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Safe in the City

An Evidence-Based Practice

Description

Safe in the City is a single-session, video-based intervention for diverse STD clinic patients. The intervention involves the presentation of a 23-minute STD/HIV prevention video to patients in an STD clinic waiting room. The video contains key prevention messages aimed at increasing knowledge and perception of STD/HIV risk, promoting positive attitudes toward condom use, and building self-efficacy and skills to facilitate partner treatment, safer sex, and the acquisition, negotiation, and use of condoms.Condoms and educational pamphlets on STD prevention are made available to patients in the clinics.

Goal / Mission

The goal of this intervention is to prevent new STD infections.

Impact

The Safe in the City program shows that clinic waiting room videos displaying prevention knowledge and techniques can actually help to reduce the number of new infections of certain STDs.

Results / Accomplishments

The study samples consisted of 38,635 STD clinic patients. The intervention groups received the Safe in the City intervention and the comparison groups received the standard STD clinic waiting room experience. During the 14.8 months of follow-up, significantly fewer new STDs were diagnosed for patients receiving the Safe in the City intervention than patients in the comparison group. The largest reductions in the number of new infections were observed for gonorrhea and chlamydia.

About this Promising Practice

Organization(s)
Safe City Study Group (a multidisciplinary team from several academic and public health institutions in the United States)
Primary Contact
Dr. Lee Warner
Centers for Disease Control and Prevention
Division of STD Prevention
1600 Clifton Road
Atlanta, GA 30333
dlw7@cdc.gov
http://www.cdc.gov/std/safe-in-the-city/default.ht...
Topics
Health / Immunizations & Infectious Diseases
Organization(s)
Safe City Study Group (a multidisciplinary team from several academic and public health institutions in the United States)
Source
CDC
Date of publication
6/24/2008
Location
Denver, Long Beach, and San Francisco
For more details
http://www.cdc.gov/std/safe-in-the-city/default.ht...
https://journals.plos.org/plosmedicine/article?id=...

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  3. Video Opportunities for Innovative Condom Education and Safer Sex (VOICES/VOCES)
  4. Enhanced Patient-Based Referral for Sexually Transmitted Infection Notification
  5. Becoming a Responsible Teen (BART)
  6. Coded Text Messages for Chlamydia and Gonorrhea Results

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An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.