Abstract
Introduction: Adolescents are a vulnerable group to acquire sexually transmitted infections and to experience a pregnancy. This can be prevented through theory-based interventions on male condom use self-efficacy. The goal of the present study is the adaptation, acceptability evaluation and pilot testing of an intervention, to increase perceived male condom use self-efficacy among Mexican adolescents.
Method: A three-stage intervention adaptation model (evaluation, preparation and implementation) compounded of five steps (completed up to the four step) was used: 1) reviewing the literature to identify theory-based interventions for increasing condom use perceived self-efficacy, and authors contact; 2) two interventions were selected for the adaptation process; 3) preparation of the interventions content to be applicable to Mexican adolescents (language, activities and information modification); the intervention “Usando Condón” was piloted in a sample of 56 adolescents belonging to a public high school in Puebla. Intervention acceptability was qualitatively assessed and analyzed through thematic analysis. The outcome variable (self-efficacy) was measured through a specific Mexican adolescent’s scale. Self-efficacy levels were compared after the intervention (test and re-test).
Results: The adapted intervention used the core components of the interventions that served as basis for the adaptation process (HIV/AIDS, condom use [beliefs, negotiation, access, benefits, consequences of using it, modeling] and gender roles). Cognitive mapping, story examples and condom use modeling through anatomical penis models were used. Information was updated and information on emergency contraception was added. Scenarios and doses of the primary interventions were modified, resulting in “Usando Condón” a 2-sessions intervention of 90 minutes each for Mexican adolescents, implemented by nurses. The intervention assistance was 100%. The intervention was qualitatively acceptable by the participants, suggesting minor modifications regrading to the technological support tools, content, and activities. Student's t test showed significant changes between measurements before and after the intervention exposition (p <.05).
Discussion or Conclusion: “Usando Condón” can be implemented by previously trained health professionals and in similar contexts, considering that it needs constant evaluation and adaptation according to the population’s characteristics. Additionally, preliminary results suggest that the intervention increases the male condom use perceived self-efficacy levels among Mexican adolescents.References
Bandura, A. (1978). Self-efficacy: Toward a unifying theory of behavioral change. Advances in Behaviour Research and Therapy, 1(4), 139-161. DOI: https://doi.org/10.1016/0146-6402(78)90002-4
Bandura, A. & National Institute of Mental Health. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ, US: Prentice-Hall, Inc.
Braun, V. & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. DOI: 10.1191/1478088706qp063oa
Bryan, A. D., Aiken, L. S. & West, S. G. (1996). Increasing condom use: Evaluation of a theory-based intervention to prevent sexually transmitted diseases in young women. Health Psychology, 15(5), 371-382. DOI: 10.1037//0278-6133.15.5.371
Carrera Huerta, S., Soto Carrasco, A. A., Muñoz, V. P., Sánchez Salinas, R., Osorio Ramírez, J. L., Abeille Mora, E. & Landeros Olvera, E. (2016). Construcción y validación de la escala de autoeficacia para el uso del condón en adolescentes mexicanos. Enfermería Neurológica, 15(2), 70-79. DOI: https://doi.org/10.37976/enfermeria.v15i2.228
Center for Disease Control and Prevention [CDC]. (s/f). Effective Interventions. HIV Prevention that works. Recuperado de https://effectiveinterventions.cdc.gov/
CDC. (2019a). Personalized Cognitive Counseling. Recuperado de https://effectiveinterventions.cdc.gov/en/hiv-testing/group-2/personalized-cognitive-counseling
CDC. (2019b). Sin Buscar Excusas/No Excuses. Recuperado de https://effectiveinterventions.cdc.gov/en/hiv-negative-persons/group-3/sin-buscar-excusas-no-excuses
CDC. (2019c). Sister to Sister. Recuperado de https://effectiveinterventions.cdc.gov/en/hiv-negative-persons/group-3/sister-to-sister
Centro Nacional para la Prevención y el Control del VIH y el sida [Censida]. (2019). Vigilancia Epidemiológica de casos de VIH/SIDA en México Registro Nacional de Casos de SIDA Actualización al 1er. trimestre del 2019. Recuperado de https://www.gob.mx/cms/uploads/attachment/file/468354/RN_1erTrim_2019.pdf
Chandra-Mouli, V., Gómez Garbero, L., Plesons, M., Lang, I., & Corona Vargas, E. (2018). Evolution and Resistance to Sexuality Education in Mexico. Global health, science, and practice, 6(1), 137–149. Recuperado de http://www.ncbi.nlm.nih.gov/pubmed/29602869
Consejo Nacional de Población [CONAPO]. (2016). Situación de la Salud Sexual y Reproductiva. Recuperado de http://www.gob.mx/conapo
CONAPO, Secretaría de Gobernación, & INMUJERES. (2016). Cartilla de derechos sexuales de adolescentes y jóvenes (Segunda). Recuperado de https://www.cndh.org.mx/sites/all/doc/Programas/VIH/Divulgacion/cartillas/Cartilla-Derechos-Sexuales-Adolescentes-Jovenes.pdf
Czuchry, M., Timpson, S., Williams, M. L., Bowen, A. M. & Ratliff, E. A. (2009). Improving Condom Self-Efficacy and Use among Individuals Living with HIV: The Positive Choices Mapping Intervention. Journal of substance use, 14(3-4), 230-239. DOI: 10.1080/14659890902874212
de Jesús-Reyes, D. & Menkes-Bancet, C. (2014). Prácticas y significados del uso del condón en varones adolescentes de dos contextos de México. Papeles de Población, 20(79), 73–97.
de Jesús Reyes, D. & Menkes-Bancet, C. (2017). Educación sexual y conductas sexuales en adolescentes escolarizados de Nuevo León (1a ed.). México: Miguel Ángel Porrúa.
Espada, J. P., Escribano, S., Morales, A. & Orgilés, M. (2017). Two-year follow-up of a sexual health promotion program for Spanish adolescents. Evaluation and the Health Professions, 40(4), 483-504.
Fondo de Población de las Naciones Unidas México. (2018). Guía para la implementación de la estrategia nacional para la prevención del embarazo en adolescentes en las entidades federativas. UNFPA / UNICEF México. Recuperado de https://www.unicef.org/mexico/media/1816/file/Guia GEPEA.pdf
Gallegos, E. C., Villarruel, A. M., Loveland-Cherry, C., Ronis, D. L. & Zhou, Y. (2008). Intervención para reducir riesgo en conductas sexuales de adolescentes: un ensayo aleatorizado y controlado. Salud Pública de México, 50, 59–66.
Gobierno de la República. (2016). Estrategia Nacional para la Prevención del Embarazo en Adolescentes. Ciudad de México.
Gómez-Inclán, S. & Durán-Arenas, L. (2017). El acceso a métodos anticonceptivos en adolescentes de la Ciudad de México. Salud Pública de México, 59(3), 236.
Gutiérrez, J. P., Rivera-Dommarco, J., Shamah-Levy, T., Villalpando-Hernández, S., Franco, A., Cuevas-Nasu, L., Romero-Martínez, M & Hernández-Ávila, M. (2012). Encuesta Nacional de Salud y Nutrición 2012. Resultados Nacionales. Recuperado de https://ensanut.insp.mx/informes/ENSANUT2012ResultadosNacionales.pdf
INEGI. (2015a). México en Cifras. Puebla. Recuperado de https://www.inegi.org.mx/app/areasgeograficas/?ag=21
INEGI. (2015b). México en cifras. Puebla indicadores. Recuperado de https://www.inegi.org.mx/app/areasgeograficas/?ag=21#tabMCcollapse-Indicadores
INEGI. (2015c). Natalidad y fecundidad. Recuperado de https://www.inegi.org.mx/app/tabulados/default.html?nc=mdemo29
INEGI. (2017). Población por edad y sexo. En Censos y conteos. Población y Vivienda. Recuperado de https://www.inegi.org.mx/temas/estructura/
INEGI. (2018a). Encuesta Nacional de la Dinámica Demográfica ENADID 2018. Recuperado de https://www.inegi.org.mx/contenidos/programas/enadid/2018/doc/resultados_enadid18.pdf
INEGI. (2018b). Natalidad y fecundidad. Recuperado de https://www.inegi.org.mx/temas/natalidad/
Kalamar, A. M., Bayer, A. M. & Hindin, M. J. (2016). Interventions to Prevent Sexually Transmitted Infections, Including HIV, Among Young People in Low- and Middle-Income Countries: A Systematic Review of the Published and Gray Literature. Journal of Adolescent Health, 59(3), S22-S31.
Kelly, J. A., Heckman, T. G., Stevenson, L. Y., Williams, P. N., Ertl, T., Hays, R. B., Leonard, N. R., Terry, M. A., Sogolow, E. E. & Neumann, M. S. (2000). Transfer of research-based HIV prevention interventions to community service providers: fidelity and adaptation. AIDS education and prevention: official publication of the International Society for AIDS Education, 12(5 Suppl), 87-98.
Lopez, L. M., Grey, T. W., Chen, M., Tolley, E. E. & Stockton, L. L. (2016). Theory-based interventions for contraception. Cochrane Database of Systematic Reviews, 11(CD007249).
McKleroy, V. S., Galbraith, J. S., Cummings, B., Jones, P., Harshbarger, C., Collins, C., Gelaude, D., W. Carey, J. & ADAPT Team. (2006). Adapting Evidence–Based Behavioral Interventions for New Settings and Target Populations. AIDS Education and Prevention, 18(supp.), 59-73. DOI: 10.1521/aeap.2006.18.supp.59
Morales, A., García-Montaño, E., Barrios-Ortega, C., Niebles-Charris, J., García-Roncallo, P., Abello-Luque, D., Gómez Lugo, M., Saavedra, D. A., Vallejo-Medina, P., Espada, J. P., Lightfoot, M. & Martínez, O. (2019). Adaptation of an effective school-based sexual health promotion program for youth in Colombia. Social Science & Medicine, 222, 207-215. DOI: https://doi.org/10.1016/j.socscimed.2019.01.011
OECD. (2019). Fertility rates (indicator). doi.org/10.1787/8272fb01-en
Protogerou, C., Hagger, M. S. & Johnson, B. T. (2017). An integrated theory of condom use for young people in Sub-Saharan Africa: A meta-analysis. MetaArXiv.
Rogers, E. M. (2003). Diffusion of innovations (5 ed). Free Press.
Sawyer, S. M., Azzopardi, P. S., Wickremarathne, D. & Patton, G. C. (2018). The age of adolescence. The Lancet Child and Adolescent Health, 2(3), 223-228. DOI: 10.1016/S2352-4642(18)30022-1
Secretaría de Salud. (2011). Métodos anticonceptivos temporales: DIU y condón. Consideraciones de uso y aplicación. Recuperado de http://www.cenetec.salud.gob.mx/descargas/gpc/CatalogoMaestro/505_GPC_DIUycondxn/SS-505-11-EVR-DIU_CONDON.pdf
Straus, S. E., Tetroe, J. & Graham, I. (2009). Defining knowledge translation. Canadian Medical Association Journal, 181(3-4), 165-168.
United Nations. (2016). The global strategy for women’s, children’s, and adolescents’ health (2016-2030). Recuperado de https://www.who.int/life-course/partners/global-strategy/globalstrategyreport2016-2030-lowres.pdf
Wang, T., Lurie, M., Govindasamy, D. & Mathews, C. (2018). The effects of school-based condom availability programs (CAPs) on condom acquisition, use and sexual behavior: A systematic review. AIDS and Behavior, 22(1), 308-320. DOI: 10.1007/s10461-017-1787-5
WHO. (2016). Global health sector strategy on sexually transmitted infections 2016-2021. Towards ending. Recuperado de https://apps.who.int/iris/bitstream/handle/10665/246296/WHO-RHR-16.09-eng.pdf;jsessionid=E9A67C7D523C49491189E94A281FA819?sequence=1
WHO. (2019). Sexually transmitted infections (STIs). Recuperado de https://www.who.int/en/news-room/fact-sheets/detail/sexually-transmitted-infections-(stis)
Widman, L., Noar, S. M., Choukas-Bradley, S. & Francis, D. B. (2014). Adolescent sexual health communication and condom use: a meta-analysis. Health psychology: official journal of the Division of Health Psychology, American Psychological Association, 33(10), 1113-1124. DOI: 10.1037/hea0000112
World Health Organization [WHO]. (2017). Adolescent development. Recuperado de https://www.who.int/maternal_child_adolescent/topics/adolescence/development/en/

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