Video-based sexually transmitted disease patient education: its impact on condom acquisition.
OBJECTIVE
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 are 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.
O'Donnell
L N
LN
Education Development Center Inc., Newton, Mass 02158, USA.
Doval
A S
AS
Duran
R
R
O'Donnell
C
C
D000328:Adult; D017280:Condoms; D005260:Female; D006801:Humans; D008297:Male; D012736:Sex Education; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D014743:Videotape Recording