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P4.108 With Whom Did You Have Sex? Evaluation of a Partner Notification Training For STI Professionals Using Motivational Interviewing
  1. E Op de Coul1,
  2. R Spijker2,
  3. F van Aar1,
  4. Y van Weert1,
  5. M de Bruin3
  1. 1RIVM, Bilthoven, The Netherlands
  2. 2STI Aids The Netherlands, Amsterdam, The Netherlands
  3. 3Amsterdam School of Communications Research, University of Amsterdam, Amsterdam, The Netherlands

Abstract

Objective To enhance partner notification (PN) practises in STI clinics a newly developed PN training based on motivational interviewing (MI) was offered to STI professionals and evaluated.

Methods The effectiveness of PN training on the professionals’ attitude, self-efficacy, and behaviour toward PN was examined with a within-subject and between-subject comparison. Just before and three months after delivery of the training, a questionnaire with 7-point Likert scales was completed by the intervention group (n = 54). To rule out that any effects could be caused by population trends or questionnaire completion, a non-randomly selected sample of controls (n = 37) also completed the questionnaires. Questionnaire items were examined separately and grouped into constructs of attitude, self-efficacy and behaviour.

Results In the within-subject (pre-post) comparison, positive changes were observed in 9/30 of the items, as well as in the overall constructs Self-efficacy, Skills: Implementation PN protocol, and Skills: coping with client resistance. In the control group no significant changes were observed. However, comparing the change scores between the intervention and control group, 5 items and the construct Self-efficacy were no longer significant.

Conclusions Despite that the PN training for STI professionals had no effect on attitudes or self-efficacy, significant improvements were observed in the most important outcome variables, namely those on skills. In studies were cluster randomised controlled studies are not feasible, selecting a convenient control sample seems to offer a more rigorous test of hypotheses than pre-post evaluations, presumably by controlling for population trends and mere measurement effects.

  • contact tracing
  • motivational interviewing
  • Partner Notification

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