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Description:The Cognitive-Behavioral STD/HIV Risk-Reduction is a multi-component, individual-level intervention that aims to prevent STDs among high risk heterosexual adults. The four intervention sessions, delivered to adults attending a public STD clinic, emphasize a cognitive/behavioral approach to reduce patient’s risk of acquiring STD/HIV. The sessions include information on the transmission, types, symptoms, and treatment of various STDs. The counselor and the patient discuss patient’s risk, personal triggers, and alternative behaviors. The counselor helps the patient develop a risk reduction plan, follows up on the plan in following sessions, and provides feedback and support for enacting the plan. Discussions also include key elements to successful communication with sex partners, ways to begin risk-reduction strategies, and sources for social support. In addition, patients practice condom application skills and are provided condoms. Through video, written materials, individual counseling, discussion, goal setting, vignettes, and role play, patients are able to recognize their risky behaviors, make a commitment to change, and enact risk reduction strategies to prevent STD/HIV infection.
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