A school-based sex education program was developed in order to prevent sexually transmitted diseases and unwanted pregnancies. A Solomon four-group design, with random assignment to the different conditions, was used to evaluate an intervention based on cognitive social learning theory and social influence theory. The main goal of the intervention was to increase use of condoms. A stratified sample of 124 classes (2,411 students) was drawn at random from all the upper secondary schools (high schools/colleges) in one county in Norway. The results indicate a consistent interaction between pretest and intervention, which seems to have an effect on condom use. Pretest or intervention alone did not contribute to this effect. The interaction effect appeared among the students with few sexual partners. Several possible explanations to the observed interaction effect and the implication for future interventions are discussed.
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References
1.
O'Keeffe Mk , Nesselhof-Kendall S., Baum A.: Behavior and prevention of AIDS: Bases of research and intervention. Pers Soc Psychol Bulletin16:166-180, 1990.
2.
Wellings K.: Assessing AIDS/HIV Preventive Strategies in the General Population. Final report of the general population working group, Institut universitaire de médecine sociale et préventive, Lausanne , 1992.
3.
Stanton B., Black M., Keane V., Feigelman S.: HIV risk behaviors in young people: Can we benefit from 30 years of research experience. AIDS Public Policy J5:17-23, 1989.
4.
Shayne Vt , Kaplan Bj : AIDS education for adolescents. Youth Society20:180-208, 1988.
5.
Leslie-Harwit M., Meheus A.: Sexually transmitted disease in young people: The importance of health education. Sexually Transmitted Diseases16:15-20, 1989.
6.
Eisen M., Brindis C.: Compilation of aprevention minimum data set (PMEDS, in Card JJ (ed.): Evaluating ProgramsAimed at Preventing Teenage Pregnancies. Palo Alto, CA, Sociometrics Corporation, 1989, pp. 69-76.
7.
Kirby D., Barth Rp, Leland N., Fetro Jv: Reducing the risk: Impact of a new curriculum on sexual risk-taking . Fam Plann Perspect23:253-263, 1991.
8.
Kirby D.: Sexuality Education: An Evaluation of Programs and Their Effects. Santa Cruz, CA, Network Publications, 1984.
9.
Eisen M., Zellman Gl, Mcalister Al: Evaluating the impact of a theory-based sexuality and contraceptive education program. Fam Plann Perspect22:262-271, 1990.
10.
Gilchrist Ld , Schinke Sp: Coping with contraception: Cognitive and behavioral methods with adolescents. Cog Therapy Res7:379-388, 1983.
11.
Dureya Ej , Dempsey T., Okwumabua J., Perry C.: The Solomon four-group design: An application for health education research , in Humphrey JH (ed.): Advances in Health Education: Current Research (Vol. 1). New York, AMS Press, 1988.
12.
Hagenhoff C. , Lowe A., Hovell Mf, Rugg D.: Prevention of the teenage pregnancy epidemic: A social learning approach. Education and Treatment of Children10:67-83, 1987.
13.
Moscovici S. : Social influence and conformity, in Lindzey G, Aronson E (eds.): Handbook of Social Psychology. Volume II: Special Fields and Applications. New York , Random House, 1985.
14.
Sundet Jm , Magnus P., Kvalem Il , Samuelsen So , Bakketeig Ls : Secular trends and sociodemographic regularities of coital debut age in Norway . Arch Sex Behav21:241-252, 1992.
15.
Kraft P.: Age at first experience of intercourse among Norwegian adolescents: A lifestyle perspective. Soc Sci Med22:207-213, 1991.
16.
Kraft P., Rise J.: Contraceptive behaviour of Norwegian adolescents. Health Educ Res6:431-441, 1991.
17.
Gagnon Jh , Simon W.: Sexual Conduct: The Social Sources of Human Sexuality. Chicago, Aldine, 1977.
18.
Træen B., Lewin B., Sundet Jm: The real and the ideal: Gender differences in heterosexual behaviour among Norwegian adolescents. J Comm Appl Soc Psychol2:227-237, 1992.
19.
Bandura A.: Perceived self-efficacy in the exercise of control over AIDS-infection (Special issue: Evaluation of AIDS Prevention and Education Programs. Eval Prog Plann13:9-17, 1990.
20.
Ajzen I.: The theory of planned behavior. Organiz Behav Human Dec Proc50:179-211, 1991.
21.
De Vries H., Dijkstra M., Kuhlman P.: Self-efficacy: The third factor besides attitude and subjective norm as a predictor of behavioural intentions. Health Educ Res3:273-282, 1988.
22.
Goldfried Mr, Goldfried Ap: Cognitive change methods, in Kanfer FH, Goldstein AP (eds.): Helping People Change. A Textbook of Methods. New York , Pergamon, 1980.
23.
Carrera Ma : Peer group sex information and education. J Res Develop Educ10:50-55, 1976.
24.
McEwan Rt , Harrington Be , Bhopal Rs , Madhok R., et al: Social surveys in HIV/AIDS: Telling or writing? Acomparison of interview and postal methods. Health Educ Res7:195-202, 1992.
25.
Kleinbaum Dg , Kupper Ll , Morgenstern H.: Epidemiologic Research. Principles and Quantitative Methods. New York, Van Nostrand Reinhold, 1982.
26.
Træen B., Lewin B., Sundet Jm: Use of birth control pills and condoms among 17-19-year-old adolescents in Norway: Contraceptive versus protective behaviour?AIDS Care4:371-380, 1992.
