Video-based Intervention Study to Prevent HIV/Sexually Transmitted Diseases (STDs) Among STD Clinic Patients

NCT ID: NCT00137670

Last Updated: 2012-09-27

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 45000 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2002-04-30
• Study Completion Date: 2009-03-31

Brief Summary

The purpose of this study is to assess the effectiveness of a brief 23-minute video-based educational waiting room intervention to reduce incident STD and high risk behavior among STD patients attending STD clinics in three United States (U.S.) cities.

Detailed Description

Approximately 15 million incident cases of sexually transmitted diseases (STDs) occur annually. As a result, primary prevention of HIV/STDs among persons who have chosen to be sexually active remains a high public health priority. A number of effective interventions to prevent HIV/STDs have been developed, however many require considerable time and resource investments from both service providers and participants. These programs are often difficult to implement and sustain over time. As a result, simple practical interventions that can reduce transmission or acquisition of HIV/STDs among STD clinic patients while being both easily implemented and sustainable are urgently needed, and will ultimately enhance the menu of effective programs that are currently available to the STD clinic population.

The intervention trial was designed to develop and evaluate a video-based HIV/STD prevention intervention for STD clinic clients. The primary goals of this study are to assess whether a brief video-based educational waiting room intervention can reduce STD incidence (STD incidence outcome study) and high risk behavior (behavioral outcome study) among male and female patients attending STD clinics, when compared with patients who receive standard clinic services. This study is being conducted as a multi-site trial in 3 urban STD clinics.

The intervention condition consists of a 23-minute educational video focused on preventing STD and HIV infection shown on a large television in the waiting room. Health promotion posters supplement the video. The control condition consists of the current standard waiting room experience in each city's STD clinic.

In the STD incidence outcome study, groups of patients attending the participating STD clinics are randomly assigned to blocks of clinic weeks to either the intervention or control condition. A waiver of informed consent was obtained whereby no subjects are actively enrolled for this phase of the study. Through a retrospective review of existing medical records and STD surveillance registry data, we will determine and compare the incidence of new STDs over a 12-month period (on average) by assigned waiting room conditions.

In the behavioral outcome study, investigators administer computer-based survey instruments to a random sample of ~1600 male and female patients (800 per arm) both at enrollment and at 3 months following their initial clinic visit. The primary objective of the behavioral study is to assess the effectiveness of the video intervention by comparing levels of high-risk behavior between waiting room conditions at 3 months' follow-up.

Conditions

HIV Infections; Sexually Transmitted Diseases

Keywords

Intervention studies; HIV

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: PREVENTION
• Blinding Strategy: SINGLE

Interventions

Video-based HIV/STD prevention intervention

Intervention Type: DEVICE

Eligibility Criteria

Inclusion Criteria

STD Incidence Outcome Study:

• All medical records for STD clinic patients visiting participating STD clinics during the study period.

Behavioral Outcome Study:

STD clinic patients:

• Not returning for a follow-up visit related to a previously diagnosed problem.
• 18 years of age or older.
• Not known to be HIV-infected by self-report.
• Able to understand and speak English fluently.
• Have not been previously seen as a patient in the clinic during an intervention block when the video was being played.
• Have never received a diagnosis of a condition that necessitates frequent return visits (e.g., genital warts) by self-report.
• Have not previously enrolled in the study.
• Reported being in the clinic waiting room at least 20 minutes.
• Do not plan to move outside the clinic's catchment area during the next 6 months.
• Are willing to provide informed consent for review of their medical record and STD surveillance registry information by study staff.
• Are not known to be pregnant according to self-report (women only).
• Are not known by clinicians or counselors to be seriously ill (e.g. new HIV diagnosis or severe pelvic inflammatory disease [PID]).
• Engaged in intercourse in the last three months.

• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Centers for Disease Control and Prevention

FED

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Jeff D Klausner, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

San Francisco Department of Public Health/ STD Prevention and Control Services

Cornelis A Rietmeijer, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Denver Public Health

Kevin Malotte, DrPH

Role: PRINCIPAL_INVESTIGATOR

California State University, Long Beach

Lydia N O'Donnell, Ed.D.

Role: PRINCIPAL_INVESTIGATOR

Education Development Center, Inc.

Locations

California State University, Long Beach

Long Beach, California, United States

San Francisco Department of Public Health

San Francisco, California, United States

Denver Public Health

Denver, Colorado, United States

Education Development Center, Inc.

Newton, Massachusetts, United States

Countries

United States

References

Gallo MF, Margolis AD, Malotte CK, Rietmeijer CA, Klausner JD, O'Donnell L, Warner L; Safe in the City Study Group. Sexual abstinence and other behaviours immediately following a new STI diagnosis among STI clinic patients: Findings from the Safe in the City trial. Sex Transm Infect. 2016 May;92(3):206-10. doi: 10.1136/sextrans-2014-051982. Epub 2015 Dec 15.

Reference Type: DERIVED

PMID: 26670913 (View on PubMed)

Warner L, Klausner JD, Rietmeijer CA, Malotte CK, O'Donnell L, Margolis AD, Greenwood GL, Richardson D, Vrungos S, O'Donnell CR, Borkowf CB; Safe in the City Study Group. Effect of a brief video intervention on incident infection among patients attending sexually transmitted disease clinics. PLoS Med. 2008 Jun 24;5(6):e135. doi: 10.1371/journal.pmed.0050135.

Reference Type: DERIVED

PMID: 18578564 (View on PubMed)

Other Identifiers

R18/CCR921007

Identifier Type: -

Identifier Source: secondary_id

R18/CCR121005

Identifier Type: -

Identifier Source: secondary_id

R18/CCR821004

Identifier Type: -

Identifier Source: secondary_id

CDC-NCHSTP-3500

Identifier Type: -

Identifier Source: org_study_id