Video-based sexually transmitted disease patient education: its impact on condom acquisition.

Abstract

OBJECTIVES. This study assessed the impact of video-based educational interventions on condom acquisition among men and women seeking services at a large sexually transmitted disease clinic in the South Bronx, New York. METHODS. During 1992, 3348 African American and Hispanic patients were enrolled in a clinical trial of video-based interventions designed to promote safer sex behaviors, including increased condom use. Patients were assigned to one of three groups: control, video, or video plus interactive group discussion. Subjects were given a coupon to redeem for free condoms at a pharmacy several blocks from the clinic. Rates of condom acquisition were assessed by level of intervention. RESULTS. In comparison with a control group, subjects who viewed videos were significantly more likely to redeem coupons for condoms (21.2% redemption rate vs 27.6%). However, participation in interactive sessions after video viewing augmented the positive effects of video viewing alone (27.6% redemption rate vs 36.9%). Gender and ethnicity were significantly associated with outcomes. CONCLUSIONS. The condom acquisition are almost doubled with the use of culturally appropriate, video-based interventions. Designed to present minimal disruption to clinical services, these interventions can be implemented in clinics servicing at-risk men and women.

Adults' Knowledge and Behaviors Related to Human Papillomavirus Infection

“…14,15 Even among the studies demonstrating an effect of educational intervention, the sole outcome has been condom use, not reduction in risky sexual behaviors. 12,13 This study shows that increased knowledge was associated with some less risky behaviors, but not others. Those reporting that they use condoms to prevent STIs and those who actually used condoms the last time they had intercourse had higher knowledge scores than those who answered "no" to these questions.…”

Evaluation of an HIV Prevention Intervention for African Americans and Hispanics: Findings from the VOICES/VOCES Community-Based Organization Behavioral Outcomes Project

“…During the session, a culturally specific video on condom use and negotiation is shown to a small group of same-sex individuals, followed by a group discussion led by a facilitator and role-play exercises among the participants [13][14][15]. In general, the VOICES/VOCES intervention communicates prevention messages in a brief period of time (45 min to an hour) and is structured so that it can be integrated into an assortment of services already provided by service providers.…”

“…VOICES/VOCES efficacy research measured selfreported change in knowledge, attitudes, and behavioral intentions for condom use [13,14] and biological markers [15] and focused on African American and Hispanic male and female clients visiting STD clinics. Intervention participants reported an increase in knowledge, more positive attitudes and greater efficacy for condom use, increased intentions to use condoms, and they were more likely to later redeem condom coupons, relative to control participants [13,14].…”

“…Intervention participants reported an increase in knowledge, more positive attitudes and greater efficacy for condom use, increased intentions to use condoms, and they were more likely to later redeem condom coupons, relative to control participants [13,14]. Moreover, the infection rate of new STDs was significantly lower in male clients after intervention participation compared to the control group [15].…”

“…Based on the original efficacy studies which reported increased intentions and efficacy for condom use and increased condom acquisition [13,14], we anticipated the intervention would have a positive effect on clients' sexual risk behaviors at follow-up. We also sought to determine whether clients would report significantly fewer STD diagnoses after participation in VOICES/VOCES.…”