Effect of a brief video intervention on incident infection among patients attending sexually transmitted disease clinics.

Warner, Lee; Klausner, Jeffrey D; Rietmeijer, Cornelis A; Malotte, C. Kevin; O'Donnell, Lydia; Margolis, Andrew D; Greenwood, Gregory L; Richardson, Doug; Vrungos, Shelley; O'Donnell, Carl R; Borkowf, Craig B; for the Safe in the City Study Group

doi:10.1371/journal.pmed.0050135

Cited by 128Reproductive tract infections researchHIV/AIDS Research and InterventionsAdolescent Sexual and Reproductive Health

Effect of a brief video intervention on incident infection among patients attending sexually transmitted disease clinics.

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Warner, Lee, Klausner, Jeffrey D, Rietmeijer, Cornelis A, Malotte, C. Kevin, O'Donnell, Lydia, Margolis, Andrew D, Greenwood, Gregory L, Richardson, Doug +4 more·2008·PLoS Medicine

DOI 10.1371/journal.pmed.0050135PMC PMC2504047

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Abstract

BACKGROUND: Sexually transmitted disease (STD) prevention remains a public health priority. Simple, practical interventions to reduce STD incidence that can be easily and inexpensively administered in high-volume clinical settings are needed. We evaluated whether a brief video, which contained STD prevention messages targeted to all patients in the waiting room, reduced acquisition of new infections after that clinic visit. METHODS AND FINDINGS: In a controlled trial among patients attending three publicly funded STD clinics (one in each of three US cities) from December 2003 to August 2005, all patients (n = 38,635) were systematically assigned to either a theory-based 23-min video depicting couples overcoming barriers to safer sexual behaviors, or the standard waiting room environment. Condition assignment alternated every 4 wk and was determined by which condition (intervention or control) was in place in the clinic waiting room during the patient's first visit within the study period. An intent-to-treat analysis was used to compare STD incidence between intervention and control patients. The primary endpoint was time to diagnosis of incident laboratory-confirmed infections (gonorrhea, chlamydia, trichomoniasis, syphilis, and HIV), as identified through review of medical records and county STD surveillance registries. During 14.8 mo (average) of follow-up, 2,042 patients (5.3%) were diagnosed with incident STD (4.9%, intervention condition; 5.7%, control condition). In survival analysis, patients assigned to the intervention condition had significantly fewer STDs compared with the control condition (hazard ratio [HR], 0.91; 95% confidence interval [CI], 0.84 to 0.99). CONCLUSIONS: Showing a brief video in STD clinic waiting rooms reduced new infections nearly 10% overall in three clinics. This simple, low-intensity intervention may be appropriate for adoption by clinics that serve similar patient populations. TRIAL REGISTRATION: http://www.ClinicalTrials.gov (#NCT00137670).

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Group-based strategies have been effective in reducing the occurrence of STIs among persons at risk, including those attending STD clinics.
“Group-based strategies have been effective in reducing the occurrence of STIs among persons at risk, including those attending STD clinics (9).”
From Sexually Transmitted Infections Treatment Guidelines, 2021 (2021) · cites this paper as [9]

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PLoS MEDICINE Effect of a Brief Video Intervention on Incident Infection among Patients Attending Sexually Transmitted Disease Clinics
Warner, L., Klausner, J. D., Rietmeijer, C. A., Malotte, C. K., Margolis, A. D., Greenwood, G. L., Richardson, D., Vrungos, S., O’donnell, C. R., Ca, R., et al. (2013)
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Safe in the City: Developing an Effective Video- Based Intervention for STD Clinic Waiting Rooms
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Assessing Patient Exposure to a Video-Based Intervention in STD Clinic Waiting Rooms
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Authors: Warner, L., Klausner, J. D., Rietmeijer, C. A., Malotte, C. K., O'Donnell, L., Margolis, A. D., Greenwood, G. L., Richardson, D., Vrungos, S., O'Donnell, C. R., Borkowf, C. B., & for the Safe in the City Study Group
Affiliations: Centers for Disease Control and Prevention (US)
San Francisco Department of Public Health (US)
Denver Public Health (US)
California State University, Long Beach (US)
Education Development Center (US)
Corresponding author: Warner, Lee
ORCID: Klausner, Jeffrey D
Rietmeijer, Cornelis A
Margolis, Andrew D
Greenwood, Gregory L
Borkowf, Craig B
Venue: PLoS Medicine
Publisher: Public Library of Science (PLoS)
Published: 2008-06-24
Volume: 5
Issue: 6
Pages: e135
ISSN: 1549-1277 (ISSN-L)
1549-1676
DOI: 10.1371/journal.pmed.0050135
PMC: PMC2504047
OpenAlex: W2142132129
Cited by: 128
References: 35
Citations by year: 2026: 2 · 2025: 1 · 2024: 4 · 2023: 5 · 2022: 3 · 2021: 6 · 2020: 5 · 2019: 8 · 2018: 9 · 2017: 7 · 2016: 8 · 2015: 9 · 2014: 10 · 2013: 7 · 2012: 19
FWCI: 7.97
Type: journal article
Language: en
Open access: gold
doi.org
Licence: public-domain
creativecommons.org/publicdomain/zero/1.0/ (unspecified)
Locations: PLoS Medicine (publishedVersion, public-domain)
PubMed Central (publishedVersion, public-domain)
PubMed (publishedVersion)
DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Figshare (submittedVersion, cc-by)
Funders: U.S. Department of Health and Human Services
Centers for Disease Control and Prevention
Topics: Life Sciences › Immunology and Microbiology › Microbiology › Reproductive tract infections research
Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
Health Sciences › Health Professions › General Health Professions › Adolescent Sexual and Reproductive Health
Keywords: STD prevention, video-based intervention, waiting room intervention, STD clinic patients, safer sex, couples, gonorrhea, chlamydia, trichomoniasis, syphilis, HIV, low-intensity intervention
MeSH terms: Adult, Aged, Aged, 80 and over, Algorithms, Ambulatory Care Facilities, Audiovisual Aids, Female, Humans, Male, Middle Aged, Sexually Transmitted Diseases, Time Factors, Video Recording, Incidence, Clinical Laboratory Techniques

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Effect of a brief video intervention on incident infection among patients attending sexually transmitted disease clinics.

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