RNRCTResearch in nursing & health2019

Project GOLD: A pilot randomized controlled trial of a novel psychoeducational HIV/STI prevention intervention for heterosexually-active black youth.

Bridgette M Brawner, Loretta Sweet Jemmott, Gina Wingood and 2 others

PMID 30730043

WHAT IT FOUND

Among 108 heterosexually active Black youth entering an HIV/STI prevention trial, 45.4% had sex with more than one person in a month, 34.3% reported concurrent partners, and 9.3% tested positive for Chlamydia.

No intervention effects are reported.

Key findings

01This paper reports baseline characteristics and planned outcome measures, not intervention effects.

02The pilot RCT enrolled 108 youth, with 52 assigned to HIV/STI prevention and 56 to general health control.

03At baseline, 45.4% reported sex with more than one person in the same month, 34.3% reported concurrent partners, 9.3% tested positive for Chlamydia, and 0.9% for Gonorrhea.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

This paper reports design and baseline data, not the trial's primary outcome or follow-up effects, so it cannot tell whether the intervention changes condom use or STI risk. The final sample was 108, below the planned target of 128, and the study was a pilot with expanded eligibility after recruitment delays. Because protocol delays made full 12-month follow-up impossible, the 6- and 12-month samples are substantially smaller. The inclusion criteria were changed from youth in mental health treatment to Black youth in the general community as well, so the sample is not only the originally targeted clinical group. The PHQ-9 and some emotion management scales had minimally acceptable reliability in this sample, which may make mental health and emotion regulation scores less stable. There were baseline differences between conditions, including more same-month multiple partners and suicidality in the general health condition, which could complicate later comparisons.

Declared interests

The authors declare no conflicts of interest. The article mentions a funding agency but does not name it in the supplied text.

The easy way to misread this

Do not read the high baseline risk or randomization as evidence that Project GOLD reduces condomless sex or STIs. This paper reports only design and baseline characteristics, and no follow-up outcomes.

Read it on PubMed →