Safe in the City

This was a CDC-funded, 5-year, multi-site trial to evaluate the effectiveness of a brief 23 minute HIV/STI educational video, Safe in the City, which used soap-opera style vignettes to promote consistent and correct condom use and safer sex behaviors, on sexually transmitted infection (STI) incidence in sexually transmitted disease clinic patients in three cities. A controlled trial design, in which the intervention (i.e., “Safe in the City” video, supplemented by movie-style posters) and control conditions (i.e., standard waiting room experience) were systematically administered to all waiting room patients in alternating four-week blocks of time was used. A statistically significant approximate 10% reduction in new STIs was found among those who attended the clinic during the intervention periods. The CDC determined that the intervention met the rigorous criteria for 'Best Evidence' of an effective intervention, and Safe in the City joined the RESPECT interventions (see below) as one of the interventions promoted to prevention practitioners through the CDCs Diffusion of Effective Behavioral Interventions (DEBI) program.