Effective Interventions

Effective Interventions

High Impact Prevention

Safe in the City (SITC) is a 23-minute HIV/STD prevention video for STD clinic waiting rooms. This video has been shown to be effective in reducing sexually transmitted diseases (STDs) among diverse groups of STD clinic patients. Safe in the City aims to increase condom use and other safer sex behaviors, and thereby reduce infections among patients who view the video in the clinic waiting room.

Safe in the CitySafe in the City can be easily integrated into the clinic waiting room, requires very little staff time to set up with no disruption to clinic flow, and requires no counseling or small-group facilitation. Safe in the City was designed as a looping video where multiple playback options allow users to customize intervention delivery.

Get the Safe in the City kit here.

Safe in the City Net Meeting - (Archived)

The Centers for Disease Control and Prevention (CDC) and the Denver Health & Hospital Authority, with assistance from the Academy for Educational Development (AED), held a one-hour Safe in the City Net Meeting.

April 15, 2009, 2:00 PM EST
View & listen to the net meeting. (Windows Media File).  

Get quick facts and updates on the Safe in the City intervention here.

Research and Development

Warner, L., Klausner, J.D., Rietmeijer, C.A., Malotte, C.K., O'Donnell, L., Margolis, A.D., Greenwood, G.L., Richardson, D., Vrungos, S., O'Donnell, C.R., and Borkowf, C.B., for the Safe in the City Study Group (2008). Effect of a Brief Video Intervention on Incident Infection among Patients Attending Sexually Transmitted Disease Clinics. PLoS Medicine 5(6): e135.

Review the Safe in the City research articles:

Interested in hearing Safe in the City podcasts? (media player required)

Dr. John Douglas, Director of CDC Division of STD Prevention speaks about the Safe in the City study findings. Listen to Dr. John's podcast or read Dr. John's transcript.

Dr. Lee Warner, Senior Scientist in the CDC Division for Reproductive Health, and the article's lead author, discusses the Safe in the City intervention and the study's results. Listen to Dr. Lee's podcast or read Dr. Lee's transcript.

Program Review Panel Information

The CDC requires all CDC-funded agencies using the Safe in the City intervention to identify, or establish, and utilize a Program Review Panel and complete Form 0.1113 to document this activity. The intervention researchers and developers are not involved in this activity. This a CDC requirement for their grantees, and all questions in this regard should be directed to your agency's CDC Project Officer or to the health department funding your agency's implementation of the intervention.

The Program Review Panel guidelines, instructions for completion of Form 0.113, and the form itself are available under the Related Links section of this website.

CDC Policy on Youth Peer Outreach Workers

CDC funded (directly or indirectly) agencies using youth (either paid or volunteer) in program outreach activities need to use caution and judgment in the venues/situations where youth workers are placed. Agencies should give careful consideration to the "age appropriateness" of the activity or venue. Additionally, agencies should comply with all relevant laws and regulations regarding entrance into adult establishments/environments. Laws and curfews should be clearly outlined in required safety protocols developed and implemented by agencies directly and indirectly funded by CDC.

If you have specific questions, please contact your CDC project officer.

More Info

SITC Core Elements

  • Increase knowledge and perception of HIV/STD risk
  • Promote knowledge of correct condom use
  • Promote positive attitudes toward condom use
  • Increase intentions to use condoms
  • Build self-efficacy for testing, facilitating partner testing and treatment
  • Build self-efficacy for practicing safer sex, and the acquisition, negotiation, and use of condoms
  • Build skills for facilitating partner testing and treatment
  • Build skills for practicing safer sex, and the acquisition, negotiation, and use of condoms
  • Model appropriate behaviors around practicing safer sex

The materials on this site are designed for HIV/AIDS prevention with persons at risk for acquiring or transmitting HIV. They are meant to be resources used by HIV prevention providers such as health departments and community-based organizations so as to provide the best evidence-based HIV prevention services. These materials are not meant for the general public. They are not meant for children. They are not school-based HIV prevention strategies.