Robert M. Becker, M.S. & Dana Czuczka, MPH Planned Parenthood of New York City

1. Men’s Waiting Room Education Project:Utilizing Technology to Educate and Motivate Male Partners in an Urban Health Center Robert M. Becker, M.S. & Dana Czuczka, MPHPlanned Parenthood of New York City

2. Introduction In an effort to make our health centers more male-friendly, Planned Parenthood of New York City (PPNYC) established a unique waiting room education project to educate and motivate the male partners of our female clientele to become more constructively involved in family planning and reproductive and sexual health. APHA 2003 San Francisco, CA

3. Introduction A computer, LCD projector, and VCR were installed in our waiting room to run Microsoft Powerpoint slideshows and educational videos emphasizing the positive role men can play in sexual decision-making and healthy and equitable relationships. APHA 2003 San Francisco, CA

4. Background on Slideshow • Slides are created in-house by Education, Clinical Service, and Public Affairs staff. • Topics include: Contraception, Safer Sex, STD/HIV Prevention, Healthy Relationships, Male Involvement, Partner Support, Male Reproductive Health, Advocacy for Reproductive Health • Over 250 slides, loops continuously, each slide shown for approximately 10-20 seconds • Slideshow on 6 days a week, all day, reaching approximately 30 people per day/9000 per year • Cost of equipment and installation, approximately $5000 APHA 2003 San Francisco, CA

5. Goals of the Project • To educate men (and women) within the health center waiting room about sexuality and sexual/reproductive health using male-positive, supportive messages • To motivate men to play a positive role in their own and their partner’s reproductive health • To create a male-friendly environment within the health center waiting room APHA 2003 San Francisco, CA

6. Sample Slides from the Show APHA 2003 San Francisco, CA

7. Sample Slides from the Show APHA 2003 San Francisco, CA

8. Research Questions What impact does the slideshow have on waiting room occupants’… • Comfort in the waiting room? • Knowledge about sexual and reproductive health issues? • Motivations to protect their own and/or their partner’s sexual and reproductive health? Additionally, what can viewers of the slideshow tell us to improve the appearance, messages, and administration of the slideshow? APHA 2003 San Francisco, CA

9. Research Design APHA 2003 San Francisco, CA

10. Survey Measurements APHA 2003 San Francisco, CA

11. Demographics of Survey Participants APHA 2003 San Francisco, CA

12. Viewer Data on Slide Appearance APHA 2003 San Francisco, CA

13. Viewer Data on Slide Messages APHA 2003 San Francisco, CA

14. Comfort Comparisons “I felt comfortable in this waiting room today” *Difference not statistically significant**Number of negative comments for this item/n***Difference is statistically significant (p<.05) APHA 2003 San Francisco, CA

15. Comfort Comparisons “I felt bored in this waiting room today” *Difference is statistically significant (p<.01)**Difference is statistically significant (p<.05) APHA 2003 San Francisco, CA

16. Comfort Comparisons “The amount of time I waited here today was acceptable” No statistical difference between groups APHA 2003 San Francisco, CA

17. Viewer Knowledge

18. Viewer Motivations APHA 2003 San Francisco, CA

19. Knowledge Comparisons

20. Knowledge Comparisons (Men Only)

21. Motivation Comparisons APHA 2003 San Francisco, CA

22. Some Qualitative Comments from Viewers • Pace/Speed: Some commented too fast, others commented too slow • Learned something new:“I didn’t know you should put condoms in your wallet”“Learned there are health clinics for men”“Would like to see more facts that nobody knows about like condoms being kept in a cool place” • Other suggestions:“Let teenagers design the slides”“Include real life stories”“Include sound or music”“Would like to see gay and proud ads” APHA 2003 San Francisco, CA

23. Additional Comments & Suggestions Most frequent comments: • Need television, educational videos, movies, music playing (20%) • Complaints about wait time and appointments (15%) • Need magazines and educational brochures (11%) • Crowded room, too few chairs, uncomfortable seats (8%) • Complaints about staff attitude and service (7%) APHA 2003 San Francisco, CA

24. Viewer Findings • 89% thought the messages in the slideshow were important • 84% thought the messages in the slideshow were helpful • 51% learned something new • Those who watched the show had more than half fewer negative comments about their comfort in the waiting room • Those who watched the show had significantly fewer comments (17% viewers to 83% comparison group) about their experience in the waiting room; this finding suggests the show provided significant attraction and/or detraction from the viewers need to provide negative or critical feedback on their experience in the waiting room *Percentages equal aggregated “Agree” and “Strongly agree” responses. APHA 2003 San Francisco, CA

25. Additional Findings • Men in viewer groups demonstrated significant knowledge increases on emergency contraception, testicular cancer, and STD testing • Men demonstrated significant acquired knowledge (“learned today”) on emergency contraception and testicular cancer • Viewers did better than the comparison group only on typically “harder” knowledge items, i.e. emergency contraception and testicular cancer • Viewers were significantly more motivated not to engage in unprotected intercourse • There were no statistically significant differences in motivation on any items for men only APHA 2003 San Francisco, CA

26. Next Steps • Expansion of project to PPNYC’s two other health facilities • Increasing content to include information about women’s sexual and reproductive health • New sequences of slides including “virtual visits” and other slides to make waiting room occupants more aware of what will happen on their or their partner’s visit • Increased bilingual slides (Spanish) • Stronger / more consistent use of educational videos • Focus groups to gain more feedback on use of slideshow • More research on improving viewers acquisition of knowledge and motivation to change behaviors APHA 2003 San Francisco, CA