Comparing theory-based condom interventions: Health belief model versus theory of planned behavior.

Montanaro, Erika; Bryan, Angela D.

doi:10.1037/a0033969

Cited by 109 publications

(77 citation statements)

References 47 publications

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“…The observation that the theoretical grounding of the intervention did not matter may reflect the fact that the most prominent health behavior theories rely on a similar set of constructs (see Table 1). To the extent that investigators identify explicit distinctions among theories in how these constructs influence behavior, more focused experimental comparisons may be informative (see Montanaro & Bryan, 2014). Similarly, investigators may also want to consider theoretically grounded tests of differential effects of these constructs across populations.…”

Section: Discussionmentioning

confidence: 99%

The impact of changing attitudes, norms, and self-efficacy on health-related intentions and behavior: A meta-analysis.

et al. 2016

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(2016) The impact of changing attitudes, norms, and self-efficacy on health-related intentions and behavior: a meta-analysis. Health Psychology, 35 (11). pp. 1178-1188 This version is available from Sussex Research Online: http://sro.sussex.ac.uk/58976/ This document is made available in accordance with publisher policies and may differ from the published version or from the version of record. If you wish to cite this item you are advised to consult the publisher's version. Please see the URL above for details on accessing the published version. Copyright and reuse:Sussex Research Online is a digital repository of the research output of the University.Copyright and all moral rights to the version of the paper presented here belong to the individual author(s) and/or other copyright owners. To the extent reasonable and practicable, the material made available in SRO has been checked for eligibility before being made available.Copies of full text items generally can be reproduced, displayed or performed and given to third parties in any format or medium for personal research or study, educational, or not-for-profit purposes without prior permission or charge, provided that the authors, title and full bibliographic details are credited, a hyperlink and/or URL is given for the original metadata page and the content is not changed in any way. CHANGING HEALTH BEHAVIORS 1The Impact of Changing Attitudes, Norms, and Self-Efficacy on Health-Related Intentions and Behavior: A Meta-Analysis CHANGING HEALTH BEHAVIORS 2 AbstractObjective: Several health behavior theories converge on the hypothesis that attitudes, norms, and self-efficacy are important determinants of intentions and behavior. Yet inferences regarding the relation between these cognitions and intention or behavior rest largely on correlational data that preclude causal inferences. To determine whether changing attitudes, norms, or self-efficacy leads to changes in intentions and behavior, investigators need to randomly assign participants to a treatment that significantly increases the respective cognition relative to a control condition, and test for differences in subsequent intentions or behavior. The present review analyzed findings from 204 experimental tests that met these criteria. Methods: Studies were located using computerized searches and informal sources and meta-analyzed using STATA Version 11.Results: Experimentally induced changes in attitudes, norms, and self-efficacy all led to mediumsized changes in intention (d+ = .48, .49, and .51, respectively), and engendered small to medium-sized changes in behavior (attitudes-d+ = .38; norms-d+ = .36; self-efficacy-d+ = .47).These effect sizes generally were not qualified by the moderator variables examined (e.g., study quality, theoretical basis of the intervention, methodological characteristics, features of the targeted behavior), although effects were larger for interventions designed to increase (vs. decrease) behavioral performance. Conclusion: The present review lends novel, experimental support...

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Section: Discussionmentioning

confidence: 99%

The impact of changing attitudes, norms, and self-efficacy on health-related intentions and behavior: A meta-analysis.

et al. 2016

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“…While these developments may help youth form and maintain successful romantic relationships, they may also play a direct role in the abandonment of condom use. Condom use is an interpersonal behavior that is laden with social constructions and consequences 7 , particularly in the context of adolescent romantic relationships. Thus, research on adolescent condom use that focuses exclusively on individual motivations, while certainly an important piece of the puzzle, may not produce a complete picture of the determinants of the behavior, especially for female youth 30 .…”

Section: Discussionmentioning

confidence: 99%

“…Knowledge about sexual risk does not, in fact, translate to protected health behavior including condom use 6 . Further, evaluation of traditional psychosocial constructs including attitudes, intentions, norms, and self-efficacy about condom use show promise 7 , but do not fully account for this behavioral gap 5 .…”

Section: Introductionmentioning

confidence: 99%

A Question of Love and Trust? The Role of Relationship Factors in Adolescent Sexual Decision Making

Ewing

Bryan

2015

Journal of Developmental &Amp; Behavioral Pediatrics

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Objective While representing only 25% of the sexually active population, 50% of all new STI infections occur among young people, mostly due to inconsistent condom use. Critically, the majority of adolescent sexual activity takes place in the context of romantic relationships, thus it is important to understand how relationship factors may influence decision-making about the use, or not, of protection. Method We utilized a mixed method approach to investigate the extent to which relationship length, degree of trust or love in the relationship, and frequency of intercourse influence both perceptions of the probability of condom use and self-reported condom use in the context of relationships among a diverse sample of high risk adolescents (ages 12–19). Results Participants were least likely to use condoms if they were in relationships with high trust/love and high frequency of intercourse. Importantly, sexual experience status was a strong moderator of primary effects. Conclusion The perspective of motivated cognition provides a useful theoretical framework to better understand adolescent decision-making about condom use, particularly for sexually experienced youth.

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“…On the other hand, the TPB has predicted 33 and 43 % of the intention to use condoms in young people [15][16][17], the intention to refuse sex with a new partner [18] or the intention to use contraception [19]. In a meta-analysis by Albarracin, Johnson, Fishbein and Muellerleile, a total of 96 studies using the TPB as a basic model to explain the condom use were examined [20].…”

Section: Introductionmentioning

confidence: 99%

Structural Equation Modeling Test of an Integrated Model of Spanish Youth’s Condom Use

2016

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Heterosexual transmission represents 26 % of newly diagnosed infection in Spanish youth. Behavioral change models have emphasized the influence of multiple variables to predict condom use behavior. The aim of this study is to examine how those variables are organized and which theory explains the condom use behavior better. A sample of 424 young heterosexuals (M age = 20.62; SD = 2.16) filled out a battery of self-report questionnaires for assessing AIDS-related variables, personality traits and clinical variables (general, sexuality-related and health-related). A structural model was specified that included perceived pleasure and condom use self-efficacy as predictive variables. Depression and sexual compulsivity indirectly influence behavior. The final model accounted for 65.9 % of the variance in behavior. These results highlight the importance of cognitive and emotional variables as predictors of behavior (ex. expectations of pleasure and self-efficacy beliefs). This is important information for designing effective psychological interventions.Resumen La transmisión heterosexual representa el 26 % de los nuevos diagnósticos de VIH en los jóvenes españoles. Los modelos de cambio de comportamiento han enfatizado la influencia de múltiples variables para predecir el uso del preservativo. El objetivo del presente estudio es examinar cómo se organizan estas variables y qué teoría explica mejor esta conducta. Una muestra de 424 jóvenes heterosexuales (x edad = 20.62; SD = 2.16) completó una batería de cuestionarios sobre Sida, rasgos de personalidad y variables clínicas (generales, sexuales y de salud). Los resultados obtenidos utilizando modelos de ecuaciones estructurales apoyan una relación directa entre uso del preservativo y autoeficacia y placer percibido. Las variables depresión y compulsividad sexual influyen indirectamente sobre la conducta. El modelo explica el 65.9 % de la varianza. Estos resultados destacan la importancia de las variables cognitivas y emocionales como predictoras del comportamiento. Esta información es importante para el diseño de intervenciones psicológicas eficaces.

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Comparing theory-based condom interventions: Health belief model versus theory of planned behavior.

Cited by 109 publications

References 47 publications

The impact of changing attitudes, norms, and self-efficacy on health-related intentions and behavior: A meta-analysis.

The impact of changing attitudes, norms, and self-efficacy on health-related intentions and behavior: A meta-analysis.

A Question of Love and Trust? The Role of Relationship Factors in Adolescent Sexual Decision Making

Structural Equation Modeling Test of an Integrated Model of Spanish Youth’s Condom Use

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