Sexually Transmitted Disease Screening and Risk Reduction

Trial of an Adapted STD Screening and Risk Reduction Intervention

The goal of this research study is to evaluate the impact of a paraprofessional-delivered, culturally adapted, evidence-based intervention (EBI) on sexually transmitted disease (STD), substance use and poor mental/emotional health among American Indians (AI) through a Randomized Controlled Trial (RCT). These intertwining risks have produced marked disparities and have unique cultural and social determinants in Native communities. If aims are achieved, scientific knowledge and community-based practice will be advanced in areas vital to AI communities, and to STD and drug prevention science. Prior to this study, the investigators applied findings from research protocol (IRB#00005929) and adapted a brief intervention to reduce risk and increase protective behaviors for STDs, HIV/AIDS, substance use and poor mental/emotional health, and to promote STD screening. The specific aim of the current study is to compare the efficacy of the adapted brief intervention vs. a comparison condition on participants' condom use, STD screening and treatment-seeking behaviors, substance use and emotional/mental health outcomes at 3 and 6 months post-intervention.

No pharmaceutical medication involved
Patients and healthy individuals accepted

Behavioral - Project EMPWR

Participants will receive both Adapted Project EMPWR and Optimized Standard Care (OSC).

Optimized Standard Care (OSC)

Participants will receive Optimized Standard Care (OSC) alone.

Randomized Controlled Trial of an Adapted STD Screening and Risk Reduction Intervention