Annual Report 2007 - Melbourne Sexual Health Centre

PUBLICATION HIGHLIGHTS ContinuedStudy:A randomised controlled trial comparing computer-assisted withface-to-face sexual history taking in a clinical setting. TidemanRL, Chen MY, Pitts MK, Ginige S, Slaney M, Fairley CK. SexuallyTransmitted Infections 2007; 83: 52-56Sexual health history taking is an important routine componentof any sexual health consultation. The accuracy is importantas it has direct implications on the resulting management andtreatment. This randomised study evaluated computer-assistedself-interviews (CASI) compared to face-to-face interviews (FTFI)using identical predefined questions for eliciting sexual history.FTFI was the preexisting routine method for taking sexual history atMelbourne Sexual Health Centre. All participants completing CASIalso underwent FTFI and the clinicians were not aware that thesepatients had undergone CASI.The majority of participants (95%) found CASI easy to use and86% were comfortable using CASI. There were no differences inreported risk behaviours between CASI and FTFI except womenreported considerably higher numbers of male partners usingCASI. The results of this study indicated that CASI can bereliable, efficient and a highly acceptable method for screeningof sexual risk in a clinic setting. CASI could be used routinelybefore a clinical consultation saving time and thus improvingclinical efficiency of services.12