A combination approach of behavioural and biomedical interventions for prevention of sexually transmitted infections

Toskin, Igor; Bakunina, Nataliia; Gerbase, Antonio; Blondeel, Karel; Stephenson, Rob; Baggaley, Rachel; Mirandola, Massimo; Aral, Sevgi O.; Laga, Marie; Holmes, King K.; Winkelmann, Christine; Kiarie, James

doi:10.2471/blt.19.238170

Cited by 12 publications

(15 citation statements)

References 8 publications

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“…Se debe enfatizar que las informaciones tienen carácter sigiloso y confidencial. 12,13 Orientaciones generales de comunicación se pueden encontrar en la Figura 1.…”

Section: Salud Sexual Es El Estado De Bienestar Físico Emocional Meunclassified

Protocolo Brasileiro para Infecções Sexualmente Transmissíveis 2020: abordagem às pessoas com vida sexual ativa

Araújo

Uesono

Machado

et al. 2021

Epidemiol. Serv. Saúde

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Resumo Este artigo tem como objetivo apresentar conceitos e práticas clínicas recomendados para a abordagem da pessoa com vida sexual ativa. Esses conceitos são parte integrante das recomendações do Protocolo Clínico e Diretrizes Terapêuticas para Atenção Integral às Pessoas com Infecções Sexualmente Transmissíveis (IST) publicado pelo Ministério da Saúde do Brasil em 2020. O artigo propõe uma abordagem abrangente da sexualidade para promoção da saúde e apresenta aspectos importantes do processo de comunicação, que deve ocorrer de forma clara, sem preconceitos ou juízos de valor, com foco na saúde sexual e reprodutiva. Destacam-se pontos relevantes acerca do exercício da sexualidade em fases específicas da vida, recomendando avaliação dos riscos e vulnerabilidades, bem como o rastreamento de IST e o uso de preservativos. Dessa maneira, é possível contribuir para que as pessoas possam exercer sua sexualidade de forma plena, responsável e segura.

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“…Se debe enfatizar que las informaciones tienen carácter sigiloso y confidencial. 12,13 Orientaciones generales de comunicación se pueden encontrar en la Figura 1.…”

Section: Salud Sexual Es El Estado De Bienestar Físico Emocional Meunclassified

Protocolo Brasileiro para Infecções Sexualmente Transmissíveis 2020: abordagem às pessoas com vida sexual ativa

Araújo

Uesono

Machado

et al. 2021

Epidemiol. Serv. Saúde

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“…We recommend to the professional to assure that the person is comfortable to talk about such themes, informing them that those are questions made routinely in the healthcare service, regardless of sex, sexual orientation, age, professional activity, and marital status. Emphasis should be placed on the secrecy and confidentiality of information 12 , 13 General guidelines on communication can be found in Figure 1 .…”

Section: Communication In the Approach To Sexual Healthmentioning

confidence: 99%

Brazilian Protocol for Sexually Transmitted infections 2020: approaching sexually active individuals

Araújo

Uesono

Machado

et al. 2021

Rev. Soc. Bras. Med. Trop.

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This article aims to present concepts and clinical practices recommended to approach people with active sex life. These concepts are an integral part of the recommendations of the Clinical Protocol and Therapeutic Guidelines for Comprehensive Care for People with Sexually Transmitted Infections (STI), published by the Ministry of Health of Brazil in 2020. The article proposes a comprehensive approach to sexuality for health promotion. It presents significant aspects of the communication process that must develop, without prejudice and judgment, focusing on sexual and reproductive health. It also highlights relevant points about the exercise of sexuality at specific stages of life, recommending assessment of risks and vulnerabilities and screening for STI and condom use. In this way, it is possible to contribute to exercise their sexuality fully, responsibly, and safely.

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“…12 The BSC aims to identify current and potential sexual issues and motivate those at risk to change their sexual behavior or maintain safe sexual behavior. 6,12,13 In addition, the BSC helps clients to re-evaluate their emotions and behavior for a better understanding of their sexual health, promoting critical re ection and setting clear goals, developing their capacity for self-regulation, and improving their autonomy and satisfaction. 11,12 The BSC is based on the theoretical dimensions of the "information, motivation and behavior" model, 14,15 and uses Motivational Interviewing (MI) techniques 6 with a "client-centred" approach, 11 which respects clients' ideas, feelings, expectations and values.…”

Section: Introductionmentioning

confidence: 99%

“…11,12 The BSC is based on the theoretical dimensions of the "information, motivation and behavior" model, 14,15 and uses Motivational Interviewing (MI) techniques 6 with a "client-centred" approach, 11 which respects clients' ideas, feelings, expectations and values. 13 Healthcare providers are in a unique position to identify and intervene clients in risky situations and offer them a variety of options to address their sexual health issues. 8 In that sense, clients often have con dence on healthcare providers' expertise to address their concerns, and the information provided by healthcare providers plays a crucial role not only in the treatment, but also in the prevention of sexual health issues.…”

Section: Introductionmentioning

confidence: 99%

“…4, 11, 12, In this way, the BSC intervention generates new opportunities for health care providers to help their clients change behaviors that are relevant to their sexual health care. 13,22 This report comes from the rst phase of a feasibility study of the brief sexuality-related communication (BSC) intervention in Peru, as part of a WHO multiphase and multisite study 22 , in which qualitative information was evaluated on the perceptions and attitudes of healthcare providers about the BSC intervention, and whether it would work in their daily practice offering sexual health services. 13…”

Section: Introductionmentioning

confidence: 99%

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Brief Intervention to prevent HIV, STI and unintended pregnancies: preliminary results of a feasibility study from the perspective of healthcare providers in Peru

Jiron

Sandoval

Enciso

et al. 2021

Preprint

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Background Brief interventions have proven to be valuable instruments for the treatment and care of clients with diverse health needs, due to their potential to impact both the individual and the population. In this regard, the Brief Sexuality-Related Communication (BSC) is presented as a viable and effective alternative for addressing sexual and reproductive health problems, assessing risk behaviors and motivating clients to generate behavioral change. Since health providers are key actors in treatment and prevention, it is essential to know their perceptions about the BSC intervention, as well as its acceptability in different contexts, with diverse client populations. Thus, the following paper reflects the findings of the perceptions and experiences of health providers in Peru from the first phase of the Feasibility study of a BSC intervention to prevent STIs and unintended pregnancies. Methods This is the first phase of a multisite and multiphase study of the feasibility of a BSC intervention. We conducted twenty in-depth interviews (IDI) with health care providers (physicians, obstetricians, psychologists, nurses and peer counselors) recruited from three health care institutions in Peru: The Tahuantinsuyo Bajo Maternal and Child Center (CMI) and the San José Maternal and Child Center, both located in the capital city, Lima; and La Caleta Hospital located in Chimbote, northern coast of Peru. Participating health providers included those working at the HIV/STI Reference service and the family planning/reproductive health service. The IDI addressed three domains: 1) Acceptability of the BSC intervention; 2) Perceived willingness to implement the BSC intervention; and 3) Considerations for the Implementation of the BSC intervention. Results Health providers expressed high acceptance of the BSC intervention, considering it as a useful and effective instrument to address sexual and reproductive health problems with all clients; however, some providers had some concerns about the real impact of the intervention to achieve significant behavior change. On the other hand, health providers showed high willingness to learn and implement the BSC intervention, affirming their commitment to learn new techniques and strategies that could allow them to improve their knowledge and the quality of their care. Health care providers consider it necessary to take into account the barriers that arise in the implementation of the BSC intervention, such as the structural limitations to access, the providers’ abilities to deliver the intervention effectively, and the participants’ reception of the intervention. Finally, providers consider it essential to establish the BSC intervention in a normative framework that allows it to receive the support of the health departments and eventually enforces implementation. Conclusions Health providers consider the BSC intervention as an interesting and exciting behavioral intervention to deal with the sexual and reproductive health issues existing in different populations, and seemed highly willing to adapt and implement it, hoping that it become beneficial to all client populations to prevent HIV/STIs and unintended pregnancies.

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A combination approach of behavioural and biomedical interventions for prevention of sexually transmitted infections

Cited by 12 publications

References 8 publications

Protocolo Brasileiro para Infecções Sexualmente Transmissíveis 2020: abordagem às pessoas com vida sexual ativa

Protocolo Brasileiro para Infecções Sexualmente Transmissíveis 2020: abordagem às pessoas com vida sexual ativa

Brazilian Protocol for Sexually Transmitted infections 2020: approaching sexually active individuals

Brief Intervention to prevent HIV, STI and unintended pregnancies: preliminary results of a feasibility study from the perspective of healthcare providers in Peru

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