150462 Well Woman Program: A community-based STI prevention trial

Monday, November 5, 2007: 10:30 AM

Lucy Marion, PhD, RN, FAAN , School of Nursing, Medical College of Georgia, Augusta, GA
Lorna Finnegan, PhD, RN , PMA Nursing, University of Illinois at Chicago, Chicago, IL
Richard T. Campbell, PhD , School of Public Health, University of Illinois at Chicago, Chicago, IL
Laura Szalacha, EdD , PMA Nursing, University of Illinois at Chicago, Chicago, IL
Background: Sexually transmitted infections (STIs) represent an epidemic in the United States, an unparalleled source of dire health consequences disproportionately affecting African American women. Few STI behavioral intervention studies, using laboratory-confirmed STIs as outcome measures, have been designed specifically for African American women.

Purpose: The purpose of this study was to test the efficacy of the Well Woman Program (WWP), a case-managed, nurse practitioner (NP)-delivered culturally specific intervention, designed to lower STI rates among African-American women with a history of repeated STIs.

Methods: In this 2-group randomized clinical trial, 342 low-income African American women were randomly assigned to the WWP or a minimal intervention (MI) group. The primary outcome, biologically confirmed STIs, and several covariates were measured at baseline and 3 additional time points. Results: At baseline, approximately 75% of participants tested positive for a STI. In the final random effects logistic regression model, compared to the MI group, the estimated probability of WWP participants contracting an STI declined over time at a steeper rate. At month 15, the probability of a WWP participant contracting an STI was 20% less than that of a MI participant.

Conclusions: Although both interventions were clearly effective in reducing STIs, the WWP NP care delivery model that incorporated individualized tailoring and group targeting to develop knowledge, will, and skill led to a decrease in STIs that was sustained.

Learning Objectives:
Describe the sample of high risk African American women on Chicago's West Side Discuss the design and methods of the Well Woman Program randomized trial Discuss results and implications for research and practice

Keywords: African American, STD Prevention

Presenting author's disclosure statement:

Any relevant financial relationships? No
Any institutionally-contracted trials related to this submission?

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.