The promise of multimedia technology for STI/HIV prevention: frameworks for understanding improved facilitator delivery and participant learning.
There is increasing excitement about multimedia sexually transmitted infection (STI) and HIV prevention interventions, yet there has been limited discussion of how use of multimedia technology may improve STI/HIV prevention efforts. The purpose of this paper is to describe the mechanisms through which multimedia technology may work to improve the delivery and uptake of intervention material. We present conceptual frameworks describing how multimedia technology may improve intervention delivery by increasing standardization and fidelity to the intervention material and the participant's ability to learn by improving attention, cognition, emotional engagement, skills-building, and uptake of sensitive material about sexual and drug risks. In addition, we describe how the non-multimedia behavioral STI/HIV prevention intervention, Project WORTH, was adapted into a multimedia format for women involved in the criminal justice system and provide examples of how multimedia activities can more effectively target key mediators of behavioral change in this intervention.
Department of Epidemiology and Biostatistics, School of Public Health, University of Maryland at College Park, MD 20742, USA. mrkhan@umd.edu
Maria R
MR
Khan
Matthew W
MW
Epperson
Louisa
L
Gilbert
Dawn
D
Goddard
Timothy
T
Hunt
Bright
B
Sarfo
Nabila
N
El-Bassel
D032882:Comprehension; D015658:HIV Infections / Q000517:prevention & control*; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D019212:Multimedia; D016730:Program Development; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000188:drug therapy / Q000517:prevention & control*