Skip to main content

Advertisement

Log in

A Brief Clinic-Based Intervention to Reduce Alcohol Misuse and Sexual Risk Behavior in Young Women: Results from an Exploratory Clinical Trial

Archives of Sexual Behavior Aims and scope Submit manuscript

Abstract

This exploratory trial determined the feasibility, acceptability, and preliminary efficacy of a brief intervention (BI), supplemented with text messaging and a curated Web site, on alcohol use and sexual risk behavior among young women. Young women seeking care at a reproductive health clinic were screened for alcohol misuse and sexual risk behavior. Those who screened positive and who agreed to participate (N = 48; M = 22.67 years) were randomized to either (a) a brief in-person session during which personalized feedback regarding alcohol use and sexual risk taking was provided and discussed, or (b) a control condition. Feasibility was assessed by recruitment and retention rates. Acceptability was assessed with participant ratings of their intervention. Efficacy was measured using self-reported alcohol use and sexual behavior at baseline and during a 3-month follow-up. We supplemented the quantitative data with qualitative data from semi-structured interviews. Feasibility data indicated that 64% of eligible women agreed to participate, 74% of eligible women were enrolled, and 86% of enrolled women were retained through follow-up. Acceptability data showed that women who received the BI reported strong satisfaction with their intervention (M = 4.65 vs. 3.98 on a five-point scale) and also reported that text messaging was helpful (M = 4.73 on a seven-point scale) and acceptable (M = 5.27 on a seven-point scale). Qualitative data provided additional support for BI feasibility and acceptability. Efficacy data showed that women in both conditions reduced alcohol use and sexual risk behavior over time; women who received the BI reduced their maximum daily alcohol intake more than controls (BI from 7.68 to 4.82 standard drinks vs. control from 6.48 to 5.65; Wald χ2 = 4.93, p < .05). Women in the BI reported fewer occasions of condomless sex (median = 2.50) than controls (median = 5.00) at the follow-up, but this difference was not statistically significant (OR = 0.61, 95% CI [0.32, 1.15]). A brief intervention, supplemented with text messaging and a Web site, that targeted alcohol use and sexual behavior was feasible and acceptable to young women and led to lower levels of alcohol misuse and sexual risk behavior.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

References

  • Adimora, A. A., Schoenbach, V. J., Taylor, E. M., Khan, M. R., & Schwartz, R. J. (2011). Concurrent partnerships, nonmonogamous partners, and substance use among women in the United States. American Journal of Public Health,101, 128–136.

    Article  PubMed  PubMed Central  Google Scholar 

  • Aicken, C. R., Nardone, A., & Mercer, C. H. (2011). Alcohol misuse, sexual risk behaviour and adverse sexual health outcomes: Evidence from Britain’s national probability sexual behaviour surveys. Journal of Public Health,33, 262–271.

    Article  PubMed  Google Scholar 

  • Alam, U., Heinonen, E., Jordan, M., Kwong, T., Mahalingam-Dhingra, A., Masterson, A. R., … Lane, S. (2015). Improving efficiency of care at Planned Parenthood of Southern New England through understanding patient demographics and service provision patterns. New Haven, CT: Planned Parenthood of Southern New England.

    Google Scholar 

  • Bandura, A. (1985). Social foundations of thought and action. Englewood Cliffs, NJ: Prentice-Hall.

    Google Scholar 

  • Be the Change. [xyzprevention] (2012). Be the change [Video file]. Retrieved December 17, 2019, from https://www.youtube.com/watch?v=9nbyZWo7nNc&feature=youtu.be.

  • Berman, A. H., Gajecki, M., Sinadinovic, K., & Andersson, C. (2016). Mobile interventions targeting risky drinking among university students: A review. Current Addiction Reports,3, 166–174.

    Article  PubMed  PubMed Central  Google Scholar 

  • Brown University Health and Wellness. [brownhealthandwellness] (2012). Brown students ask for consent [Video file]. Retrieved December 17, 2019, from https://www.youtube.com/watch?v=8lRIWWItLx4&feature=youtu.be.

  • Carey, K. B., Carey, M. P., Maisto, S. A., & Henson, J. M. (2006). Brief motivational interventions for heavy college drinkers: A randomized controlled trial. Journal of Consulting and Clinical Psychology,74, 943–954.

    Article  PubMed  PubMed Central  Google Scholar 

  • Carey, K. B., Guthrie, K. M., Rich, C. M., Krieger, N. H., Norris, A. L., Kaplan, C., & Carey, M. P. (2019). Alcohol use and sexual risk behavior in young women: A qualitative study. AIDS and Behavior,23, 1647–1655.

    Article  PubMed  PubMed Central  Google Scholar 

  • Carey, K. B., Scott-Sheldon, L. A., Carey, M. P., & DeMartini, K. S. (2007). Individual-level interventions to reduce college student drinking: A meta-analytic review. Addictive Behaviors,32, 2469–2494.

    Article  PubMed  PubMed Central  Google Scholar 

  • Carey, K. B., Scott-Sheldon, L. A., Elliott, J. C., Garey, L., & Carey, M. P. (2012). Face-to-face versus computer-delivered alcohol interventions for college drinkers: A meta-analytic review, 1998 to 2010. Clinical Psychology Review,32, 690–703.

    Article  PubMed  PubMed Central  Google Scholar 

  • Carey, K. B., Senn, T. E., Walsh, J. L., Scott-Sheldon, L. A., & Carey, M. P. (2016). Alcohol use predicts number of sexual partners for female but not male STI clinic patients. AIDS and Behavior,20, 52–59.

    Article  PubMed Central  Google Scholar 

  • Carey, M. P., Scott-Sheldon, L. A., Senn, T. E., & Carey, K. B. (2013a). Attitudes toward sexual partner concurrency: Development and evaluation of a brief, self-report measure for field research. AIDS and Behavior,17, 779–789.

    Article  PubMed  PubMed Central  Google Scholar 

  • Carey, M. P., Senn, T. E., Coury-Doniger, P., Urban, M. A., Vanable, P. A., & Carey, K. B. (2013b). Optimizing the scientific yield from a randomized controlled trial (RCT): Evaluating two behavioral interventions and assessment reactivity with a single trial. Contemporary Clinical Trials,36, 135–146.

    Article  PubMed  PubMed Central  Google Scholar 

  • Carey, M. P., Senn, T. E., Vanable, P. A., Coury-Doniger, P., & Urban, M. A. (2010). Brief and intensive behavioral interventions to promote sexual risk reduction among STD clinic patients: results from a randomized controlled trial. AIDS and Behavior,14, 504–517.

    Article  PubMed  Google Scholar 

  • Carey, M. P., Senn, T. E., Walsh, J. L., Coury-Doniger, P., Urban, M. A., Fortune, T., … Carey, K. B. (2015). Evaluating a brief, video-based sexual risk reduction intervention and assessment reactivity with STI clinic patients: Results from a randomized controlled trial. AIDS and Behavior,19, 1228–1246.

    Article  PubMed  PubMed Central  Google Scholar 

  • Catallozzi, M., Bell, D. L., Short, M. B., Marcell, A. V., Ebel, S. C., & Rosenthal, S. L. (2013). Does perception of relationship type impact sexual health risk? Sexually Transmitted Diseases,40, 473–475.

    Article  PubMed  Google Scholar 

  • Centers for Disease Control and Prevention. (2012). Fact sheet on excessive alcohol use and risks to women’s health. Retrieved December 17, 2019, from http://www.cdc.gov/alcohol/fact-sheets/womens-health.htm.

  • Centers for Disease Control and Prevention. (2015). Behavioral risk factor surveillance system survey data. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.

    Google Scholar 

  • Centers for Disease Control and Prevention. (2017). CDC fact sheet: Information for teens and young adults: Staying healthy and preventing STDs. Retrieved December 17, 2019, from https://www.cdc.gov/std/life-stages-populations/stdfact-teens.htm.

  • Centers for Disease Control and Prevention (CDC). (2018). HIV Surveillance Report, 2017 (Vol. 29). Retrieved January 13, 2020, from http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html.

  • Centers for Disease Control and Prevention. (2019). Sexually transmitted disease surveillance 2018. Atlanta: U.S. Department of Health and Human Services. Retrieved from https://www.cdc.gov/std/stats18/default.htm.

  • Charisma on Command. (2015). How to not drink: Dealing with peer pressure [Video file]. Retrieved December 17, 2019, from https://www.youtube.com/watch?v=emIOjror9Ys&t=103s.

  • Chen, H., Cohen, P., & Chen, S. (2010). How big is a big odds ratio? Interpreting the magnitudes of odds ratios in epidemiological studies. Communications in Statistics-Simulation and Computation,39, 860–864.

    Article  Google Scholar 

  • Clifford, P. R., Maisto, S. A., & Davis, C. M. (2007). Alcohol treatment research assessment exposure subject reactivity effects: Part I. Alcohol use and related consequences. Journal of Studies on Alcohol and Drugs,68, 519–528.

    Article  PubMed  Google Scholar 

  • comScore. (2017). The 2017 U.S. cross-platform future in focus. Retrieved December 17, 2019, from https://www.comscore.com/Insights/Presentations-and-Whitepapers/2017/2017-US-Cross-Platform-Future-in-Focus.

  • Connell, R. W. (1987). Gender and power. Stanford, CA: Stanford University Press.

    Google Scholar 

  • Cook, R. L., Comer, D. M., Wiesenfeld, H. C., Chang, C. C., Tarter, R., Lave, J. R., & Clark, D. B. (2006). Alcohol and drug use and related disorders: An underrecognized health issue among adolescents and young adults attending sexually transmitted disease clinics. Sexually Transmitted Diseases,33, 565–570.

    Article  PubMed  Google Scholar 

  • Crain, M. (2014). Consent: Let’s start the conversation [Video file]. Retrieved December 17, 2019, from https://www.youtube.com/watch?v=rMoCS9hkNmc&feature=youtu.be.

  • Crawford, M. J., Sanatinia, R., Barrett, B., Byford, S., Dean, M., Green, J., … Greene, L. (2015). The clinical and cost-effectiveness of brief advice for excessive alcohol consumption among people attending sexual health clinics: A randomised controlled trial. Sexually Transmitted Infections,91, 37–43.

    Article  PubMed  Google Scholar 

  • Crepaz, N., Marshall, K. J., Aupont, L. W., Jacobs, E. D., Mizuno, Y., Kay, L. S., … O’Leary, A. (2009). The efficacy of HIV/STI behavioral interventions for African American females in the United States: A meta-analysis. American Journal of Public Health,99, 2069–2078.

    Article  PubMed  PubMed Central  Google Scholar 

  • Cronce, J. M., & Larimer, M. E. (2011). Individual-focused approaches to the prevention of college student drinking. Alcohol Research & Health,34, 210–221.

    Google Scholar 

  • Cunningham, J. A. (2012). Comparison of two internet-based interventions for problem drinkers: randomized controlled trial. Journal of Medical Internet Research,14, e107.

    Article  PubMed  PubMed Central  Google Scholar 

  • Davila, J. [TEDxTalks] (2015). Skills for healthy romantic relationships [Video file]. Retrieved December 17, 2019, from https://www.youtube.com/watch?v=gh5VhaicC6g&feature=youtu.be.

  • Devine, T., Broderick, J., Harris, L. M., Wu, H., & Hilfiker, S. W. (2016). Making quality health websites a national public health priority: Toward quality standards. Journal of Medical Internet Research,18, e211.

    Article  PubMed  PubMed Central  Google Scholar 

  • Duggan, M. (2013). Cell phone activities 2013. Washington, DC: Pew Research Center. Retrieved December 17, 2019, from http://pewinternet.org/Reports/2013/Cell-Activities.aspx.

  • Eaton, L. A., Huedo-Medina, T. B., Kalichman, S. C., Pellowski, J. A., Sagherian, M. J., Warren, M., … Johnson, B. T. (2012). Meta-analysis of single-session behavioral interventions to prevent sexually transmitted infections: Implications for bundling prevention packages. American Journal of Public Health,102, e34–e44.

    Article  PubMed  PubMed Central  Google Scholar 

  • Feinn, R., Tennen, H., & Kranzler, H. R. (2003). Psychometric properties of the short index of problems as a measure of recent alcohol-related problems. Alcoholism: Clinical and Experimental Research,27, 1436–1441.

    Article  Google Scholar 

  • Fielder, R. L., & Carey, M. P. (2010). Predictors and consequences of sexual “hookups” among college students: A short-term prospective study. Archives of Sexual Behavior,39, 1105–1119.

    Article  PubMed  Google Scholar 

  • Fielder, R. L., Walsh, J. L., Carey, K. B., & Carey, M. P. (2013). Predictors of sexual hookups: A theory-based, prospective study of first-year college women. Archives of Sexual Behavior,42, 1425–1441.

    Article  PubMed  Google Scholar 

  • Fisher, J. D., & Fisher, W. A. (2000). Theoretical approaches to individual-level change in HIV risk behavior. In J. Peterson & R. J. DiClemente (Eds.), Handbook of HIV prevention (pp. 3–55). New York, NY: Plenum Press.

    Chapter  Google Scholar 

  • Flipp, C. (2013). Resistance skills [Video file]. Retrieved December 17, 2019, from https://www.youtube.com/watch?v=F9K5Z1I08aQ.

  • Fowler, L. A., Holt, S. L., & Joshi, D. (2016). Mobile technology-based interventions for adult users of alcohol: A systematic review of the literature. Addictive Behaviors,62, 25–34.

    Article  PubMed  Google Scholar 

  • Frost, J. J. (2008). Trends in US women’s use of sexual and reproductive health care services, 1995-2002. American Journal of Public Health,98, 1814–1817.

    Article  PubMed  PubMed Central  Google Scholar 

  • Goldman, M. S., Reich, R. R., & Darkes, J. (2006). Expectancy as a unifying construct in alcohol-related cognition. In R. W. Wiers & A. W. Stacy (Eds.), Handbook of implicit cognition and addiction (pp. 105–120). New York, NY: Plenum Press.

    Chapter  Google Scholar 

  • Green, K. A., Zarek, S. M., & Catherino, W. H. (2015). Gynecologic health and disease in relation to the microbiome of the female reproductive tract. Fertility and Sterility,104, 1351–1357.

    Article  PubMed  Google Scholar 

  • Green, L. [anakednotion] (2012a). Adventures in HIV testing [Video file]. Retrieved December 17, 2019, from https://www.youtube.com/watch?v=59dCbMWZPco&feature=youtu.be.

  • Green, L. [anakednotion] (2012b). Birth control in your arm? The implant [Video file]. Retrieved December 17, 2019, from https://www.youtube.com/watch?v=cojrX2O8e5I&feature=youtu.be.

  • Green, L. [anakednotion] (2012c). The pill [Video file]. Retrieved December 17, 2019, from https://www.youtube.com/watch?v=8qWr0J_2N7Q&feature=youtu.be.

  • Green, L. [anakednotion] (2013a). Pulling out [Video file]. Retrieved December 17, 2019, from https://www.youtube.com/watch?v=3wBt0P5LXh4&feature=youtu.be.

  • Green, L. [anakednotion] (2013b). Telling your partner you have an STI [Video file]. Retrieved December 17, 2019, from https://www.youtube.com/watch?v=gX2P3UF-OP8&feature=youtu.be.

  • Green, L. [anakednotion] (2015a). Condom tips for the ladies [Video file]. Retrieved December 17, 2019, from https://www.youtube.com/watch?v=HYJS2zz3G-M&feature=youtu.be.

  • Green, L. [anakednotion] (2015b). Talk condoms to me bby [Video file]. Retrieved December 17, 2019, from https://www.youtube.com/watch?v=pdCRE2gP66U&feature=youtu.be&list=PLyB1XSyWE412F7uemuh7v-sDnwrbhQ7Dl.

  • Green, L. [anakednotion] (2015c). When to get tested? [Video file]. Retrieved December 17, 2019, from https://www.youtube.com/watch?v=sXuWjgYxF6k&feature=youtu.be.

  • Green, L. [anakednotion] (2017). Easiest birth control ever? [Video file]. Retrieved December 17, 2019, from https://www.youtube.com/watch?v=etBnXo6XPZI&feature=youtu.be.

  • Haberland, N. A. (2015). The case for addressing gender and power in sexuality and HIV education: A comprehensive review of evaluation studies. International Perspectives on Sexual and Reproductive Health,41, 31–42.

    Article  PubMed  Google Scholar 

  • Hall, A. K., Cole-Lewis, H., & Bernhardt, J. M. (2015). Mobile text messaging for health: A systematic review of reviews. Annual Review of Public Health,36, 393–415.

    Article  PubMed  PubMed Central  Google Scholar 

  • Hardin, J. W., & Hilbe, J. M. (2013). Generalized estimating equations (2nd ed.). Boca Raton, FL: CRC Press.

    Google Scholar 

  • He, H., Tang, W., Wang, W., & Crits-Cristoph, P. (2014). Structural zeroes and zero-inflated models. Shanghai Archives of Psychiatry,26, 236–242.

    PubMed  PubMed Central  Google Scholar 

  • Head, K. J., Noar, S. M., Iannarino, N. T., & Grant Harrington, N. (2013). Efficacy of text messaging-based interventions for health promotion: A meta-analysis. Social Science and Medicine,97, 41–48.

    Article  PubMed  Google Scholar 

  • Hutton, H. E., McCaul, M. E., Santora, P. B., & Erbelding, E. J. (2008). The relationship between recent alcohol use and sexual behaviors: Gender differences among sexually transmitted disease clinic patients. Alcoholism: Clinical and Experimental Research,32, 2008–2015.

    Google Scholar 

  • Ingersoll, K. S., Ceperich, S. D., Nettleman, M. D., Karanda, K., Brocksen, S., & Johnson, B. A. (2005). Reducing alcohol-exposed pregnancy risk in college women: Initial outcomes of a clinical trial of a motivational intervention. Journal of Substance Abuse Treatment,29, 173–180.

    Article  PubMed  PubMed Central  Google Scholar 

  • Irwin, C. E. (2010). Young adults are worse off than adolescents. Journal of Adolescent Health,46, 405–406.

    Article  Google Scholar 

  • Jenkins, R. J., McAlaney, J., & McCambridge, J. (2009). Change over time in alcohol consumption in control groups in brief intervention studies: Systematic review and meta-regression study. Drug and Alcohol Dependence,100, 107–114.

    Article  PubMed  Google Scholar 

  • Kalichman, S. C., Kelly, J. A., & Stevenson, L. Y. (1997). Priming effects of HIV risk assessments on related perceptions and behavior: An experimental field study. AIDS and Behavior,1, 3–8.

    Article  Google Scholar 

  • Kiluk, B. D., Dreifuss, J. A., Weiss, R. D., Morgenstern, J., & Carroll, K. M. (2013). The Short Inventory of Problems-Revised (SIP-R): Psychometric properties within a large, diverse sample of substance use disorder treatment seekers. Psychology of Addictive Behaviors,27, 307–314.

    Article  PubMed  Google Scholar 

  • Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9: Validity of a brief depression severity measure. Journal of General Internal Medicine,16, 606–613.

    Article  PubMed  PubMed Central  Google Scholar 

  • Larsen, D. L., Attkisson, C. C., Hargreaves, W. A., & Nguyen, T. D. (1979). Assessment of client/patient satisfaction: Development of a general scale. Evaluation and Program Planning,2, 197–207.

    Article  PubMed  Google Scholar 

  • Lee, K., Hutton, H. E., Lesko, C. R., Monroe, A. K., Alvanzo, A., McCaul, M. E., & Chander, G. (2018). Associations of drug use, violence, and depressive symptoms with sexual risk behaviors among women with alcohol misuse. Women’s Health Issues,28, 367–374.

    Article  PubMed  PubMed Central  Google Scholar 

  • Lenhart, A., Purcell, K., Smith, A., & Zickuhr, K. (2010). Social media and mobile internet use among teens and young adults. Washington, DC: Pew Research Center.

    Google Scholar 

  • Lewis, M. A., Patrick, M. E., Litt, D. M., Atkins, D. C., Kim, T., Blayney, J. A., … Larimer, M. E. (2014). Randomized controlled trial of a web-delivered personalized normative feedback intervention to reduce alcohol-related risky sexual behavior among college students. Journal of Consulting and Clinical Psychology,82, 429–440.

    Article  PubMed  PubMed Central  Google Scholar 

  • Long, J. S., & Freese, J. (2006). Regression models for categorical dependent variables using STATA. College Station, TX: Stata Press.

    Google Scholar 

  • Marchetta, C. M., Denny, C. H., Floyd, R. L., Cheal, N. E., Sniezek, J. E., & McKnight-Eily, L. R. (2012). Alcohol use and binge drinking among women of childbearing age, United States, 2006-2010. Morbidity and Mortality Weekly Report,61, 534.

    Google Scholar 

  • Mastroleo, N. R., Celio, M. A., Barnett, N. P., Colby, S. M., Kahler, C. W., Operario, D., … Monti, P. M. (2018). Feasibility and acceptability of a motivational intervention combined with text messaging for alcohol and sex risk reduction with emergency department patients: A pilot trial. Addiction Research & Theory,27, 85–94.

    Article  Google Scholar 

  • Meld Magazine. (2014). SEXtember: Condom negotiation. Retrieved December 17, 2019, from https://www.youtube.com/watch?v=ZbLCPu6mKQg&feature=youtu.be.

  • Miller, W. R., & Rollnick, S. (2013). Motivational interviewing: Helping people change (3rd ed.). New York, NY: Guilford Press.

    Google Scholar 

  • Morrison-Beedy, D., Carey, M. P., Crean, H. F., & Jones, S. H. (2011). Risk behaviors among adolescent girls in an HIV prevention trial. Western Journal of Nursing Research,33, 690–711.

    Article  PubMed  Google Scholar 

  • Moss, A. C., & Albery, I. P. (2009). A dual-process model of the alcohol-behavior link for social drinking. Psychological Bulletin,135, 516–530.

    Article  PubMed  Google Scholar 

  • Moyer, V. A. (2013). Screening and behavioral counseling interventions in primary care to reduce alcohol misuse: U.S. Preventive Services Task Force recommendation statement. Annals of Internal Medicine,159, 210–218.

    PubMed  Google Scholar 

  • Moyer-Guse, E. (2008). Toward a theory of entertainment persuasion: Explaining the persuasive effects of entertainment-education messages. Communication Theory,18, 407–425.

    Article  Google Scholar 

  • Nadeau, C., Fujii, D., Lentscher, J., Haney, A., & Burney, R. O. (2018). The gynecologic health consequences of Chlamydia trachomatis infection in military servicewomen. Seminars in Reproductive Medicine,36, 340–350.

    Article  PubMed  Google Scholar 

  • National Institute of Alcohol Abuse and Alcoholism. (2004). NIAAA council approves definition of binge drinking. NIAAA Newsletter,3, 3.

    Google Scholar 

  • O’Connor, E. A., Perdue, L. A., Senger, C. A., Rushkin, M., Patnode, C. D., Bean, S. I., & Jonas, D. E. (2018). Screening and behavioral counseling interventions to reduce unhealthy alcohol use in adolescents and adults: Updated evidence report and systematic review for the US Preventive Services Task Force. Journal of the American Medical Association,320, 1910–1928.

    Article  PubMed  Google Scholar 

  • Patrick, M. E., O’Malley, P. M., Johnston, L. D., Terry-McElrath, Y. M., & Schulenberg, J. E. (2012). HIV/AIDS risk behaviors and substance use by young adults in the United States. Prevention Science,13, 532–538.

    Article  PubMed  PubMed Central  Google Scholar 

  • Peters, M. (2016). How to say no to a drink [Video file]. Retrieved December 17, 2019, from https://www.youtube.com/watch?v=Eo-2GXPBLzg.

  • Pew Research Center. (2018). Mobile fact sheet. Retrieved December 17, 2019, from https://www.pewinternet.org/fact-sheet/mobile/.

  • Planned Parenthood. (2010a). Diaphragm and cervical caps as forms of birth control [Video file]. Retrieved December 17, 2019, from https://www.youtube.com/watch?v=X2-sLOf_Xe8&feature=youtu.be.

  • Planned Parenthood. (2010b). The sponge as a form of birth control [Video file]. Retrieved December 17, 2019, from https://www.youtube.com/watch?v=VrwpX1EgQck&feature=youtu.be.

  • Planned Parenthood. (2011). How to put on a condom [Video file]. Retrieved December 17, 2019, from https://www.youtube.com/watch?v=EdSq2HB7jqU&feature=youtu.be.

  • Planned Parenthood. (2015a). What is a condom and how is it used [Video file]. Retrieved December 17, 2019, from https://www.youtube.com/watch?v=Eh5HK3F42IU&list=PLA46DFCD237A38D37&index=12&t=0s.

  • Planned Parenthood. (2015b). What is a female condom (aka internal condom) and how does it work [Video file]. Retrieved December 17, 2019, from https://www.youtube.com/watch?v=YSisMvTw-po.

  • Planned Parenthood. (2017). What is an IUD? Learn about IUD effectiveness [Video file]. Retrieved from https://www.youtube.com/watch?v=eXdNHlWkleA.

  • Prince, M. A., Carey, K. B., & Maisto, S. A. (2013). Protective behavioral strategies for reducing alcohol involvement: A review of the methodological issues. Addictive Behaviors,38, 2343–2351.

    Article  PubMed  Google Scholar 

  • Reid, A. E., & Aiken, L. S. (2011). Integration of five health behaviour models: Common strengths and unique contributions to understanding condom use. Psychology & Health,26, 1499–1520.

    Article  Google Scholar 

  • Reid, A. E., & Carey, K. B. (2015). Interventions to reduce college student drinking: State of the evidence for mechanisms of behavior change. Clinical Psychology Review,40, 213–224.

    Article  PubMed  PubMed Central  Google Scholar 

  • Ruiz-Perez, I., Murphy, M., Pastor-Moreno, G., Rojas-García, A., & Rodriguez-Barranco, M. (2017). The effectiveness of HIV prevention interventions in socioeconomically disadvantaged ethnic minority women: A systematic review and meta-analysis. American Journal of Public Health,107, e13–e21.

    Article  PubMed  PubMed Central  Google Scholar 

  • Samson, J. E., & Tanner-Smith, E. E. (2015). Single-session alcohol interventions for heavy drinking college students: A systematic review and meta-analysis. Journal of Studies on Alcohol and Drugs,76, 530–543.

    Article  PubMed  PubMed Central  Google Scholar 

  • Schneider, F., van Osch, L., & de Vries, H. (2012). Identifying factors for optimal development of health-related websites: A delphi study among experts and potential future users. Journal of Medical Internet Research,14, e18.

    Article  PubMed  PubMed Central  Google Scholar 

  • Scott-Sheldon, L. A., Carey, M. P., Vanable, P. A., Senn, T. E., Coury-Doniger, P., & Urban, M. A. (2009). Alcohol consumption, drug use, and condom use among STD clinic patients. Journal of Studies on Alcohol And Drugs,70, 762–770.

    Article  PubMed  PubMed Central  Google Scholar 

  • Select Media. (2009). Let’s try something new [Video file]. Retrieved December 17, 2019, from https://www.youtube.com/watch?v=UXz5nhKHB5g.

  • Seth, P., Wingood, G. M., DiClemente, R. J., & Robinson, L. S. (2011). Alcohol use as a marker for risky sexual behaviors and biologically confirmed sexually transmitted infections among young adult African-American women. Women’s Health Issues,21, 130–135.

    Article  PubMed  PubMed Central  Google Scholar 

  • Sindhuja, P. N., & Dastidar, S. G. (2009). Impact of the factors influencing website usability on user satisfaction. The IUP Journal of Management Research,8, 14. Retrieved March 16, 2020, from https://sso.brown.edu/idp/profile/SAML2/POST/SSO?execution=e2s1

    Google Scholar 

  • Stiles, W. B., Reynolds, S., Hardy, G. E., Rees, A., Barkham, M., & Shapiro, D. A. (1994). Evaluation and description of psychotherapy sessions by clients using the session evaluation questionnaire and the session impacts scale. Journal of Counseling Psychology,41, 175–185.

    Article  Google Scholar 

  • Stoner, S. A., George, W. H., Peters, L. M., & Norris, J. (2007). Liquid courage: Alcohol fosters risky sexual decision-making in individuals with sexual fears. AIDS and Behavior,11, 227–237.

    Article  PubMed  Google Scholar 

  • Substance Abuse and Mental Health Services Administration. (2012). Results from the 2011 National Survey on Drug Use and Health: Summary of national findings, NSDUH Series H-44, HHS Publication No. (SMA) 12-4713. Rockville, MD.

  • Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Boston: Pearson/Allyn & Bacon.

    Google Scholar 

  • Tahaney, K. D., & Palfai, T. P. (2017). Text messaging as an adjunct to a web-based intervention for college student alcohol use: A preliminary study. Addictive Behaviors,73, 63–66.

    Article  PubMed  Google Scholar 

  • Thorley, N., Hettiarachchi, N., Nightingale, P., & Radcliffe, K. (2012). Screening for hazardous alcohol consumption in a sexual health clinic: A service evaluation. International Journal of STD and AIDS,23, 585–588.

    Article  PubMed  Google Scholar 

  • Tuong, W., Larsen, E. R., & Armstrong, A. W. (2014). Videos to influence: A systematic review of effectiveness of video-based education in modifying health behaviors. Journal of Behavioral Medicine,37, 218–233.

    Article  PubMed  Google Scholar 

  • Walsh, J. L., Fielder, R. L., Carey, K. B., & Carey, M. P. (2014). Do alcohol and marijuana use decrease the probability of condom use for college women? Journal of Sex Research,51, 145–158.

    Article  PubMed  Google Scholar 

  • Walters, S. T., Vader, A. M., Harris, T. R., & Jouriles, E. N. (2009). Reactivity to alcohol assessment measures: An experimental test. Addiction,104, 1305–1310.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wartella, E., Rideout, V., Montague, H., Beaudoin-Ryan, L., & Lauricella, A. (2016). Teens, health and technology: A national survey. Media and Communication,4, 13–23.

    Article  Google Scholar 

  • Weinhardt, L. S., Carey, K. B., & Carey, M. P. (2000). HIV risk sensitization following a detailed sexual behavior interview: A preliminary investigation. Journal of Behavioral Medicine,23, 393–398.

    Article  PubMed  Google Scholar 

  • Wilson, K., & Albarracín, D. (2015). Barriers to accessing HIV-prevention in clinic settings: Higher alcohol use and more sex partners predict decreased exposure to HIV-prevention counseling. Psychology, Health & Medicine,20, 87–96.

    Article  Google Scholar 

  • YourekaScience. (2014). Demystifying HIV pre-exposure prophylaxis [Video file]. Retrieved December 17, 2019, from https://www.youtube.com/watch?v=-Xx92whZS0o&feature=youtu.be.

Download references

Acknowledgements

We gratefully acknowledge the contributions of the study participants as well as the staff at the Providence Health Center. This research was supported by a Grant R34-AA023158 from the National Institute on Alcohol Abuse and Alcoholism to Michael P. Carey. The funding sources did not influence the outcomes of our work. The findings and conclusions in this article are those of the authors and do not necessarily reflect the views of the National Institute on Alcohol Abuse and Alcoholism or the Planned Parenthood Federation of America.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Michael P. Carey.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the Miriam Hospital’s Institutional Review Board and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Carey, M.P., Rich, C., Norris, A.L. et al. A Brief Clinic-Based Intervention to Reduce Alcohol Misuse and Sexual Risk Behavior in Young Women: Results from an Exploratory Clinical Trial. Arch Sex Behav 49, 1231–1250 (2020). https://doi.org/10.1007/s10508-020-01635-9

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10508-020-01635-9

Keywords

Navigation