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Single-Session Behavioral Interventions for Sexual Risk Reduction: A Meta-Analysis

  • Original Article
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Annals of Behavioral Medicine

Abstract

Background

Evidence-based, single-session STI/HIV interventions to reduce sexual risk taking are potentially effective options for implementation in resource-limited settings and may solve problems associated with poor participant retention.

Purpose

The purpose of the study is to estimate the efficacy of single-session, behavioral interventions in reducing unprotected sex or increasing condom use.

Methods

Data sources were searched through April 2013 producing 67 single-session interventions (52 unique reports; N = 20,039) that included outcomes on condom use and/or unprotected sex.

Results

Overall, participants in single-session interventions reduced sexual risk taking relative to control groups (d +  = 0.19, 95 % CI = 0.11, 0.27). Within-group effects of the interventions were larger than the between-groups effects when compared to controls.

Conclusions

Brief, targeted single-session sexual risk reduction interventions demonstrate a small but significant effect and should be prioritized.

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Acknowledgments

Funding is provided by NIH (grant R01-MH058563). We thank Michelle R. Warren for assistance with the search for studies.

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Correspondence to Michael J. Sagherian MA.

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Authors’ Statement of Conflict of Interest and Adherence to Ethical Standards Authors Sagherian, Huedo-Medina, Pellowski, Eaton, and Johnson declare that they have no conflict of interest. All procedures, including the informed consent process, were conducted in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000.

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Sagherian, M.J., Huedo-Medina, T.B., Pellowski, J.A. et al. Single-Session Behavioral Interventions for Sexual Risk Reduction: A Meta-Analysis. ann. behav. med. 50, 920–934 (2016). https://doi.org/10.1007/s12160-016-9818-4

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