Comparison of methods to increase repeat testing in persons treated for gonorrhea and/or chlamydia at public sexually transmitted disease clinics

C. Kevin Malotte, Rebecca Ledsky, Matthew Hogben, Michelle Larro, Susan Middlestadt, Janet S. St. Lawrence, Glen Olthoff, Robert H. Settlage, Nancy L. Van Devanter, Keisha Paxton, Lisa V. Smith, Robyn Davis, Gary A. Richwald, Typhanye V. Penniman, James Gaines, Cheryl Merzel, Peter Messeri, Amy Bleakley, Isaac Weifuse, Alwyn CohallSusan Blank, Renee Mayer Cohall, Deborah Levine, Michele Peake, Jonathan Mark Zenilman, Gillian VanBlerk, Chizoba Ukairo, Thomas L. Gift, Willo Pequegnat

Research output: Contribution to journalArticle


Background: Retesting 3 to 4 months after treatment for those infected with chlamydia and/or gonorrhea has been recommended. Goal: We compared various methods of encouraging return for retesting 3 months after treatment for chlamydia or gonorrhea. Study: In study 1, participants were randomly assigned to: 1) brief recommendation to return, 2) intervention 1 plus $20 incentive paid at return visit, or 3) intervention 1 plus motivational counseling at the first visit and a phone reminder at 3 months. In study 2, participants at 1 clinic were randomly assigned to 4) intervention 1,5) intervention 1 plus phone reminder, or 6) intervention 1 plus motivational counseling but no telephone reminder. Results: Using multiple logistic regression, the odds ratios for interventions 2 and 3, respectively, compared with intervention 1 were 1.2 (95% confidence interval [CI], 0.6-2.5) and 2.6 (95% CI, 1.3-5.0). The odds ratios for interventions 5 and 6 compared with intervention 4 were 18.1 (95% CI, 1.7-193.5) and 4.6 (95% CI, 0.4-58.0). Conclusions: A monetary incentive did not increase return rates compared with a brief recommendation. A reminder phone call seemed to be the most effective method to increase return.

Original languageEnglish (US)
Pages (from-to)637-642
Number of pages6
JournalSexually Transmitted Diseases
Issue number11
Publication statusPublished - Nov 2004
Externally publishedYes


ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Microbiology (medical)

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