272074 Using a locally developed DVD vignette to model condom-use negotiation within a soccer team-based social network intervention: Reducing misconceptions and increasing vicarious learning among immigrant Latino heterosexual men

Tuesday, October 30, 2012 : 1:34 PM - 1:38 PM

Ellen Hendrix , Ellen Hendrix, LLC, Winston-Salem, NC
Mario Downs , Department of Social Sciences and Health Policy, Division of Public Health Sciences, Wake Forest University School of Medicine, Wake Forest School of Medicine, Winston-Salem, NC
Jorge Alonzo, JD , Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC
Stacy Duck, BS , 401B North Ivey Ave, Chatham Social Health Council, Siler City, NC
Manuel Garcia , Chatham Social Health Council, Siler City, NC
Cynthia Miller, AAS , Division of Public Health Sciences/Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC
Eun-Young Song, PhD , Department of Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC
Beth A. Reboussin, PhD , Department of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC
Ralph DiClemente, PhD , Rollins School of Public Health and Center for AIDS Research, Emory Univeristy, Atlanta, GA
Eugenia Eng, MPH, DrPH , Department of Health Behavior and Health Education, University of North Carolina, Chapel Hill, NC
Scott Rhodes, PhD, MPH, CHES, FAAHB , Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC
Latino communities in the United States have been disproportionately affected by HIV, yet efforts to reduce infection rates among Latinos lag behind prevention efforts targeting other communities. Our community-based participatory research (CBPR) partnership has developed an intervention designed to reduce sexual risk among heterosexual Latino men.

The intervention includes the training and ongoing support of lay health advisors, known as “Navegantes”, to provide formal and informal support to reduce HIV risk among members of their soccer team-based social networks. Navegantes are trained using dynamic and interactive activities and games, group discussion, and skills-building exercises. Training also includes 6 DVD vignettes that our partnership developed. These discreet vignettes are embedded within the intervention and serve as triggers for discussion and provide role modeling.

Negotiating Condom Use is one of the vignettes. It is used to train the Navegantes, and subsequently they use the vignette to train members of their soccer team-based social networks. The vignette is designed to influence opinions and dispel myths about condom use, as well as demonstrate proper condom use and successful condom-use negotiation. The vignette is particularly innovative because it includes the challenges faced by a Latino man who wants to use a condom, exploring what condom use might mean to his male friends (e.g., “he is less of a man”) and to his female sexual partner (e.g., “he is being unfaithful”); he role models how to reframe negative and bolster positive perspectives and expectations around condom use.

(English-language subtitles have been added for the APHA Film Festival.)

Vignette available at: http://69.89.31.94/~ellenhen/client1/ellenhendrix_APHA_Film_Festival_2012/Negotiating_-_Heterosexual.html

Learning Areas:
Administer health education strategies, interventions and programs
Diversity and culture
Implementation of health education strategies, interventions and programs
Public health or related education
Social and behavioral sciences

Learning Objectives:
By the conclusion of the presentation, the participant will be able to: 1) Identify commonly held misconceptions about sexual risk and condom use; 2) Describe the correct way to use a condom; and 3) Outline successful ways to discuss and negotiate condom use with a resistant partner.

Keywords: Latino Health, HIV Interventions

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Ms. Hendrix has >16 years experience creating TV and radio spots, and corporate, industrial and documentary video. She has been a a member of a large community-based participatory research (CBPR) partnership in NC, leading all video/DVD production for NIH- and CDC-funded health promotion and disease prevention projects.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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