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The US preventative services task force (USPSTF) recommends behavioral counseling in the primary care setting for prevention of sexually transmitted diseases, however, screening and counseling rarely occur. Text messaging (TM) is increasingly being used as a tool to affect behavior change in patients, but its effect on patients that report at-risk sexual behavior in the emergency department (ED) is unknown. The investigators seek to assess the feasibility of ED-based screening of young adult females for at-risk sexual behavior and enrolling them in a 3 month trial using TM to deliver information and skill building to improve health behavior.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Lifestyle counseling | Experimental | Weekly SMS assessing risky sexual encounters and providing feedback including concern, goal-setting and tools to reduce risk |
|
| Usual care | No Intervention | Usual care includes ED provider counseling as per normal clinical care |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lifestyle counseling | Behavioral | Weekly SMS assessments of risky sexual encounters with feedback |
|
| Measure | Description | Time Frame |
|---|---|---|
| Sex without condom | Participants will be called for phone follow-up at 12 weeks post-ED discarge | 3 months after ED discharge |
| Measure | Description | Time Frame |
|---|---|---|
| Number of unprotected vaginal sexual encounters | Participants will be called for phone follow-up at 12 weeks post ED discharge | 3 months post-ED discharge |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UPMC Mercy Hospital | Pittsburgh | Pennsylvania | 15221 | United States |
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| ID | Term |
|---|---|
| D003075 | Coitus |
| ID | Term |
|---|---|
| D012725 | Sexual Behavior |
| D001519 | Behavior |
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