A randomised controlled trial comparing computer-assisted with face-to-face sexual history taking in a clinical setting
- 10 November 2006
- journal article
- research article
- Published by BMJ in Sexually Transmitted Infections
- Vol. 83 (1), 52-56
- https://doi.org/10.1136/sti.2006.020776
Abstract
To compare computer-assisted self-interview (CASI) with routine face-to-face interview (FTFI) for sexual history taking from patients in a clinical setting. 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. 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. 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.Keywords
This publication has 8 references indexed in Scilit:
- Use of the Delphi sorting technique to establish a core sexual historyInternational Journal of STD & AIDS, 2006
- An audit of completeness of clinical histories: before and after introduction of a pro formaInternational Journal of STD & AIDS, 2005
- Audio computer assisted interviewing to measure HIV risk behaviours in a clinic populationSexually Transmitted Infections, 2005
- Audio computer assisted self interview and face to face interview modes in assessing response bias among STD clinic patientsSexually Transmitted Infections, 2005
- A Comparison Between Audio Computer-Assisted Self-Interviews and Clinician Interviews for Obtaining the Sexual HistorySexually Transmitted Diseases, 2004
- Current practice of sexual history taking by sexual health physicians in Australia and New ZealandSexually Transmitted Infections, 2004
- Effect of computer-assisted self-interviews on reporting of sexual HIV risk behaviours in a general population sample: a methodological experimentAIDS, 2001
- Application of Computer-assisted Interviews to Sexual Behavior ResearchAmerican Journal of Epidemiology, 1999