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Computer-assisted self interviewing in sexual health clinics
Christopher K Fairley1, Jun Kit Sze, Lenka A Vodstrcil
1Melbourne Sexual Health Centre, Victoria, Australia. cfairley@unimelb.edu.au
Sexually Transmitted Diseases
|October 27, 2010
Summary
Computer-assisted self-interviewing (CASI) in STD clinics may improve reporting of high-risk sexual behaviors. While CASI is acceptable, more data are needed to confirm its impact on testing, diagnosis, and treatment outcomes.
Area of Science:
- Public Health
- Medical Informatics
Background:
- Reviews published information on core sexual history elements.
- Examines the use of computer-assisted self-interviewing (CASI) in sexually transmitted disease (STD) clinics.
Purpose of the Study:
- To synthesize current knowledge on core sexual history components.
- To evaluate the application and effectiveness of CASI in STD clinical settings.
Main Methods:
- Conducted a literature search using OVID Medline (1990-2010).
- Keywords included "computer assisted interviewing," "sex," and "core sexual history."
- Analyzed studies comparing CASI with in-person interviews in STD clinics.
Main Results:
- Three articles defined core sexual history elements using expert consensus, surveys, and Delphi technique.
- Sexual histories globally include partner sex, number of partners, types of sex, condom use, pregnancy intent, and contraception.
- CASI identified higher-risk behavior more often than clinician interviews and was highly acceptable to patients, promoting honest reporting.
Conclusions:
- Widespread implementation of CASI in STD clinics shows potential public health benefits.
- Further research is required to determine CASI's impact on STD testing, diagnosis, treatment, and overall healthcare quality/efficiency.
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