title: Efficacy of an HIV/AIDS and HIV testing video for Spanish-speaking Latinos in healthcare and non-healthcare settings.
abstract: We assessed the efficacy of a Spanish-language HIV/AIDS and HIV testing video as a substitute for comparable orally-delivered information in healthcare and non-health care settings for Spanish-speakers regardless of health literacy level. In a non-inferiority clinical trial, Spanish-speaking Latinos from an emergency department, a clinic, and community-based organizations were randomly assigned to receive HIV/AIDS and HIV testing information orally or from a video. Comprehension of the information was measured using a questionnaire. Of the 150 participants, 39 % met criteria for lower health literacy and 75 % previously had been tested for HIV. Mean scores on the questionnaire for the video (20.4; 95 % CI 19.5 ~ 21.3) and the orally-delivered information arms (20.6; 95 % CI 19.7 ~ 21.5) were similar (Δ = -0.15; 95 % CI -1.4 ~ 1.1). Mean scores among lower health literacy participants also were similar (18.3 (video) vs. 19.6 (in-person); p < 0.30). This Spanish-language video is a viable substitute for orally-delivered HIV/AIDS and HIV testing information.
authors.affiliation: Department of Emergency Medicine, Alpert Medical School of Brown University, Providence, USA, rmerchant@lifespan.org.
authors.forename: Roland C
authors.initials: RC
authors.lastname: Merchant
authors.forename: Melissa A
authors.initials: MA
authors.lastname: Clark
authors.forename: Claudia A
authors.initials: CA
authors.lastname: Santelices
authors.forename: Tao
authors.initials: T
authors.lastname: Liu
authors.forename: Dharma E
authors.initials: DE
authors.lastname: Cortés
mesh_terms: D015492:AIDS Serodiagnosis / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D032882:Comprehension; D005260:Female; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology; D057220:Health Literacy / Q000706:statistics & numerical data*; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology / Q000706:statistics & numerical data*; D010353:Patient Education as Topic / Q000379:methods*; D011795:Surveys and Questionnaires; D014741:Video Recording