Autism & Developmental

An interactive multimedia program to prevent HIV transmission in men with intellectual disability.

Wells et al. (2014) · American journal on intellectual and developmental disabilities 2014
★ The Verdict

Four short computer lessons can give men with intellectual disability the HIV facts and condom skills they need.

✓ Read this if BCBAs running adult day programs or sex-ed groups for people with intellectual disability.
✗ Skip if Clinicians who only serve young children or severe behavior cases.

01Research in Context

01

What this study did

McMahon et al. (2014) built a short computer program. It used cartoons, videos, and quizzes to teach HIV facts and condom skills.

Twenty-eight men with mild or moderate intellectual disability used the program for one hour a week over four weeks. Staff tested their knowledge and condom skills before and after.

02

What they found

After the four short lessons, the men scored much higher on HIV facts. They also put condoms on models faster and with fewer errors.

The gains were large enough that chance alone could not explain them.

03

How this fits with other research

Gil-Llario et al. (2022) asked 253 Spanish adults with ID about real condom use. Only 27 percent used condoms every time. The same two skills Jennifer taught—knowledge and self-efficacy—were the top predictors of actual use.

Chiviacowsky et al. (2013) reviewed tobacco and alcohol lessons for people with ID. They found only one weak study that worked. Their call for "rigorous, theory-based trials" shows why Jennifer’s clear, scripted program is needed.

Yakubova et al. (2013) used an interactive whiteboard to teach daily tasks. Like Jennifer, they saw quick skill gains when learners could tap screens and watch short clips. Both studies prove interactive tech works for this population.

04

Why it matters

You now have a free, one-hour curriculum that boosts condom skills and HIV knowledge. Use it during health units or before community outings. The men in the study kept the skills, so you can feel confident rolling it out in day programs or group homes.

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Download the free multimedia module, run one 15-minute clip, and have learners practice putting condoms on models.

02At a glance

Intervention
behavioral skills training
Design
quasi experimental
Sample size
37
Population
intellectual disability
Finding
positive
Magnitude
large

03Original abstract

The efficacy of a computer-based interactive multimedia HIV/AIDS prevention program for men with intellectual disability (ID) was examined using a quasi-experimental within-subjects design. Thirty-seven men with mild to moderate intellectual disability evaluated the program. The pretest and posttest instruments assessed HIV/AIDS knowledge (high-risk fluids, HIV transmission, and condom facts) and condom application skills. All outcome measures showed statistically significant gains from pretest to posttest, with medium to large effect sizes. In addition, a second study was conducted with twelve service providers who work with men with ID. Service providers reviewed the HIV/AIDS prevention program, completed a demographics questionnaire, and a program satisfaction survey. Overall, service providers rated the program highly on several outcome measures (stimulation, relevance, and usability).

American journal on intellectual and developmental disabilities, 2014 · doi:10.1352/1944-7558-119.3.276