Sexually Transmitted Diseases Clinical Trial
Official title:
Testing the Effectiveness of the VOICES/VOCES Intervention Package as Implemented by STD and HIV Prevention Agencies That Target Hispanics and African Americans in the U.S. and Puerto Rico
The purpose of the project is to determine whether the VOICES/VOCES intervention, that was
shown to be effective in a research study, is still effective when delivered by STD/HIV
prevention agencies.
VOICES/VOCES is a brief, single-session intervention for African-American and Latino adult
men and women at high risk for STD/HIV. It encourages condom use and improves condom
negotiation skills. A health educator delivers the intervention to groups of 4 to 8 clinic
patients in a private room. Groups are made up of people of the same sex and same race or
ethnicity. Information on STD/HIV risk behaviors and condom use is delivered by
culturally-specific videos, group discussion, and a poster presenting features of various
condom brands. Participants role-play condom negotiation modeled in the videos. At the end
of the session they are given sample condoms of their choice.
In this project, health educators from the health departments of New York City and San Juan,
Puerto Rico conducted the VOICES/VOCES intervention with a sample of patients from one STD
clinic in each of their cities. Researchers helped the health departments test whether the
intervention is effective when local health educators deliver it.
This project was an RCT with 1699 patients assigned to receive the VOICES/VOCES intervention
and 1707 to receive standard of care at each of the two STD clinics (total N=3406).
Participant outcomes and their measures are:
1. Change in knowledge and attitudes about condoms as determined by participant profile
and survey data
2. Condom acquisition as determined by project coupon redemption data
3. STD incidence as determined by medical chart review and/or surveillance data
In addition, cost accounting data on the amounts and types of resources required to
implement the intervention were used to evaluate the intervention's cost-effectiveness.
Process evaluation data allow identification of factors that influenced intervention
implementation and the effectiveness of the intervention.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention
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