title: Educational effectiveness of an HIV pretest video for adolescents: a randomized controlled trial.
abstract: OBJECTIVE
  The goal of this study was to compare the effectiveness of a youth-friendly HIV video with in-person counseling in conveying HIV knowledge and obtaining consent for HIV testing among adolescent patients of an urban emergency department.
  
  
  METHODS
  A 2-armed, randomized controlled trial was conducted on a convenience sample of 200 stable, sexually active people aged 15 to 21 years in an urban emergency department. Participants in both the in-person counseling group and the video intervention group completed preintervention and postintervention HIV knowledge measures. HIV knowledge was the primary outcome measure, and consent for HIV testing was the secondary outcome. Characteristics associated with voluntary HIV testing were identified.
  
  
  RESULTS
  Of 333 eligible people, 200 agreed to participate. There was no difference in preintervention HIV knowledge scores between groups. Mean postintervention knowledge scores differed significantly between the video (78.5% correct) and the counselor (66.3% correct) (P < 0.01) groups. Overall, 51% of the video group accepted HIV testing compared with 22% in the control group (P < .01). Watching the video (OR: 3.6 [95% CI: 1.8-7.2]), being female (OR: 2.1 [95% CI: 1.0-4.2]), engaging in oral sex (OR: 2.8 [95% CI: 1.4-5.9]), and being older than 18 years (OR: 3.8 [95% CI: 1.8-7.8]) were all positively associated with testing.
  
  
  CONCLUSIONS
  A youth-friendly HIV educational video improved adolescents' HIV knowledge and increased their participation in HIV testing more than in-person counseling. video-based HIV counseling can perform as well or better than in-person counseling for adolescents in the ED.
authors.affiliation: Jacobi Medical Center, Building 6 Room 1B27, Bronx, NY 10461, USA. ycal333@yahoo.com
authors.forename: Yvette
authors.initials: Y
authors.lastname: Calderon
authors.forename: Ethan
authors.initials: E
authors.lastname: Cowan
authors.forename: Jillian
authors.initials: J
authors.lastname: Nickerson
authors.forename: Sheba
authors.initials: S
authors.lastname: Mathew
authors.forename: Jade
authors.initials: J
authors.lastname: Fettig
authors.forename: Michael
authors.initials: M
authors.lastname: Rosenberg
authors.forename: Christopher
authors.initials: C
authors.lastname: Brusalis
authors.forename: Katherine
authors.initials: K
authors.lastname: Chou
authors.forename: Jason
authors.initials: J
authors.lastname: Leider
authors.forename: Laurie
authors.initials: L
authors.lastname: Bauman
mesh_terms: D015492:AIDS Serodiagnosis / Q000379:methods*; D000293:Adolescent; D000367:Age Factors; D016001:Confidence Intervals; D004311:Double-Blind Method; D004636:Emergency Service, Hospital; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000517:prevention & control*; D006679:HIV Seropositivity; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016015:Logistic Models; D008297:Male; D015999:Multivariate Analysis; D009519:New York City; D018579:Patient Selection; D018570:Risk Assessment; D012309:Risk-Taking; D012737:Sex Factors; D013664:Teaching Materials; D014743:Videotape Recording; D055815:Young Adult