CONDOM PROMOTION INTERVENTIONS FOR STD PATIENTS

本研究建议开发和评估教育干预措施。 在市中心一家公共性病诊所向患者推广使用避孕套 (波士顿城市医院)。一项随机、单盲对照试验 涉及两个治疗组(N1=N2=500)和一个常规护理组 (n=500)将用于测试15分钟肥皂剧风格的疗效 关于预防性病的视频有两种配置：(1)仅观看视频 在等待出现症状的诊断和治疗期间，和(2) 由一家健康机构进行的视频与小组咨询相结合 当病人等待诊断和治疗时，教育者。视频和 咨询将包括关于使用避孕套的信息 预防一系列性传播疾病，包括艾滋病毒感染，以及 关于酒精和药物使用的风险的信息 安全性行为。对儿童的渴望和儿童的责任 抚养也将在视频和视频的背景下讨论 小团体。主要的反应变量将是避孕套的使用。 将使用几种替代措施来衡量这一结果，包括 STD在6个月和1年内再次感染，由(1)身体状况决定 检查(6周和6个月随访)；(2)对返还情况进行记录审查 访问波士顿城市医院的诊所，并通过(3)使用 马萨诸塞州卫生部全州性病报告系统(数据 将向研究提供来自国家报告系统的信息，而不包括 标识符。)。避孕套的使用也将通过自我报告在 后续访谈(六周和六个月)和兑换率 当地私人药店的避孕套优惠券。其他响应变量将 包括：(1)据报在饮酒或吸毒后发生性行为时使用避孕套 使用；(2)受试者有过的性伴侣数量；以及，(3) 无保护措施性行为的次数。我们的假设是 被分配到干预措施的受试者在一年的后测中将显示20%， 与常规护理组相比，降低性病再感染率 (控制)。之前的几项研究已经表明， 在以下人群中推广使用避孕套的视频和视频加上咨询方法 公共性病诊所的人口。然而，这项研究使用了一些 使用避孕套的替代措施，包括生理测定 STD终端。

This study proposes to develop and evaluate an educational intervention promoting condom use among patients at an inner city public STD clinic (Boston City Hospital). A randomized, single-blinded controlled trial involving two treatment groups (N1=N2=500) and a routine care group (N=500) will be used to test the efficacy of a 15 minute, soap-opera style video on STD prevention in two configurations: (1) video alone, viewed while waiting for diagnosis and treatment for presenting symptoms, and (2) video in combination with small group counseling conducted by a health educator while patients wait for diagnosis and treatment. The video and counseling will include information on the use of condoms for the prevention of a range of STDs, including HIV infection, as well as information on the risks of alcohol and drug use in compromising intended safe sex practices. Desire for children and the responsibilities of child rearing will also be discussed both within the context of the video and the small groups. The primary response variable will be condom use. Several surrogate measures will be used to measure this outcome, including STD reinfections at 6 months and one year as determined by (1) physical examination (6 weeks and 6 months follow-ups); (2) record review of return visits to the Boston City Hospital clinic, and by (3) use the Massachusetts Department of Health statewide STD reporting system (Data from the State reporting system will be provided to the study without identifiers.). Condom use will also be measured by self reports at follow-up interviews (six weeks and six months) and redemption rates for condom coupons at local private pharmacies. Other response variables will include: (1) reported condom use during sex following alcohol or drug use; (2) the number of sexual partners subjects have had; and, (3) the number of occasions of unprotected sex. Our hypothesis is that the subjects assigned to interventions will show a 20%, at one year posttest, reduction in STD reinfection rates relative to the routine care group (controls). Several previous studies have indicated the effectiveness of the video and video plus counseling approach to promoting condom use among the public STD clinic population. This study, however, uses a number of surrogate measures for condom use, including physiologic determination of STD endpoints.