Effect of a brief video intervention on incident infection among patients attending sexually transmitted disease clinics.
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 me...
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2008-06-01
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doaj-e5d687942d5946dc8fb982a3d70f83182020-11-25T01:38:40ZengPublic Library of Science (PLoS)PLoS Medicine1549-12771549-16762008-06-0156e13510.1371/journal.pmed.0050135Effect of a brief video intervention on incident infection among patients attending sexually transmitted disease clinics.Lee WarnerJeffrey D KlausnerCornelis A RietmeijerC Kevin MalotteLydia O'DonnellAndrew D MargolisGregory L GreenwoodDoug RichardsonShelley VrungosCarl R O'DonnellCraig B BorkowfSafe in the City Study GroupSexually 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.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).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.http://www.ClinicalTrials.gov (#NCT00137670).http://europepmc.org/articles/PMC2504047?pdf=render |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Lee Warner Jeffrey D Klausner Cornelis A Rietmeijer C Kevin Malotte Lydia O'Donnell Andrew D Margolis Gregory L Greenwood Doug Richardson Shelley Vrungos Carl R O'Donnell Craig B Borkowf Safe in the City Study Group |
spellingShingle |
Lee Warner Jeffrey D Klausner Cornelis A Rietmeijer C Kevin Malotte Lydia O'Donnell Andrew D Margolis Gregory L Greenwood Doug Richardson Shelley Vrungos Carl R O'Donnell Craig B Borkowf Safe in the City Study Group Effect of a brief video intervention on incident infection among patients attending sexually transmitted disease clinics. PLoS Medicine |
author_facet |
Lee Warner Jeffrey D Klausner Cornelis A Rietmeijer C Kevin Malotte Lydia O'Donnell Andrew D Margolis Gregory L Greenwood Doug Richardson Shelley Vrungos Carl R O'Donnell Craig B Borkowf Safe in the City Study Group |
author_sort |
Lee Warner |
title |
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_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_sort |
effect of a brief video intervention on incident infection among patients attending sexually transmitted disease clinics. |
publisher |
Public Library of Science (PLoS) |
series |
PLoS Medicine |
issn |
1549-1277 1549-1676 |
publishDate |
2008-06-01 |
description |
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.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).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.http://www.ClinicalTrials.gov (#NCT00137670). |
url |
http://europepmc.org/articles/PMC2504047?pdf=render |
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