School-based, randomised controlled trial of an evidence-based condom promotion leaflet

Area of Science:

• Public Health
• Health Behavior
• Adolescent Health

Background:

• Condom use is crucial for preventing sexually transmitted infections and unintended pregnancies.
• Previous research suggests motivational incentives can enhance health promotion effectiveness.
• Cognitive and behavioral factors influence adolescent condom use.

Purpose of the Study:

• To evaluate the effectiveness of a condom use promotion leaflet combined with incentives among older teenagers.
• To assess the intervention's impact on cognitive and behavioral antecedents of condom use.
• To determine if the intervention increased actual condom use.

Main Methods:

• A randomized controlled trial was conducted with 404 students.
• The intervention group received a 20-minute leaflet, quiz, and prize draw.
• A control group received no leaflet or incentives. Measures were taken pre- and post-intervention.

Main Results:

• The intervention significantly improved attitudes towards condom use with new and steady partners.
• It also enhanced normative beliefs, self-efficacy, and intention to use condoms.
• Preparatory actions like purchasing, carrying, and discussing condoms increased, but actual condom use did not.

Conclusions:

• The leaflet and incentive intervention effectively influenced cognitive and behavioral precursors to condom use in adolescents.
• While positive changes in attitudes and intentions were observed, further research is needed to increase actual condom use.
• The study highlights the potential of targeted interventions to promote safer sexual practices among teenagers.