Year of Publication

2018

College

Public Health

Degree Name

Master of Public Health (M.P.H.)

Committee Chair

Richard Crosby, PhD

Committee Member

Angela Carman, DrPH

Committee Member

Christina Studts, PhD

Abstract

Based on need and available resources, gay and bisexual men who have sex with men (GBMSM) in the Castro neighborhood of San Francisco, California represent the target population for this intervention. Through funding by the Center for Disease Control the Strut Clinic in collaboration with the University of California Berkley is proposing a video-based intervention with the following SMART objectives.

Objective 1: Efficiently develop and integrate a video-based intervention in the Strut Clinic within the first six months of the funding cycle.

Objective 2: Sustain an increase of consistent condom use to 30% of participants and up to a 10% increase in overall condom use from baseline to all participants in the study for up to 12 months after the intervention.

Objective 3: Decrease the incident cases of all sexually transmitted infections to rates lower than the general male population of San Francisco County by the end of the 3-year funding cycle.

This intervention is an adaptation of the currently used high impact prevention for sexually transmitted infections Safe in the City. The video contains three vignettes using multiple theories to influence behavioral changes regarding condom use. The intervention will be evaluated by applying the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. This intervention will allow providers an inexpensive alternative to current protocol, which reduces the transmission of sexually transmitted infections among their patients by reducing migration away from condom use.

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