The Effect of a Youth-Centered Sexual Risk Event History Calendar (SREHC) Assessment on Sexual Risk Attitudes, Intentions, and Behavior.
Michelle L Munro-Kramer, Nicole M Fava, Tanima Banerjee and 4 others
PMID 27773349WHAT IT FOUND
Compared with the GAPS questionnaire, the SREHC calendar did not produce different changes in attitudes or sexual activity, but youth using it reported stronger intentions to use condoms over follow-up.
No behavior difference was found.
Key findings
01Youth using the SREHC calendar reported stronger intentions to use condoms than youth using the GAPS questionnaire.
02The two assessment groups did not change differently over time in any model, and their sexual behaviors did not differ.
03The assessment group did not predict attitudes about sex or about using condoms.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only nine providers took part, and provider assignments were changed because of part-time schedules and provider departures, so provider effects cannot be separated from the assessment effect. All outcomes were self-reported by youth, which may bias sexual behavior and intention reports. Recruitment varied by clinic, and randomization procedures were altered to accommodate provider changes. The study did not capture all relationship types, such as friends with benefits or hook-ups, which may affect sexual attitudes and behavior. Youth attrition occurred for reasons such as relocation and incarceration, so follow-up results may not represent all enrolled youth.
The easy way to misread this
Do not read stronger intentions to use condoms as evidence of safer sex behavior. The trial did not find different changes over time between groups, and sexual behaviors did not differ.