The well woman program: A community-based randomized trial to prevent sexually transmitted infections in low-income African American women

Lucy Nelle Marion, Lorna Finnegan, Richard T. Campbell, Laura A. Szalacha

Research output: Contribution to journalArticle

12 Scopus citations


In this sexually transmitted infection (STI) prevention study, we compared the efficacy of the Well Woman Program (WWP), a nurse practitioner-directed, culturally specific, intensive intervention, to minimal intervention (MI), brief lecture, and referral to usual care, in a community-based randomized controlled trial. African American women having past STIs and residing in high-risk communities were randomly assigned to the two groups. STI outcome was measured at baseline and three later points. A random effects logistic longitudinal regression model showed that, at base-line, approximately 75% of participants tested positive for an STI, predom-inantly trichomoniasis. At month 15, the estimated probability of a WWP participant having an STI was 20% less than an MI participant. Better STI outcomes were due to the intensive individualized intervention.

Original languageEnglish (US)
Pages (from-to)274-285
Number of pages12
JournalResearch in Nursing and Health
Issue number3
StatePublished - Jun 1 2009



  • African Americans
  • Prevention
  • Randomized controlled trials
  • Sexually transmitted diseases

ASJC Scopus subject areas

  • Nursing(all)

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