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Sex Transm Infect. 2007 Feb;83(1):52-6. Epub 2006 Nov 10.

A randomised controlled trial comparing computer-assisted with face-to-face sexual history taking in a clinical setting.

Author information

1
Department of Public Health, School of Population Health, The University of Melbourne, Melbourne Sexual Health Centre, Carlton, Victoria, Australia.

Abstract

AIM:

To compare computer-assisted self-interview (CASI) with routine face-to-face interview (FTFI) for sexual history taking from patients in a clinical setting.

METHODS:

A randomised controlled trial was undertaken at the Melbourne Sexual Health Centre, Melbourne, Victoria, Australia, in 2005. New, walk-in patients triaged into the centre were eligible for the study. Those who consented to the study were randomly allocated (initially at a ratio of 2:1, then 1:1) to either CASI or FTFI. Those randomised to CASI also subsequently undertook FTFI.

RESULTS:

During the study period, of 713 patients approached, 611 agreed to participate in the study; 356 were randomised to FTFI and 255 to CASI. Overall, the responses to questioning using CASI and FTFI were similar except that women undertaking the CASI reported a significantly higher median number of male partners for the preceding 12 months (3 v 2, p = 0.05) and the CASI participants reported previous hepatitis B vaccination more often (50% v 37%, p = 0.01). Most participants found the CASI either easy (31; 13%) or very easy (193; 82%) to complete; 83 (35%) were comfortable and 121 (51%) were very comfortable with it.

CONCLUSIONS:

CASI may be a reliable, efficient and highly acceptable method for the screening of sexual risk in clinical sexual health settings and could be used routinely to improve the efficiency of clinical services.

PMID:
17098771
PMCID:
PMC2598599
DOI:
10.1136/sti.2006.020776
[Indexed for MEDLINE]
Free PMC Article
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