Tuesday, December 6, 2005
31

A Method for Developing and Evaluating an Integrated Risk Questionnaire

Colleen A. Flanigan, Martha L. Newcomb, Elizabeth J. Herlihy, Elena M. Rizzo, and Marilyn A. Kacica.



Learning Objective:

By the end of the presentation participants will be able to:
1) Understand the need for an integrated risk assessment questionnaire.
2) Describe the steps in developing an integrated risk assessment questionnaire.
3) Describe the methods for evaluating a risk assessment questionnaire.


Background:

Persons presenting to STD clinics engage in risk behaviors which put them at risk for STDs, HIV, and viral hepatitis. STD clinics focus on assessing patients for STD risk behaviors when, in fact, many of these behaviors are the same for HIV and hepatitis A, B and C. Utilizing an integrated risk assessment tool allows STD clinics to address patient's multiple risks at one time and provide appropriate interventions.


Setting:

STD Clinics


Population e.g. API Youth, MSM, IDU:

Persons seeking services at STD clinics in New York State (NYS)


Project Description:

A self-administered risk assessment questionnaire was developed to assess the risk behaviors of clients seeking services in STD clinics in NYS. The questionnaire was piloted in seven county STD clinics for a six month period to evaluate its utility and ease of use. Clinic staff and clients evaluated the questionnaire.


Results/Lessons Learned:

All participating staff members completed the evaluation form (n=34); 69% found the questionnaire easy to use; 55% found the language level appropriate; 47% said it increased the amount of time spent with the client; 47% found it effective in identifying at-risk clients; and 65% indicated it had a positive impact on services being offered at the clinic. Of the 658 clients that evaluated the risk assessment questionnaire, 96% felt it was easy to read and 93% indicated they understood all of the questions. The questionnaire was revised based on the results of evaluations, and considered for implementation as the standard risk assessment tool in all STD clinics.

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