Contraception, Reproductive Behavior, Sexually Transmitted Diseases
Conditions
Keywords
reproductive health, condoms, sexually transmitted diseases, contraception
Brief summary
This study is a randomized controlled trial to test acceptability, feasibility and preliminary efficacy of an interactive computer-based intervention with individualized feedback to promote sexual health in adolescents and young adults with assessment of behavioral and biomarker outcomes.
Detailed description
This study is a randomized controlled trial to test acceptability, feasibility and preliminary efficacy of an interactive computer-based intervention (ICBI) with individualized feedback to promote sexual health in adolescents and young adults. The intervention uses physician avatars and uses elements of motivational interviewing to elicit sexual risk behaviors and motivation to change risky behavior. Feedback includes instructive video modules. Participants were asked to identify one behavior to change and were reassessed at 3-month follow-up for interim sexual behavior including condom and birth control use. Participants were tested for chlamydia, gonorrhea, and pregnancy(females) at baseline and 3-month follow-up.
Interventions
An interactive computer-based intervention for safer-sex which provides individualized feedback about protective and risky sexual behaviors; offers instructive video modules for safe-sex; elicits change behavior and identification of behavior change goal using elements of motivational interviewing.
Sponsors
Study design
Eligibility
Inclusion criteria
* English speaking and reading * Report at least one episode of unprotected vaginal sex (no condom OR no birth control) in the last 2 months * Not currently pregnant or actively seeking pregnancy in self or partner
Exclusion criteria
* Currently pregnant or actively seeking pregnancy in self or partner
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Unprotected sex (no condoms) from self-report via computerized survey | during last 2 months (asked at 3 month follow-up visit) | number of unprotected sex events when participant did not use condom during sex |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Unprotected sex (no birth control) from self-report via computerized survey | during last 2 months (asked at the 3-month follow-up visit) | number of unprotected sex events when participant did not use birth control during sex |
| Number of sex partners from self-report via computerized survey | during last 2 months (asked at the 3-month follow-up visit) | number of partners with which the participant had sex |
| Biomarkers: urine sample tested with nucleic acid amplification test for STDs and urine sample pregnancy test | over last 3 months (asked at the 3-month follow-up visit) | Incident chlamydia, gonorrhea, and pregnancy since baseline visit |