OPeN: Optimizing Partner Notification
A one- or two-session intervention to promote disclosure of STIs to sexual partners

Tracey E. Wilson PhD, Matthew Hogben, PhD, Nicole Liddon, PhD, William M. McCormack, MD, Steve R. Rubin,
& Michael A. Augenbraun, MD


FOCUS

SUMMARY

OPEN, a clinic-based patient-centered program, promotes sexually transmitted infection (STI) partner notification in urban, minority populations with high rates of infection. A trained health educator delivers OPEN in 2 one-on-one counseling sessions. The first session (which lasts approximately 30 minutes) is delivered after the initial STI diagnosis, and the second session (which lasts about 10 minutes) is optional, and occurs roughly four weeks later, either in person or by phone.

During the first session, the health educator engages in a discussion with the participant about the participant.s risky sexual behaviors, and helps the participant identify potential sexual partners to notify about STI infection. Then, the participant and health educator develop a notification plan, and work on skills to improve sexual partner notification through role playing. At the end of the session the participant completes and signs a notification contract. During the second session, the health educator reviews with the participant any progress made on notification, and they discuss any barriers encountered to notifying partners.

SUITABLE FOR USE IN

Although designed and evaluated for populations infected by gonorrhea and Chlamydia, this program.s enhancements for patient-centered partner notification apply to adult populations in clinics and settings that offer other STI services.

ORIGINAL INTERVENTION SAMPLE

Age, Gender
18-50 years old, 40% female; 60% male

Race/Ethnicity
40% African-American, 52% African Caribbean, 8% Other

PROGRAM LENGTH

The first session last approximately 30 minutes, the second session (which is optional) last approximately 10 minutes.

STAFFING REQUIREMENTS/TRAINING

OPEN is delivered by a trained health educator. The Facilitator.s Manual provides detailed instructions and example scripts to help implement the program.

   HIV-positive individuals
   Other high-risk adults (partners of HIV-positive individuals)
   STI Clinic Clients
   Women
   Minority Specific
   Other

ORIGINAL SITE
   Community-Based
   Clinic-Based

APPROACH
   Behavioral Skills Development
   Community Outreach
   Condom Education/Access
   HIV/STD Education
   Needle Cleaning/ Exchange
   Self Efficacy/Self-Esteem

COMPONENTS
   Behavioral Skills Practice
   Group Discussion
   HIV Antibody Testing/Counseling
   Lectures
   Peer Counseling/Instruction
   Role Pay
   Safer Sex
   Communication / Negotiation
   Video
   Other: Partner notification plan
   

HAPPA PROGRAM PACKAGE

The HAPPA Program Package for this program includes:

  • Optimizing Partner Notification User's Guide
  • Facilitator's Manual
  • Adaptation Workbook
  • Education Materials (Photocopy masters and forms requiring customization)
  • Process Evaluation booklet
  • HAPPA Evaluation Assistance Kit (includes the Evaluation Questionnaire)
  • Original Evaluation Instrument

  • Telephone technical support on implementation and evaluation for 1 year