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

Ann Behav Med. 2016 Dec;50(6):920-934. doi: 10.1007/s12160-016-9818-4.

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.

Keywords: Behavior; Brief; Meta-analysis; Prevention; STI/HIV; Single.

Publication types

  • Meta-Analysis
  • Research Support, N.I.H., Extramural

MeSH terms

  • Behavior Therapy / methods*
  • HIV Infections / prevention & control*
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Risk Reduction Behavior*
  • Safe Sex / psychology*
  • Sexually Transmitted Diseases / prevention & control*