Abstract
Study Objective
To examine a computer-assisted, counselor-guided motivational intervention (CAMI)
aimed at reducing the risk of unprotected sexual intercourse.
Design, Setting, Participants, Interventions, and Main Outcome Measures
We conducted a 9-month, longitudinal randomized controlled trial with a multisite
recruitment strategy including clinic, university, and social referrals, and compared
the CAMI with didactic educational counseling in 572 female adolescents with a mean
age of 17 years (SD = 2.2 years; range = 13-21 years; 59% African American) who were
at risk for pregnancy and sexually transmitted diseases. The primary outcome was the
acceptability of the CAMI according to self-reported rating scales. The secondary
outcome was the reduction of pregnancy and sexually transmitted disease risk using
a 9-month, self-report timeline follow-back calendar of unprotected sex.
Results
The CAMI was rated easy to use. Compared with the didactic educational counseling,
there was a significant effect of the intervention which suggested that the CAMI helped
reduce unprotected sex among participants who completed the study. However, because
of the high attrition rate, the intent to treat analysis did not demonstrate a significant
effect of the CAMI on reducing the rate of unprotected sex.
Conclusion
Among those who completed the intervention, the CAMI reduced unprotected sex among
an at-risk, predominantly minority sample of female adolescents. Modification of the
CAMI to address methodological issues that contributed to a high drop-out rate are
needed to make the intervention more acceptable and feasible for use among sexually
active predominantly minority, at-risk, female adolescents.
Key Words
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Article info
Publication history
Published online: June 06, 2015
Footnotes
Allan Zuckoff receives royalties from The Guilford Press for a book related to motivational interviewing. The authors report no further disclosures.
Identification
Copyright
© 2016 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved.
