Multidisciplinary Program of Sexually Transmitted Infection Prevention: Development, Implementation, Evaluation of Effectiveness

Background. Vulnerable groups of the population characterized by a high level of behavioral risk are played a negative role in the epidemic of sexually transmitted infections (STIs). The subpopulation of patients attending the dermatovenerologic dispensaries includes representatives of the core group of the epidemic and their sexual partners who serve as the conductor of STIs to the general population («bridge» group). Both groups should be the target for prevention interventions aimed to correct risky behavior. The objective of the study was to develop, implement and evaluate the effectiveness of a multidisciplinary prevention program aimed at correcting the behaviors resulting in infection in patients of the venereology department of the district dermatovenerologic dispensary in St. Petersburg. Design. The intervention was based on the technology of individual counselling and comprised three essential components: awareness raising, motivating to change risky behavior and training to form the protective skills. Results. Among factors determining STI risk or, alternatively, healthy behaviors and therefore significant for the development and implementation of prevention interventions were: gender, risky alcohol consumption, drug use, psycho-emotional state (severity of anxiety and depression), sexual partner violence and behavioral norms accepted in the social group. Participation in the prevention program based on the Information-Motivation-Behavior Skills model has allowed reducing significantly the risk of STIs acquisition associated with alcohol abuse and sexual practices. Conclusions. The prevention program based on the Information-Motivation-Behavior Skills model can be recommended for usage in the STI clinics. For the successful implementation of this program, the multidisciplinary teams of specialists should be established at such clinics.

Kubanova A. A., Kubanov A. A., Melekhina L. E., Bogdanova E. V. Rezul’taty deiatel’nosti meditsinskikh organizatsii dermatovenerologicheskogo profilia, dostignutye v 2016 g. [Results of work of dermatovenereologic healthcare organizations in 2016]. Vestnik dermatologii i venerologii, 2017, no. 4, pp. 12–27. (In Russian)

Kubanova A. A., Kubanov A. A., Melekhina L. E. et al. Rezul’taty analiza deiatel’nosti meditsinskikh organizatsii dermatovenerologicheskogo profilia v Rossiiskoi Federatsii za 2012 god [Results of the analysis of dermatovenereologic healthcare organizations activity in Russian Federation in 2012]. Vestnik dermatologii i venerologii, 2013, no. 5, pp. 21–39. (In Russian)

Kubanova A. A., Kubanov A. A., Melekhina L. E. Zabolevaemost’ sifilisom v Rossiiskoi Federatsii za period 2006–2016 gg. [Incidence of syphilis in the Russian Federation over the period 2006–2016]. Vestnik dermatologii i venerologii, 2017, no. 5, pp. 16–25. (In Russian)

Babor T. F., Higgins-Biddle J. C., Saunders J. B., Monteiro M. G. AUDIT, the Alcohol Use Disorders Identification Test: guidelines for use in primary health care. Geneva, World Health Organization, Substance Abuse Department, WHO/PSA/92.4, 1992, 29 p.

Saunders J. B., Aasland O. G., Babor T. F., de la Fuente J. R., Grant M. Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II. Addiction, 1993, no. 88 (6), pp. 791–804.

Radloff L. S. The CES-D scale: a self-report depression scale for research in the general population. Applied Psychological Measurement, 1977, no. 1 (3), pp. 385–401.

Andryushchenko A. V., Drobizhev M. Yu., Dobrovolsky A. V. Sravnitel’naia otsenka shkal CES-D, BDI i HADS(d) v diagnostike depressii v obshchemeditsinskoi praktike [Comparative evaluation of CES-D, BDI and HADS(d) scales in the diagnosis of depression in general medical practice]. Zhurnal nevrologii i psikhiatrii imeni S. S. Korsakova, 2003, no. 5, pp. 11–17. (In Russian)

Spitzer R. L., Kroenke K., Williams J. B., Löwe B. A brief measure for assessing generalized anxiety disorder. The GAD-7. Archives of Internal Medicine, 2006, no. 166 (10), pp. 1092–1097.

Fisher J. D., Fisher W. A. Changing AIDS risk behavior. Psychol Bull., 1992, no. 111 (3), pp. 455–474.

Kalichman S. C., Cain D., Knetch J., Hill J. Patterns of sexual risk behavior change among sexually transmitted infection clinic patients. Arch. Sex. Behav., 2005, no. 34 (3), pp. 307–319.

Kalichman S. C., Simbayi L. C., Vermaak R. et al. Randomized trial of a community-based alcoholrelated HIV risk-reduction intervention for men and women in Cape Town, South Africa. Ann. Behav. Med., 2008, no. 36 (3), pp. 270–279.

Miller W. R., Rollnick S. Motivational interviewing: preparing people to change addictive behavior. 2nd ed. New York, The Guilford Press, 2002, 428 p.

Kelly J. A., St Lawrence J. S., Hood H. V., Brasfield T. L. Behavioral intervention to reduce AIDS risk activities. J. Consult. Clin Psychol., 1989, no. 57 (1), pp. 60–67.

Kelly J. A., Murphy D. A., Washington C. D. et al. The effects of HIV/AIDS intervention groups for high-risk women in urban clinics. Am. J. Public. Health, 1994, no. 84 (12), pp. 1918–1922.

Shaboltas A. V. Psihologicheskie osnovy prevencii VICH-infekcii [Psychological basis of HIV infection prevention]. Sankt-Petersburg, Skifiya-print, 2015, 694 p.