Document 0033
 DOCN  M95B0033
 TI    The effectiveness of video-based interventions in promoting condom
       acquisition among STD clinic patients.
 DT    9511
 AU    O'Donnell L; San Doval A; Duran R; O'Donnell CR; Education Development
       Center, Inc., Newton, MA 02160, USA.
 SO    Sex Transm Dis. 1995 Mar-Apr;22(2):97-103. Unique Identifier : AIDSLINE
       MED/95350706
 AB    GOAL OF THIS STUDY: This study examined the effectiveness of video-based
       patient education interventions on promoting condom use among men and
       women seeking services at a large public STD clinic in New York City.
       METHODS: Culturally sensitive video-based interventions designed to
       promote safer sex behaviors were evaluated in a randomized study of
       black and Hispanic male and female STD clinic patients. Subjects (n =
       1,653) were randomly assigned to one of three groups: 1) control, 2)
       video viewing, and 3) video viewing followed by participation in an
       interactive group session led by a trained facilitator. The authors
       examined 1) the effectiveness of interventions in increasing STD and
       condom-related knowledge, positive attitudes about condoms, human
       immunodeficiency virus/STD risk perceptions, and self-efficacy and 2)
       the relationships among these variables, level of intervention, and
       condom acquisition, a behavioral measure of condom use. RESULTS:
       Compared with a control group, subjects assigned to video viewing
       demonstrated greater knowledge about condoms and STDs, more positive
       attitudes about condom use, increased human immunodeficiency virus/STD
       risk perceptions, greater self-efficacy, and higher rates of condom
       acquisition. Subjects assigned to video viewing followed by interactive
       sessions demonstrated still further increases in risk perceptions,
       self-efficacy, and condom acquisition, but not in knowledge or condom
       attitudes. A significant proportion of the association between the
       behavioral outcome of condom acquisition and level of intervention is
       attributable to the impact of interventions on risk perception and
       self-efficacy. CONCLUSIONS: Based on extensive formative research that
       identified barriers to safer sex behaviors, video-based interventions
       were developed to promote condom use among black and Hispanic men and
       women attending STD clinics. Designed to be integrated into clinic
       services, these interventions help improve knowledge, promote positive
       attitudes about condoms, and increase condom acquisition among
       individuals at high risk of acquiring and transmitting human
       immunodeficiency virus infection and other STDs.
 DE    Ambulatory Care Facilities  Blacks  Caribbean Region/ETHNOLOGY
       Comparative Study  Condoms/*UTILIZATION  Dominican Republic/ETHNOLOGY
       Evaluation Studies  Female  Health Behavior  Hispanic Americans  Human
       Knowledge, Attitudes, Practice  Male  New York City/EPIDEMIOLOGY
       Patient Education/*METHODS  Puerto Rico/ETHNOLOGY  Risk-Taking
       Sensitivity Training Groups  Sex Behavior  Sex Education/*METHODS
       Sexually Transmitted Diseases/EPIDEMIOLOGY/*PREVENTION & CONTROL/
       PSYCHOLOGY  Support, U.S. Gov't, P.H.S.  *Videotape Recording  CLINICAL
       TRIAL  JOURNAL ARTICLE  RANDOMIZED CONTROLLED TRIAL

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).