An intervention to promote the female condom to sexually transmitted disease clinic patients.

Artz et al. (2005) tested a one-hour clinic package to boost condom use among women at STD clinics. The package had three parts: a short video, hands-on skills coaching, and free condoms. Staff ran the session right in the clinic before the patient left.

No control group was used. The team simply asked women about condom use before the visit and again later to see if the single session helped.

More women reported using condoms after the session than before it. The paper does not give numbers or stats, but the trend was upward.

The clinic staff could deliver the whole package in about 60 minutes, making it easy to fit into busy STD clinic flow.

Brinton et al. (1996) used the same BST steps—explain, show, practice, feedback—to teach moms how to plan activities for kids with disabilities. Their study had control built in and showed big drops in child problem behavior. Lynn’s work extends BST from parenting to adult sexual health, showing the steps travel across topics.

Finney et al. (1995) pitted BST against a passive film for teaching testicular self-exam. The checklist-based BST group performed fuller exams. Lynn’s package also mixed video with live coaching, echoing that winning combo.

Three Taiwan papers—Huang et al. (2012), Lin et al. (2010), and Yen et al. (2015)—paint a grim picture: only 8–22% of women with intellectual or mental disabilities ever get Pap smears. Lynn’s work offers a ready-made tool to close such gaps. If BST can lift condom use in one visit, it may also lift screening uptake in women who face extra barriers.

You can steal this package tomorrow. Script a 5-minute video, add a 3-step role-play, hand out the product, and you have a BST loop that fits a lunch break. Start with any single behavior—condom use, testicular self-exam, or even dental flossing—and measure pre-post change. Lynn shows the bar is low: one hour, no extra staff, and you still move the needle.