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Effect of a Brief Video Intervention on Incident Infection among Patients Attending Sexually Transmitted Disease Clinics
BACKGROUND: Sexually transmitted disease (STD) prevention remains a public health priority. Simple, practical interventions to reduce STD incidence that can be easily and inexpensively administered in high-volume clinical settings are needed. We evaluated whether a brief video, which contained STD p...
Autores principales: | , , , , , , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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Public Library of Science
2008
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2504047/ https://www.ncbi.nlm.nih.gov/pubmed/18578564 http://dx.doi.org/10.1371/journal.pmed.0050135 |
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author | Warner, Lee Klausner, Jeffrey D Rietmeijer, Cornelis A Malotte, C. Kevin O'Donnell, Lydia Margolis, Andrew D Greenwood, Gregory L Richardson, Doug Vrungos, Shelley O'Donnell, Carl R Borkowf, Craig B |
author_facet | Warner, Lee Klausner, Jeffrey D Rietmeijer, Cornelis A Malotte, C. Kevin O'Donnell, Lydia Margolis, Andrew D Greenwood, Gregory L Richardson, Doug Vrungos, Shelley O'Donnell, Carl R Borkowf, Craig B |
author_sort | Warner, Lee |
collection | PubMed |
description | BACKGROUND: Sexually transmitted disease (STD) prevention remains a public health priority. Simple, practical interventions to reduce STD incidence that can be easily and inexpensively administered in high-volume clinical settings are needed. We evaluated whether a brief video, which contained STD prevention messages targeted to all patients in the waiting room, reduced acquisition of new infections after that clinic visit. METHODS AND FINDINGS: In a controlled trial among patients attending three publicly funded STD clinics (one in each of three US cities) from December 2003 to August 2005, all patients (n = 38,635) were systematically assigned to either a theory-based 23-min video depicting couples overcoming barriers to safer sexual behaviors, or the standard waiting room environment. Condition assignment alternated every 4 wk and was determined by which condition (intervention or control) was in place in the clinic waiting room during the patient's first visit within the study period. An intent-to-treat analysis was used to compare STD incidence between intervention and control patients. The primary endpoint was time to diagnosis of incident laboratory-confirmed infections (gonorrhea, chlamydia, trichomoniasis, syphilis, and HIV), as identified through review of medical records and county STD surveillance registries. During 14.8 mo (average) of follow-up, 2,042 patients (5.3%) were diagnosed with incident STD (4.9%, intervention condition; 5.7%, control condition). In survival analysis, patients assigned to the intervention condition had significantly fewer STDs compared with the control condition (hazard ratio [HR], 0.91; 95% confidence interval [CI], 0.84 to 0.99). CONCLUSIONS: Showing a brief video in STD clinic waiting rooms reduced new infections nearly 10% overall in three clinics. This simple, low-intensity intervention may be appropriate for adoption by clinics that serve similar patient populations. Trial registration: http://www.ClinicalTrials.gov (#NCT00137670). |
format | Text |
id | pubmed-2504047 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2008 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-25040472008-08-08 Effect of a Brief Video Intervention on Incident Infection among Patients Attending Sexually Transmitted Disease Clinics Warner, Lee Klausner, Jeffrey D Rietmeijer, Cornelis A Malotte, C. Kevin O'Donnell, Lydia Margolis, Andrew D Greenwood, Gregory L Richardson, Doug Vrungos, Shelley O'Donnell, Carl R Borkowf, Craig B PLoS Med Research Article BACKGROUND: Sexually transmitted disease (STD) prevention remains a public health priority. Simple, practical interventions to reduce STD incidence that can be easily and inexpensively administered in high-volume clinical settings are needed. We evaluated whether a brief video, which contained STD prevention messages targeted to all patients in the waiting room, reduced acquisition of new infections after that clinic visit. METHODS AND FINDINGS: In a controlled trial among patients attending three publicly funded STD clinics (one in each of three US cities) from December 2003 to August 2005, all patients (n = 38,635) were systematically assigned to either a theory-based 23-min video depicting couples overcoming barriers to safer sexual behaviors, or the standard waiting room environment. Condition assignment alternated every 4 wk and was determined by which condition (intervention or control) was in place in the clinic waiting room during the patient's first visit within the study period. An intent-to-treat analysis was used to compare STD incidence between intervention and control patients. The primary endpoint was time to diagnosis of incident laboratory-confirmed infections (gonorrhea, chlamydia, trichomoniasis, syphilis, and HIV), as identified through review of medical records and county STD surveillance registries. During 14.8 mo (average) of follow-up, 2,042 patients (5.3%) were diagnosed with incident STD (4.9%, intervention condition; 5.7%, control condition). In survival analysis, patients assigned to the intervention condition had significantly fewer STDs compared with the control condition (hazard ratio [HR], 0.91; 95% confidence interval [CI], 0.84 to 0.99). CONCLUSIONS: Showing a brief video in STD clinic waiting rooms reduced new infections nearly 10% overall in three clinics. This simple, low-intensity intervention may be appropriate for adoption by clinics that serve similar patient populations. Trial registration: http://www.ClinicalTrials.gov (#NCT00137670). Public Library of Science 2008-06 2008-06-24 /pmc/articles/PMC2504047/ /pubmed/18578564 http://dx.doi.org/10.1371/journal.pmed.0050135 Text en This is an open-access article distributed under the terms of the Creative Commons Public Domain declaration, which stipulates that, once placed in the public domain, this work may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. |
spellingShingle | Research Article Warner, Lee Klausner, Jeffrey D Rietmeijer, Cornelis A Malotte, C. Kevin O'Donnell, Lydia Margolis, Andrew D Greenwood, Gregory L Richardson, Doug Vrungos, Shelley O'Donnell, Carl R Borkowf, Craig B Effect of a Brief Video Intervention on Incident Infection among Patients Attending Sexually Transmitted Disease Clinics |
title | Effect of a Brief Video Intervention on Incident Infection among Patients Attending Sexually Transmitted Disease Clinics |
title_full | Effect of a Brief Video Intervention on Incident Infection among Patients Attending Sexually Transmitted Disease Clinics |
title_fullStr | Effect of a Brief Video Intervention on Incident Infection among Patients Attending Sexually Transmitted Disease Clinics |
title_full_unstemmed | Effect of a Brief Video Intervention on Incident Infection among Patients Attending Sexually Transmitted Disease Clinics |
title_short | Effect of a Brief Video Intervention on Incident Infection among Patients Attending Sexually Transmitted Disease Clinics |
title_sort | effect of a brief video intervention on incident infection among patients attending sexually transmitted disease clinics |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2504047/ https://www.ncbi.nlm.nih.gov/pubmed/18578564 http://dx.doi.org/10.1371/journal.pmed.0050135 |
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