Assessing Patient Exposure to a Video-Based Intervention in STD Clinic Waiting Rooms: Findings From the Safe in the City Trial.
Assessing Patient Exposure to a Video-Based Intervention in STD Clinic Waiting Rooms: Findings From the Safe in the City Trial.
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DOI：
10.1177/1524839916631537
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发表时间：
2016-09
影响因子：
1.9
通讯作者：
Warner L
中科院分区：
文献类型：
--
作者：
Besera GT;Cox S;Malotte CK;Rietmeijer CA;Klausner JD;O'Donnell L;Margolis AD;Warner L
“城市安全”是一项针对诊所候诊室的视频干预，以前曾被证明可以降低性传播疾病（STD）的发病率。然而，关于患者对干预暴露的回忆知之甚少。使用试验期间就诊患者的嵌套研究数据，我们评估了参与者是否回忆起“城市安全”，如果是，干预如何影响随后的态度和行为。分析仅限于对观看视频的参与者进行为期3个月的随访问卷调查（n = 708）。影响是通过参与者对视频对行为和态度的影响的报告来衡量的。使用多变量逻辑回归评估相关性。在被曝光的参与者中，685人（97%）回忆起观看了视频，68%的人回忆起所有三个小插曲。观看完视频后，参与者对避孕套的态度更加积极（69%），获得避孕套的感觉也更加舒适（56%），他们被提醒有关性病和避孕套的重要信息（90%），并试图将他们学到的知识应用到生活中（59%）。与看过一两个短片的参与者相比，看过三个短片的参与者对避孕套和同伴/提供者沟通的态度更积极。这些研究结果表明，在候诊室进行低资源视频干预可以提供足够的暴露，以积极影响与性病有关的态度/行为。
Safe in the City , a video intervention for clinic waiting rooms, was previously shown to reduce sexually transmitted disease (STD) incidence. However, little is known about patients’ recall of exposure to the intervention. Using data from a nested study of patients attending clinics during the trial, we assessed whether participants recalled Safe in the City, and, if so, how the intervention affected subsequent attitudes and behaviors. Analyses were restricted to responses to a 3-month follow-up questionnaire among participants who were exposed to the video (n = 708). Impact was measured as participants’ reports of the video’s effect on behaviors and attitudes. Associations were evaluated using multivariable logistic regression. Of participants who were exposed, 685 (97%) recalled viewing the video, and 68% recalled all three vignettes. After watching the video, participants felt more positive about condoms (69%) and comfortable acquiring condoms (56%), were reminded of important information about STDs and condoms (90%), and tried to apply what they learned to their lives (59%). Compared with those who recalled viewing one or two vignettes, participants who recalled viewing all three vignettes reported more positive attitudes toward condoms and peer/provider communication. These findings demonstrate that a low-resource video intervention for waiting rooms can provide sufficient exposure to positively influence STD-related attitudes/behaviors.