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The roles of self-efficacy and pretest counseling in type 2 herpes simplex virus screening in asymptomatic adults.

Publication ,  Journal Article
Freeman, M; Zychowicz, M; Feldman, G; Gordon, S
Published in: Journal of the American Academy of Nurse Practitioners
May 2012

To evaluate the role of counseling for patients undergoing screening for type 2 herpes simplex virus (HSV-2). Using pre- and post-screening questionnaires, we evaluated correlations between demographic factors, measures of self-efficacy and follow-through with the screening test, and willingness to take antiviral medication and share results with sexual partners.Subjects (N= 115) were recruited as part of usual care at a private, urban family practice. A total of 111 subjects completed pre-screening questionnaires, and 38 completed post-screening questionnaires.The overwhelming majority of participants were (a) willing to undergo screening; (b) take suppressive antiviral medication if necessary; (c) share their results with sexual partners; and (d) consider safer sexual practices as a consequence of screening. Older patients were less willing to consider daily antiviral medication. Men who have sex with men (MSM) had lower perceived susceptibility to HSV-2 but were more likely to undergo and report screening.Future research should include predictive models for determining the most appropriate patients to screen for HSV-2 and best practices for those who test positive. Shared decision making between patients and advanced practice nurses regarding the risks and benefits of screening for HSV-2 should be a component visits that include sexually transmitted disease screening. Particular attention should be paid to those at higher risk for contracting the virus, including patients with HIV and MSM.

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Published In

Journal of the American Academy of Nurse Practitioners

DOI

EISSN

1745-7599

ISSN

1041-2972

Publication Date

May 2012

Volume

24

Issue

5

Start / End Page

313 / 323

Related Subject Headings

  • Young Adult
  • Statistics, Nonparametric
  • Self Efficacy
  • San Francisco
  • Risk-Taking
  • Primary Health Care
  • Pilot Projects
  • Patient Satisfaction
  • Nursing
  • Middle Aged
 

Citation

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ICMJE
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Freeman, M., Zychowicz, M., Feldman, G., & Gordon, S. (2012). The roles of self-efficacy and pretest counseling in type 2 herpes simplex virus screening in asymptomatic adults. Journal of the American Academy of Nurse Practitioners, 24(5), 313–323. https://doi.org/10.1111/j.1745-7599.2011.00695.x
Freeman, Matthew, Michael Zychowicz, Gary Feldman, and Shelley Gordon. “The roles of self-efficacy and pretest counseling in type 2 herpes simplex virus screening in asymptomatic adults.Journal of the American Academy of Nurse Practitioners 24, no. 5 (May 2012): 313–23. https://doi.org/10.1111/j.1745-7599.2011.00695.x.
Freeman M, Zychowicz M, Feldman G, Gordon S. The roles of self-efficacy and pretest counseling in type 2 herpes simplex virus screening in asymptomatic adults. Journal of the American Academy of Nurse Practitioners. 2012 May;24(5):313–23.
Freeman, Matthew, et al. “The roles of self-efficacy and pretest counseling in type 2 herpes simplex virus screening in asymptomatic adults.Journal of the American Academy of Nurse Practitioners, vol. 24, no. 5, May 2012, pp. 313–23. Epmc, doi:10.1111/j.1745-7599.2011.00695.x.
Freeman M, Zychowicz M, Feldman G, Gordon S. The roles of self-efficacy and pretest counseling in type 2 herpes simplex virus screening in asymptomatic adults. Journal of the American Academy of Nurse Practitioners. 2012 May;24(5):313–323.
Journal cover image

Published In

Journal of the American Academy of Nurse Practitioners

DOI

EISSN

1745-7599

ISSN

1041-2972

Publication Date

May 2012

Volume

24

Issue

5

Start / End Page

313 / 323

Related Subject Headings

  • Young Adult
  • Statistics, Nonparametric
  • Self Efficacy
  • San Francisco
  • Risk-Taking
  • Primary Health Care
  • Pilot Projects
  • Patient Satisfaction
  • Nursing
  • Middle Aged