Background
Methods
Target population
Intervention Mapping
Turkish and Moroccan unmarried men | Afro-Caribbean men |
---|---|
Man decides to use a condom at every sexual contact. | Man decides to use a condom with new and casual partners. |
Man buys condoms. | Man distinguishes realistically between casual and steady partners. |
Man carries condoms always. | Man buys condoms. |
Man brings out a condom at relevant moment. | Man always carries condoms. |
Man uses condoms correctly. | Man brings out a condom at relevant moment. |
Man uses condoms correctly and consequently in every sexual contact. | Man uses condoms correctly. |
Man uses condoms correctly and consequently with new and casual partners. |
Performance objectives | Change objectives |
---|---|
Man decides to use a condom at every sexual contact. | Man expresses confidence that he will use condoms, also in a situation that a woman does not request a condom. |
Man buys condoms. | Man describes where he can buy condoms, also after shop closing time. |
Man always carries condoms. | Man describes where he puts away his condoms, to have them available always. Man describes a plan how he carries condoms always. |
Man brings out a condom at relevant moment. | Man describes a plan how he takes a condom out at the right moment. |
Man uses condoms correctly. | Man demonstrates how he uses condoms correctly Man expresses confidence to use condoms correctly. |
Man uses condoms correctly and consequently in every sexual contact. | Man expresses confidence to resist unsafe sex. |
Intervention Mapping step 1: needs assessment
Intervention Mapping step 2: matrix of change objectives
Intervention Mapping step 3: selecting suitable theoretical methods and practical strategies
Intervention Mapping step 4: designing a programme plan
Results
Outcomes of the Intervention Mapping process
Step1: Needs assessment
Analysis of the health problem
Analysis of behaviour
Analysis of behavioural determinants
Personal determinants | Socio-cultural determinants | Physical environmental determinants |
---|---|---|
Awareness of importance of condoms in preventing pregnancies (AC, TM)* | Dominance of men in sexual relationship with women (AC, TM) | Price of condoms (AC, TM) |
Awareness of importance of condoms in preventing STI (AC, TM) | Girls should marry as virgin (TM) | Easy access to condoms without social control of community (TM) |
Self efficacy for condom use (AC, TM) | Unwanted pregnancy brings shame and problems with family (TM) | |
Self efficacy for buying condoms (TM) | Sexual intercourse is not aloud outside marriage (TM) | |
Self efficacy for carrying condoms for unexpected situations (AC, TM) | Multiple sexual relationships are more or less accepted (AC) | |
Awareness of risks while having unprotected sex with new partner (AC, TM) | Approval of friends on condom use (AC, TM) | |
Attitude towards condom use(AC, TM) | Approval of female partner on condom use (AC, TM) | |
Use of oral contraceptives | Modelling behaviour of friends (AC, TM) | |
Awareness of severity of STI and HIV (AC, TM) | Approval of roll models (older brothers and uncles) on condom use (TM) | |
Modelling behaviour of older brothers and uncles (TM) |
Personal factors
Socio-cultural factors
Physical environmental factors
Step 2: Matrices of change objectives
Step 3: Select suitable theoretical methods and practical strategies
Determinant | Change objectives | method/strategy | intervention components |
---|---|---|---|
Attitude | Man acknowledges advantages of condom use as a protection against STI | modelling, using new positive arguments, self re-evaluation, persuasion, group discussion | Discussion in response to posters picturing Moroccan and Turkish young men giving statements about safe sex Game "Save your head": issue with discussion on non-health issues as advantage of using condoms. |
Risk perception | Man explains that from appearances you can't tell if someone is infected with HIV/STI. | provide basic factual information, personalising risk, consciousness raising. | Game "Save your head": issue with discussion on unsafe sex with girls who you think are a virgin. Information is given on risks of different sexual techniques. Game "Save your head": issue with discussion on the question "with which women do you not need to use a condom?" Explaining misconceptions. |
Self efficacy | Man expresses confidence that he will use condoms, also in a situation that a woman does not request a condom. | anticipating on difficult situations modelling, active participation. | Assignment: "Plan your sex", interviewing each other on preparative behaviour and making plans and how to be prepared for safe sex. Assignment preceded by video with modelling of behaviour. |
Self efficacy | Man describes where he puts away his condoms, to have them available always. | anticipating on difficult situations modelling, active participation. | Assignment: "Plan your sex", interviewing each other on preparative behaviour and making plans and how to be prepared for safe sex. |
Self efficacy | Man expresses confidence that he will have condoms available always. | modelling, making action plans, forming implementation intentions, identification of barriers | Video with role models showing that they are able to solve problems with the availability of condoms in planned and unplanned sex. Assignment: "Plan your sex", interviewing each other on preparative behaviour and making plans and how to be prepared for safe sex. |
Self efficacy | Man describes a plan how he carries condoms always | making action plans forming implementation intentions identification of barriers | Assignment: "Plan your sex", interviewing each other on preparative behaviour and making plans and how to be prepared for safe sex. Assignment on buying condoms |
Subjective partner norm | Man knows opinion of most women that they also want to use a condom in a new or casual sexual contact. | Modelling group discussion | Discussion in response to posters picturing Moroccan and Turkish young men giving statements about safe sex. Game "Save your head" : issue with discussion on the matter |