Program

Sep 29, 2009

OVERVIEW

The Technical Skills Condom Use Program is a self-efficacy
intervention designed to increase students’ confidence in using condoms. In
this study, students were randomly assigned to a technical skills group,
communication skills group, or a control group. The technical skills group
showed significant impacts on positive attitudes towards condoms, condom use
self-efficacy, intention to use condoms, and perceived vulnerability to HIV when
compared with the control group. However, there was no impact on frequency of
condom use at the three-month follow-up. Impacts on condom use self-efficacy
and attitudes toward condoms held during the follow-up.

DESCRIPTION OF PROGRAM

Target population: College students

The Technical Skills Condom Use Program focuses on
increasing participants’ belief (or self-efficacy) in their correct usage of
condoms. The program emphasizes comfort, familiarity, and hedonistic beliefs
about condom use. Students rate a variety of condoms on texture, taste, and
appearance and discuss ways to eroticize condom use. Five to nine students meet
in groups led by trained peer co-facilitators. Groups meet in two, 1.5 hour
sessions over two weeks.

A pair of facilitators recruited from a student
organization in the campus health center leads each group. Through their work
at the health center, facilitators are familiar with reproductive health
issues. The facilitators receive four hours of training with an emphasis on
strict adherence to the technical skills intervention protocol Facilitators
ranged in age from 19 to 22 years old.

EVALUATION(S) OF PROGRAM

Sanderson, C. A., & Jemmott, J. B. (1996). Moderation
and mediation of HIV-prevention interventions: Relationship status, intentions,
and condom use among college students. Journal of Applied Social Psychology,
26(23), 2076-2099.

Evaluated population: One-hundred and thirty six
college students who responded to an advertisement for volunteers for safer sex
education. Ninety-seven percent of the participants were heterosexual and 71%
had engaged in sexual intercourse at least once. The mean age at first
intercourse was approximately 17 years.

Approach: Subjects were randomly assigned to one of
three groups: a technical skills group (TS), communication skills group (CS),
and a wait-list control group. The CS group engaged in discussions and role
play about communicating issues surrounding HIV testing, sexual history, and
personal beliefs about sex. For more information about the communication skills
self-efficacy program, click

here
.

At pre-test, post-test, and three-month follow-up, students
were assessed on condom use self-efficacy, attitudes towards condoms, perceived
vulnerability to HIV, intention to use condoms, and condom use.

Results: At post-test, students in both treatment
conditions reported significantly more positive attitudes towards condoms (a
large effect size of 0.86), greater condom use self-efficacy (effect size =
0.80), greater intention to use condoms (effect size = 0.45), and greater
perceived vulnerability to HIV (a medium effect size of 0.47) when compared
with the control group.

At three months, only attitudes toward condoms (a medium
effect size of 0.58) and condom use self-efficacy (effect size = 0.52) remained
significant. There was a marginally significant impact on intentions to use
condoms (p = 0.06). Additionally, frequency of condom use had no significant
impact when comparing treatment and control groups.

SOURCES FOR MORE INFORMATION

References:

Sanderson, C. A., & Jemmott, J. B. (1996). Moderation and
mediation of HIV-prevention interventions: Relationship status, intentions, and
condom use among college students. Journal of Applied Social Psychology, 26(23),
2076-2099.

KEYWORDS: Young Adults (18-24), College, Co-ed,
Clinic-based, Sexual Activity, Condom Use and Contraception,
STD/HIV/AIDS, Self-Efficacy, Teen
Pregnancy, Other Social/Emotional Health

Program
information last updated 9/29/09.