VIDEO-BASED SEXUALLY-TRANSMITTED DISEASE PATIENT EDUCATION - ITS IMPACT ON CONDOM ACQUISITION
VIDEO-BASED SEXUALLY-TRANSMITTED DISEASE PATIENT EDUCATION - ITS IMPACT ON CONDOM ACQUISITION
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DOI：
10.2105/ajph.85.6.817
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发表时间：
1995-06-01
影响因子：
12.7
通讯作者：
ODONNELL, C
中科院分区：
文献类型：
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作者：
ODONNELL, LN;DOVAL, AS;ODONNELL, C
目标。本研究评估了视频教育干预对在纽约南布朗克斯一家大型性传播疾病诊所寻求服务的男性和女性获得安全套的影响。1992年，3348名非裔美国人和西班牙裔患者参加了一项基于视频的干预临床试验，旨在促进安全性行为，包括增加安全套的使用。患者被分为三组：对照组、视频组或视频加互动式小组讨论组。研究对象获得了一张优惠券，可以在距离诊所几个街区的药店兑换免费安全套。通过干预程度评估安全套获得率。与对照组相比，观看视频的受试者更有可能兑换避孕套的优惠券（兑换率为21.2%对27.6%）。然而，观看视频后参与互动环节增强了单独观看视频的积极效果（赎回率为27.6% vs 36.9%）。性别和种族与结果显著相关。通过使用文化上合适的、基于视频的干预措施，安全套获得率几乎翻了一番。这些干预措施旨在尽量减少对临床服务的干扰，可在为高危男女提供服务的诊所实施。
Objectives. This study assessed the impact of video-based educational interventions on condom acquisition among men and women seeking services at a large sexually transmitted disease clinic in the South Bronx, New York.Methods. During 1992, 3348 African American and Hispanic patients were enrolled in a clinical trial of video-based interventions designed to promote safer sex behaviors, including increased condom use. Patients were assigned to one of three groups: control, video, or video plus interactive group discussion. Subjects were given a coupon to redeem for free condoms at a pharmacy several blocks from the clinic. Rates of condom acquisition were assessed by level of intervention.Results. In comparison with a control group, subjects who viewed videos were significantly more likely to redeem coupons for condoms (21.2% redemption rate vs 27.6%). However, participation in interactive sessions after video viewing augmented the positive effects of video viewing alone (27.6% redemption rate vs 36.9%). Gender and ethnicity were significantly associated with outcomes.Conclusions. The condom acquisition rate almost doubled with the use of culturally appropriate, video-based interventions. Designed to present minimal disruption to clinical services, these interventions can be implemented in clinics servicing at-risk men and women.