Reducing Sexual Risk Behaviors and Improving Health for People at a Sexually Transmitted Infection Clinic
Reducing Sexual Risk Behaviors and Improving Health for People at a Sexually Transmitted Infection Clinic
This study will determine whether showing an educational DVD to people at sexually
 transmitted infection clinics can reduce incidence of new infections and risky sexual
 behaviors and improve overall health.
Sexually transmitted infections (STIs) can produce long-term health problems. They are often
 linked to HIV, which can also be sexually transmitted, because both occur in the same
 populations and because STIs and HIV interact biologically. Having an STI other than HIV can
 increase the risk of HIV acquisition and transmission as well as negatively impact HIV
 progression. The population of people who go to clinics specializing in STIs are particularly
 at risk of engaging in risky sexual behaviors and having poor health outcomes-like infection
 with an STI. This study will test the effectiveness of using an educational DVD to reduce
 incidence of risky sexual behaviors and STI acquisition, including risk of HIV, and to
 improve overall health.

 Participation in this study will involve two phases. In Phase 1, participants will complete
 both computerized and paper surveys and watch an educational DVD. The educational DVD may
 include information on diet, physical activity, sleep, smoking, STIs, and stress.
 Participants will be recruited from among people who are already going to the clinic, and
 participation will add approximately 1.5 hours to their visits. In Phase 2, participants will
 be asked to complete four follow-up visits occurring 3, 6, 9, and 12 months after Phase 1.
 During these follow-up visits, participants will complete a 45-minute computerized survey
 similar to that in Phase 1 and provide urine and throat samples for STI testing. All surveys
 will assess health-related thoughts, feelings, and behaviors, including sexual behaviors.
 Participants will be compensated for completing Phase 1 and each visit in Phase 2.
Inclusion Criteria:

 -  Evidence of sexual risk behavior, defined as either signs, symptoms, or diagnosis
 indicative of an STD during the past 3 months; or unprotected vaginal or anal
 intercourse with two or more sexual partners, a partner with two or more partners, an
 anonymous partner, an injection drug using partner, or a partner with an STD

 Exclusion Criteria:

 -  Impaired mental status that would prevent participant from providing informed consent
 or participating meaningfully

 -  Inability to understand English