title: Early awareness and uptake of an effective waiting room video intervention by STD clinics.
abstract: BACKGROUND
  Successful diffusion and adoption is critical for the effectiveness and impact of a new intervention. The objective of this research was to evaluate the uptake and implementation of a newly released educational waiting room video in US sexually transmitted diseases (STD) Clinics.
  
  
  METHODS
  A telephone survey was administered to a random sample of 73 clinic directors representing 76 US STD clinics 3 to 5 months following the availability of the intervention. A qualitative analysis was used to categorize survey responses and detect associations among them.
  
  
  RESULTS
  Of the 76 clinics, 22% were aware of the intervention and 17% had ordered the intervention kit. The most frequently reported sources for hearing about the video were interpersonal communication/word of mouth, national conferences, and the STDPreventionOnline.org Website. The majority (74%) of clinic directors reported using state or local entities as primary sources of new information; however, reporting these channels was associated with unawareness of the new intervention. Facilitators to adoption included having adequate video/DVD equipment (55%) and a separate, nonshared waiting room for STD services in which to show the video (47%).
  
  
  CONCLUSIONS
  The data from this sample suggest that making greater use of prominent thought leaders and interpersonal communication, including social networking, and professional groups may improve awareness of new interventions. Some barriers to adoption, such as lack of equipment, have relatively inexpensive solutions yet bureaucratic or technical support issues may still play a role. However, some structural barriers, such as shared waiting areas, will require innovative alternatives to conventional practice.
authors.affiliation: Department of Health Administration, Virginia Commonwealth University, Richmond, VA 23298-0203, USA. jpdeshazo@vcu.edu
authors.forename: Jonathan P
authors.initials: JP
authors.lastname: DeShazo
authors.forename: Douglas B
authors.initials: DB
authors.lastname: Richardson
authors.forename: C Kevin
authors.initials: CK
authors.lastname: Malotte
authors.forename: Cornelis A
authors.initials: CA
authors.lastname: Rietmeijer
mesh_terms: D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data; D001291:Attitude of Health Personnel; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D033181:Information Dissemination / Q000379:methods*; D007407:Interviews as Topic; D010353:Patient Education as Topic / Q000379:methods*; D012749:Sexually Transmitted Diseases / Q000517:prevention & control*; D060756:Social Networking; D011795:Surveys and Questionnaires; D013689:Telephone; D014481:United States; D014743:Videotape Recording