Table 4.

Longitudinal differences in frequency of assessment and anal health promotion activities in the past 3 months

	Pre-PEACHES	Post-PEACHES
	N = 65	N = 58	Pre-PEACHES v. Post-PEACHES
	Mean	Mean	MD	% MD	t (df)	p-value
Frequency of anal health assessment (“asking clients about their…”)
sexual orientation	2.43 (1.52)	2.59 (1.27)	0.07	2%	0.40 (57)	.6928
concerns about HIV/STIs	2.85 (1.48)	3.00 (1.23)	-0.05	− 1%	– 0.35 (57)	.7251
anal sex practices	1.09 (1.34)	1.81 (1.16)	0.62	16%	4.05 (57)	.0002
concerns about anal sex, apart from HIV/STIs	1.09 (1.47)	1.78 (1.31)	0.59	15%	2.62 (57)	.0114
Frequency of anal health promotion
Starting a conversation about anal health, apart from HIV/STIs	0.81 (1.33)	1.64 (1.31)	0.74	19%	4.12 (57)	.0001
Responding to concerns about anal health, apart from HIV/STIs	1.08 (1.50)	1.81 (1.32)	0.62	16%	3.26 (57)	.0019
Advising how to lessen contact with feces during anal sex	0.32 (0.86)	1.16 (1.17)	0.79	20%	5.43 (56)	< .0001
Advised how to reduce pain during anal sex	0.48 (0.99)	1.45 (1.19)	0.91	23%	5.58 (57)	< .0001
Advised how to make anal sex more pleasurable	0.44 (0.97)	1.47 (1.27)	0.98	25%	5.99 (57)	< .0001
Conducting a sexual history focused on anal sex*	0.65 (1.14)	1.45 (1.25)	0.75	19%	4.95 (50)	< .0001
Collecting anorectal swabs*	2.00 (1.62)	2.18 (1.55)	0.18	5%	0.53 (16)	.6053
Conducting an anorectal exam*	1.31 (1.44)	1.62 (1.66)	0.31	8%	1.76 (12)	.1039

Comparisons by timepoint are based only on participants with data at both timepoints; statistical tests compare paired responses and may reflect a reduced sample size. All item Likert responses ranged from 0 to 4, with higher scores indicating greater frequency: 0 Not at all, 1 Sometimes, 2 Often, 3 Very Often, 4 Always; % MD = MD/(Scale Range [4]). * Calculated by excluding “5 Not part of my role” across timepoints