Effect of a Brief Video Intervention on Incident Infection among Patients Attending Sexually Transmitted Disease Clinics
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{"title"=>"Effect of a brief video intervention on incident infection among patients attending sexually transmitted disease clinics", "type"=>"journal", "authors"=>[{"first_name"=>"Lee", "last_name"=>"Warner", "scopus_author_id"=>"8393421300"}, {"first_name"=>"Jeffrey D.", "last_name"=>"Klausner", "scopus_author_id"=>"26643627500"}, {"first_name"=>"Cornells A.", "last_name"=>"Rietmeijer", "scopus_author_id"=>"35600355100"}, {"first_name"=>"C. Kevin", "last_name"=>"Malotte", "scopus_author_id"=>"7003976874"}, {"first_name"=>"Lydia", "last_name"=>"O'Donnell", "scopus_author_id"=>"16181771700"}, {"first_name"=>"Andrew D.", "last_name"=>"Margolis", "scopus_author_id"=>"7004955892"}, {"first_name"=>"Gregory L.", "last_name"=>"Greenwood", "scopus_author_id"=>"7005193519"}, {"first_name"=>"Doug", "last_name"=>"Richardson", "scopus_author_id"=>"56284694500"}, {"first_name"=>"Shelley", "last_name"=>"Vrungos", "scopus_author_id"=>"6506005945"}, {"first_name"=>"Carl R.", "last_name"=>"O'Donnell", "scopus_author_id"=>"7202453754"}, {"first_name"=>"Craig B.", "last_name"=>"Borkowf", "scopus_author_id"=>"6701789226"}], "year"=>2008, "source"=>"PLoS Medicine", "identifiers"=>{"pui"=>"351919113", "sgr"=>"46349108120", "scopus"=>"2-s2.0-46349108120", "doi"=>"10.1371/journal.pmed.0050135", "issn"=>"15491277"}, "id"=>"b60cb9f0-ed0e-35f5-a3ad-438bd2c50416", "abstract"=>"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).", "link"=>"http://www.mendeley.com/research/effect-brief-video-intervention-incident-infection-among-patients-attending-sexually-transmitted-dis", "reader_count"=>1, "reader_count_by_academic_status"=>{"Student > Doctoral Student"=>1}, "reader_count_by_user_role"=>{"Student > Doctoral Student"=>1}, "reader_count_by_subject_area"=>{"Medicine and Dentistry"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>1}}, "reader_count_by_country"=>{"United States"=>1}, "group_count"=>0}

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  • {"files"=>["https://ndownloader.figshare.com/files/457786", "https://ndownloader.figshare.com/files/457925", "https://ndownloader.figshare.com/files/457966"], "description"=>"<div><h3>Background</h3><p>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.</p> <h3>Methods and Findings</h3><p>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 (<em>n</em> = 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).</p> <h3>Conclusions</h3><p>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.</p> <p><b>Trial registration:</b><a href=\"http://www.ClinicalTrials.gov\">http://www.ClinicalTrials.gov</a> (<a href=\"http://www.clinicaltrials.gov/ct2/show/NCT00137670?term=CDC-NCHSTP-3500&rank=1\">#NCT00137670</a>).</p> </div>", "links"=>[], "tags"=>["patients", "attending", "transmitted", "clinics"], "article_id"=>150168, "categories"=>["Cancer", "Biotechnology"], "users"=>["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"], "doi"=>["https://dx.doi.org/10.1371/journal.pmed.0050135.sd001", "https://dx.doi.org/10.1371/journal.pmed.0050135.sd002", "https://dx.doi.org/10.1371/journal.pmed.0050135.sd003"], "stats"=>{"downloads"=>12, "page_views"=>7, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Effect_of_a_Brief_Video_Intervention_on_Incident_Infection_among_Patients_Attending_Sexually_Transmitted_Disease_Clinics_/150168", "title"=>"Effect of a Brief Video Intervention on Incident Infection among Patients Attending Sexually Transmitted Disease Clinics", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2008-06-24 00:02:48"}

PMC Usage Stats | Further Information

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Relative Metric

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