“Let's Talk About Sex”: Pilot Study of an Interactive CD–ROM to Prevent HIV/STIS in Female Adolescents

Kristin E. Ito1, Sri Kalyanaraman2, Carol A. Ford3, Jane D. Brown2, William C. Miller4

1 Wake Teen Medical Services, Raleigh, NC, and the Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, University of North Carolina, Chapel Hill.

2 School of Journalism and Mass Communication, University of North Carolina at Chapel Hill.

3 Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, University of North Carolina, Chapel Hill.

4 Department of Epidemiology, University of North Carolina, Chapel Hill.

This research was support by the Ruth L. Kirschstein National Research Service Award #T32 HP14001–18 and the Robert Wood Johnson Clinical Scholars Program #047948 at the University of North Carolina. The authors thank Elizabeth Ferris and Rob Roberts, the multimedia designers, for their significant contributions to the development of the CD–ROM, and the staff of the Wake County Health Department Family Planning Clinic, especially Carolyn Stokes, MPH, for assisting with implementation of the study.

Address correspondence to Kristin E. Ito, 505 Oberlin Rd., Suite 505, Raleigh, NC 27605; e-mail:



Abstract

The purpose of this study was to develop and pilot-test an interactive CD–ROM aimed at the prevention of sexually transmitted infections (STIs) in female adolescents. The CD–ROM includes prevention information, models skills for negotiating abstinence and consistent condom use, teaches media literacy, and allows the user to choose a culturally appropriate host to guide them through the CD–ROM. Forty–seven female adolescents attending a health department clinic were randomized to receive the CD–ROM plus an educator–led didactic session versus the didactic session alone. The CD–ROM was highly acceptable and feasible for use among female adolescents in the clinic setting. Hispanic and African American adolescents were more likely to choose hosts of the same race/ethnicity to guide them through the CD–ROM. HIV/STI knowledge increased significantly and nearly all adolescents intended to use condoms at next intercourse after viewing the CD–ROM. However, there were no significant differences measured between CD–ROM and comparison groups.

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