J Clin Outcomes Manage
Communication strategies to facilitate difficult conversations about sexual risk in adolescent girls
Abstract: Objective: To describe techniques for initiating conversations about sexual risk reduction with adolescent girls in a primary care setting. Methods: The Health Improvement Project for Teens (HIP Teens) is a sexual risk reduction intervention for girls aged 15 to 19 years. The communication approaches employed in the program have proven to be successful in decreasing sexual risk taking behaviors and increasing knowledge about HIV and risk reduction strategies. Examples of possible clinical conversations presented here are based on audiotaped sessions from the HIP Teens program. Results: Initiating conversations with adolescent girls about sexual risk taking behaviors enables physicians and other providers to utilize approaches that increase motivation and address accurate risk appraisal and behavioral option identification. Strategies to reduce risk for HIV and other sexually transmitted infections can be targeted through identifying the patientís motivation to prevent risk and her personal goals for the future. Conclusion: Addressing sexual risk reduction with adolescent girls often presents a challenge to primary care providers. By utilizing age- and gender-appropriate techniques that address adolescent motivations and behavioral modification options, providers can develop effective communication strategies with their adolescent clients
Clinical Review Article
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