Background: The study objectives were to determine whether a community-based organization's intensive counseling intervention would reduce sexually transmitted disease (STD) acquisition among high-risk STD clinic patients and to determine whether a low-cost trial could be conducted in a community-based setting with passive follow-up.
Methods: Participants were randomly assigned to routine counseling or intensive counseling consisting of three 1-hour sessions. We reviewed clinic records to determine 1-year cumulative incidence of STD.