Behavior Modification

 

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Behavior Modification, Vol. 29, No. 2, 318-369 (2005)
DOI: 10.1177/0145445504272605

An Intervention to Promote the Female Condom to Sexually Transmitted Disease Clinic Patients

Lynn Artz

Maurizio Macaluso

University of Alabama-Birmingham

Joseph Kelaghan

National Institute of Child Health and Human Development

Harland Austin

Emory University

Michael Fleenor

Jefferson County Department of Health

Lawrence Robey

Madison County Health Department

Edward W. Hook, III

University of Alabama-Birmingham

Ilene Brill

University of Alabama-Birmingham

This article describes a 1-hour behavioral intervention designed to promote female condoms and safer sex to women at a high risk for sexually transmitted diseases (STDs). The intervention includes a promotional videotape; a skills-oriented counseling session with a nurse clinician; assorted take-home items, including a videotape for men; and free supplies of female and male condoms. Designed for women ages 18 to 34 attending public STD clinics, the intervention is developed using a systematic process of formative evaluation influenced by principles of social marketing and drawing on the social cognitive theory. The effect of the intervention on female and male condom use is evaluated using a pretest-posttest design with 1,159 women. Most elements of the intervention could be replicated in settings other than STD clinics and delivered by persons other than nurse clinicians.

Key Words: sexually transmitted diseases • HIV and AIDS prevention • women • female condoms • condom promotion • behavioral intervention


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