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USING TECHNOLOGY TO REACH DIVERSE POPULATIONS Versie Johnson-Mallard, PhD, MSc, MSN, WHNP-BC

Dianne Morrison-Beedy (Dean ). USING TECHNOLOGY TO REACH DIVERSE POPULATIONS Versie Johnson-Mallard, PhD, MSc, MSN, WHNP-BC Assistant Professor, University of South Florida College of Nursing; Robert Wood Johnson Foundation Nurse Faculty Scholar. 1. Disclosures.

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USING TECHNOLOGY TO REACH DIVERSE POPULATIONS Versie Johnson-Mallard, PhD, MSc, MSN, WHNP-BC

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  1. Dianne Morrison-Beedy (Dean) USING TECHNOLOGY TO REACH DIVERSE POPULATIONS Versie Johnson-Mallard, PhD, MSc, MSN, WHNP-BC Assistant Professor, University of South Florida College of Nursing; Robert Wood Johnson Foundation Nurse Faculty Scholar 1

  2. Disclosures I have no financial interests or conflicts of interest to report. Co-presenters: • Rosa Maria Gonzalez-Guarda, PhD, MPH, RN, CPH • Robert Wood Johnson Foundation Nurse Faculty Scholar; Assistant Professor School of Nursing University of Miami • Rasheeta Chandler, PhD, ARNP, FNP-BC • Assistant Professor University of South Florida, College of Nursing

  3. Purpose • The primary aim of our research is to benefit society by improving the health of vulnerable individuals, families, and communities, through the use of technology as a vehicle for information dissemination

  4. Educational Objectives Using technology to explore if gender and sexual self-efficacy are potential elements of safer sex practices such as condom use and communication skills. • A look at individual factors amongst a diverse group of college students with regard to safer sexual health practices and prevention of Viral STIs (e.g. HPV, HIV, HSV)

  5. Natural History of HPV Responsible for about 50-70% of CIN2 and CIN3 35-50% of CIN1, VIN1, VaIN None Oncogenic Oncogenic HPV 6/11 Positive 15 genotypes have been identified as HR or oncogenic HPV 16 and 18 may cause benign changes and mild cellular abnormality, and are associated with external genital warts or condylomata Have the potential To cause neoplasia and cancer

  6. Prevalence Rates of Cervical HPV 6

  7. Transient CIN 1 PERSISTENT INFECTION TRANSIENT INFECTION Average of 10 Years If not detected HPV Infection CIN 2, 3 Invasive Cancer Average 6-24 Months 70-90% clear in 6- 24 Months HPV Clearance 7 Adapted from Cox JT. Natural history of HPV. Online CME. www.ASCCP.org. 2009. M. Gold and N. Huff, thank you

  8. Posttest 3Months Baseline Interventions Demographics Skill Building Multi-Media Presentation (e.g. Captivate 5) Both groups Control group Posttest Second Life crossover Sexual Self Efficacy Experimental Group Posttest Health Cards From CDC Experimental Group Only STI Knowledge

  9. Goal of Interventions To educate women and men on viral sexually transmitted infections (STIs) and to offer ways to strengthen self-efficacy for the prevention of viral sexually transmitted infections, through innovative internet communications and educational material that may improve knowledge and understanding of viral sexually transmitted infections.

  10. Lets Talk Loving that can lead to Nasty Infection Viral sexually transmitted infections are contagious infections with no known cure that are contracted by unprotected sexual intercourse. Viral sexually transmitted infections have NO Cure. This was reinforced weekly for three months with electronic message cards (e.g. CDC)

  11. UNIVERSITY OF SOUTH FLORIDA COLLEGE OF NURSING Demographics

  12. UNIVERSITY OF SOUTH FLORIDA COLLEGE OF NURSING Preliminary Results Demographics Pretest Results An interesting findings was a small percentage (7.1%) of females identified birth control pill use as a STI prevention method Females showed higher Sexual self efficacy for refusal sexual intercourse and question potential sex partners • 7.8% freshman, • 12.2% sophomore, • 25.9% Junior, • 28.6% senior, • 23.1% graduate students • House or apartment (65%) • Privately insured (64%) years

  13. UNIVERSITY OF SOUTH FLORIDA COLLEGE OF NURSING Future Research Based upon Preliminary Data Foundation for Program of Research Plans for Future Data Develop and conduct a large randomized control trial on education interventions to decrease STIs, plan for submission of R01 Develop and utilize a sound research team to refine and revise implementation process for all future grant submissions Disseminate findings locally, nationally and internationally via conferences and publications • Master’s theses focus STIs brief intervention 1:1 • National Research Service Award/NIH STI intervention, group intervention • National HBCU Research Network focus was intervention work, group intervention • RO3 (scored 253) intervention, web based intervention • RWJF, web based intervention • Internal Grant USF Pilot an investigator developed STIKs, web based survey • DHHS/OWH school health STI intervention • P20 NIH/NCI community participatory

  14. Acknowledgements Rajendra Kadel Anna Giuliano Lissa Mangini Loretta Jemmott Belinda Rose James Research Assistant Cecile Lengacher Nancy F . Woods Kevin Kip Nilda Peragallo Research Team and Mentors

  15. Thank You • Questions????????????????????????????????????????????????????????????? • Funded by RWJF Nurse Faculty Scholars Program: 9301022-0001; IRB:108452 I

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