Effectiveness of a condom use educational program developed on the basis of the Information–Motivation–Behavioral Skills model

Authors


Yoshiko Kudo, College of Nursing Art & Science, University of Hyogo, 13-71 Kitaoji-cho, Akashi, Hyogo 673-8588, Japan. Email: yoshiko_kudou@cnas.u-hyogo.ac.jp

Abstract

Aim:  To assess a condom use educational program developed using the Information–Motivation–Behavioral Skills (IMB) model to enable Japanese young people to use condoms.

Methods:  The program was implemented in two sessions of approximately 90 min each over a 2 day period. The participants underwent the program in small same-sex groups. The study participants were divided into the intervention group (n = 94) and the control group (n = 186). Knowledge relating to HIV/sexually-transmitted diseases (STDs), attitudes towards contraception and sex, the risk perceptions of pregnancy and HIV/STD infection, anticipated reaction to proposed condom use, self-efficacy of condom use, and sexual behaviors were assessed. Data were obtained at baseline, immediately after the program, and 1 and 3 months after the program or baseline survey.

Results:  Intervention group participants with experience of sexual intercourse (n = 14) had significantly higher scores for knowledge relating to HIV/STDs, self-efficacy of condom use, and relief/confusion associated with condom use than the control group (n = 13) at the 1 and 3 month surveys. Intervention group participants with no experience of sexual intercourse (n = 14) had significantly higher scores for knowledge relating to HIV/STDs and self-efficacy of condom use, and significantly lower scores for condom avoidance, than the control group (n = 116). Condom use behavior was not changed in either group.

Conclusion:  The program used in this study did not promote condom use, but it increased knowledge relating to HIV/STDs and self-efficacy of condom use and reduced resistance to condom use.

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