Sexual Partners, Sexually Transmitted Diseases, Contact Tracing, Treatment Outcome, Directive Counseling

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The role of behavioral counseling in sexually transmitted disease prevention program settings.

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