The findings and conclusions in these presentations have not been formally disseminated by the Centers for Disease Control and Prevention and should not be construed to represent any agency determination or policy.

Tuesday, May 9, 2006
152

Increased HIV/STI risk perception and condom acquisition among STI clinic patients following a brief video-based intervention

Shelley M. Vrungos1, Gregory L. Greenwood2, Andrew Margolis3, Lydia O'Donnell4, Kees Rietmeijer5, Jeffrey D. Klausner6, C. Kevin Malotte1, Carl O'Donnell4, Douglas Richardson7, and Lee Warner8. (1) Community Health and Social Epidemiology Programs, California State University, Long Beach, CA, USA, (2) UCSF/CAPS, San Francisco, CA, USA, (3) Centers for Disease Control and Prevention, Atlanta, GA, (4) EDC, Newton, MA, USA, (5) Denver Public Health Department, Denver, CO, (6) STD Prevention and Control Services, San Francisco Department of Public Health, 1360 Mission St, Suite 401, San Francisco, CA, USA, (7) Denver Public Health, Denver, CO, USA, (8) NCCDPHP/DRH, Centers for Disease Control and Prevention, 1600 Clifton Rd, Atlanta, GA, USA


Background:
Most effective HIV/STI interventions require considerable resources and can be difficult to implement and sustain over time. Desirable features of a brief video-based intervention include low costs, high feasibility, minimal risk, and generalizability.


Objective:
This analysis evaluates the impact of a 23-minute video modeling men and women overcoming barriers to safer sexual behaviors. Specific outcomes include condom acquisition and perceived risk of HIV/STI infection.

Method:
Participants (N=1626) attending STI clinics in 3 cities (Denver, Long Beach, San Francisco) were assigned to one of two waiting room conditions based on visit date: intervention (video supplemented by posters) or control (standard waiting room experience). Condition assignment alternated in 4-week blocks over a 20-month period. Participants completed an audio computer-assisted self interview following their clinic visit.


Result:
Participants assigned to the intervention condition reported significantly higher perceptions of risk than those assigned to the control condition (p<.05). This difference remained significant after adjusting for site, gender, race/ethnicity, and sexual orientation. Intervention participants were also significantly more likely to report acquiring condoms during their clinic visit than control participants (67.8% vs. 61.6%, p<.05). This difference remained significant after adjusting for site, gender, race/ethnicity, sexual orientation, and level of perceived risk (OR 1.3, p<.05). Condom acquisition was also greater among those reporting a high level of perceived risk (72.3% vs. 57.8%, p<.001)

Conclusion:
Showing this video in STI clinic waiting rooms resulted in a modest increase in risk perceptions and condom acquisition. Further evaluation of the effect of the video on subsequent sexual risk behaviors and STI incidence is ongoing.

Implications:
This widely applicable video intervention approach has the potential to reach large numbers of STI clinic patients who may not be able or motivated to attend more intensive programs.

See more of Health Communications/Behavioral Interventions
See more of Oral and Poster

See more of The 2006 National STD Prevention Conference