AIDS and Behavior

, Volume 9, Issue 4, pp 451–457

Toward Errorless Condom Use: A Comparison of Two Courses to Improve Condom Use Skills

  • Dana F. Lindemann
  • Thomas A. Brigham
  • Colin R. Harbke
  • Teresa Alexander
Barrier Methods of Prevention

Traditionally, researchers have focused HIV/AIDS prevention efforts on increasing condom use, yet few researchers have assessed condom use skills. Because incorrect condom use may lead to condom failure, promoting condom use without ensuring participants have the skills necessary for correct condom use may lead to increased risk of exposure. This study compared the effects of two condom use courses on condom use skills. These courses were administered as part of a HIV/AIDS educational program for college students. Participants in the treatment groups (n=179) attended either a limited, 1-Session, or extensive, 3-Session, condom use course, and an additional 108 participants served as a Control Group. Condom use skills increased among participants in both treatment groups; however, the greatest improvement was among those in the 3-Session Group. This finding supports use of the extensive, 3-Session course as a more effective means for improving condom use skills.

KEY WORDS:

MOCUS condom use skills condom use failures HIV/AIDS interventions 

REFERENCES

  1. Centers for Disease Control, National Center for HIV, STD and TB Prevention, Divisions of HIV/AIDS prevention (2003). Cases of HIV infection and AIDS in the United States, (2002). HIV/AIDS Surveillance Report 14.Google Scholar
  2. Albert, A. E., Hatcher, R. A., and Graves, W. (1991). Condom use and breakage among women in a municipal hospital family planning clinic. Contraception, 43, 167–176.PubMedCrossRefGoogle Scholar
  3. Belcher, L., Kalichman, S., Topping, M., Smith, S., Emshoff, J., Norris, F., and Nurss, J. (1998). A randomized trial of a brief HIV risk reduction counseling intervention for women. Journal of Consulting and Clinical Psychology, 66, 856–861.PubMedCrossRefGoogle Scholar
  4. Boldsen, J. L., Jeune, B., and Madsen, P. C. (1992). Aspects of comfort and safety of condom: A study of two thousand intercourses among volunteer couples. Scandinavian Journal of Social Medicine, 20, 247–252.PubMedGoogle Scholar
  5. Brigham, T. A. (2001). Psychology applied to daily living: Dealing with friends, alcohol, and sex (2nd ed.). Boston: Pearson Publishers.Google Scholar
  6. Brigham, T. A., Donohoe, P., Gilbert, B., Thomas, N., Zemke, S., Koonce, D., and Horn, P. (2002). Psychology and AIDS education: Reducing high-risk sexual behavior. Behavior and Social Issues, 12, 10–18.Google Scholar
  7. Catania, J. A., Dolcini, M. M., Coates, T. J., Kegeles, S. M., Greenblatt, R. M., Puckett, S., Corman, M., and Miller, J. (1989). Predictors of condom use and multiple partnered sex among sexually-active adolescent women: Implications for AIDS-related health interventions. The Journal of Sex Research, 26, 514–524.CrossRefGoogle Scholar
  8. Civic, D., Scholes, D., Ichikawa, L., Grothaus, L., McBride, C. M., Yarnall, K. S., and Fish, L. (2002). Ineffective use of condoms among young women in managed care. AIDS Care, 14, 779–788.PubMedCrossRefGoogle Scholar
  9. Crosby, R. A. (1998). Condom use as a dependent variable: Measurement issues relevant to HIV prevention programs. AIDS Education and Prevention, 10, 548–557.PubMedGoogle Scholar
  10. Donahoe, P., Peeler, C., and Brigham, T. A. (2001). Teaching psychology applied to daily living: A peer instructor's guide. Boston: Pearson Publishers.Google Scholar
  11. Eldridge, G. D., St. Lawrence, J. S., Little, C. E., Shelby, M. C., Brasfield, T. L., Service, J. W., and Sly, K. (1997). Evaluation of an HIV risk reduction intervention for women entering inpatient substance abuse treatment. AIDS Education and Prevention, 9 (Supplement A), 62–76.PubMedGoogle Scholar
  12. Farris, C. A., Fenaughty, A. M., and Lindemann, D. F. (2003). A condom skill scale: Assessing condom skills among female drug users. Journal of Drug Education, 33, 217–231.PubMedCrossRefGoogle Scholar
  13. Fishbein, M., and Pequegnat, W. (2000). Evaluating AIDS prevention interventions using behavioral and biological outcome measures. Sexually Transmitted Diseases, 27, 101–110.PubMedCrossRefGoogle Scholar
  14. Gibson, D. R., and Lovelle-Drache, J. (1991). Individual counseling. In J. L. Sorensen, L. A. Wermuth, D. R. Gibson, K. Choi, J. R. Guydish, and S. L. Batki (Eds.), Preventing AIDS in drug users and their sexual partners (pp. 117–129). New York: Guilford.Google Scholar
  15. Horn, P., and Brigham, T. A. (1996). A self-management approach to reduce AIDS risk in sexually active heterosexual college students. Behavior and Social Issues, 6, 3–21.Google Scholar
  16. Johnson, B. T., Carey, M. P., Marsh, K. L., Levin, K. D., and Scott-Sheldon, L. A. J. (2003). Interventions to reduce sexual risk for the Human Immunodeficieny Virus in adolescents, 1985–2000: A research synthesis. Archives of Pediatrics and Adolescent Medicine, 157, 381–388.PubMedCrossRefGoogle Scholar
  17. Kamb, M. L., Fishbein, M., Douglas, J. M., Rhodes, F., Rogers, J., Bolan, G., Zenilman, J., Hoxworth, T., Malotte, C. K., Iatesta, M., Kent, C., Lentz, A., Graziano, S., Byers, R. H., Peterman, T. A., for the project RESPECT study group: A randomized controlled trial. (1998). Efficacy of risk-reduction counseling to prevent human immunodeficiency virus and sexually transmitted diseases. Journal of the American Medical Association, 280, 1161–1167.PubMedCrossRefGoogle Scholar
  18. Kelly, J. A. (1995). Changing HIV risk behavior: A practical guide. New York: Guilford.Google Scholar
  19. Langer, L. M., Zimmerman, R. S., and Cabral, R. J. (1994). Perceived versus actual condom skills among clients at sexually-transmitted disease clinics. Public Health Reports, 109, 683–687.PubMedGoogle Scholar
  20. Levine, J. (2002). Harmful to Minors: The Perils of Protecting Children from Sex. Minneapolis: University of Minnesota Press.Google Scholar
  21. Lindemann, D. F., and Brigham, T. A. (2003). A Guttman scale to assess condom use skills among college students. AIDS and Behavior, 7, 23–27.PubMedCrossRefGoogle Scholar
  22. Malow, R. M., West, J. A., Corrigan, S. A., Pena, J. M., and Cunningham, S. C. (1994). Outcome of psychoeducation for HIV risk reduction. AIDS Education and Prevention, 6, 113–125.PubMedGoogle Scholar
  23. Messiah, A., Dart, T., Spencer, B. E., and Warszawski, J. (1997). Condom breakage and slippage during heterosexual intercourse: A French National Survey. American Journal of Public Health, 87, 421–424.PubMedCrossRefGoogle Scholar
  24. Norris, A. E., and Ford, K. (1994). Associations between condom experiences and beliefs, intentions, and use in a sample of urban, low-income, African-American and Hispanic youth. AIDS Education and Prevention, 6, 27–39.PubMedGoogle Scholar
  25. Peeler, C., and Brigham, T. A. (2001). An analysis of the effects of a course designed to reduce the frequency of high risk sexual behavior and heavy drinking. Paper presented at the meeting of the Association for Behavior Analysis, New Orleans, LA.Google Scholar
  26. Quirk, A., Rhodes, T., and Stimson, G. V. (1998). ‘Unsafe protected sex’: Qualitative insights on measures of sexual risk. AIDS Care, 10, 105–114.PubMedCrossRefGoogle Scholar
  27. Richters, J., Donovan, B., and Gerofi, J. (1993). How often do condoms break or slip off in use? International Journal of STD and AIDS, 4, 90–94.PubMedGoogle Scholar
  28. Richters, J., Gerofi, J., and Donovan, B. (1995). Why do condoms break or slip off in use? An exploratory study. International Journal of STD and AIDS, 6, 11–18.PubMedGoogle Scholar
  29. Sanders, S. A., Graham, C. A., Yarber, W. L., and Crosby, R. A. (2003). Condom use errors and problems among young women who put condoms on their male partners. Journal of American Medical Womens Association, 58, 95–98.Google Scholar
  30. Sorensen, J. L., London, J., and Morales, E. (1991). Group counseling to prevent AIDS. In J. L. Sorensen, L. A. Wermuth, D. R. Gibson, K. Choi, J. R. Guydish, and S. L. Batki (Eds.), Preventing AIDS in drug users and their sexual partners (pp. 99–115). New York: Guilford.Google Scholar
  31. Spruyt, A., Steiner, M. J., Joanis, C., Glover, L. H., Piedrahita, C., Alvarado, G., Ramos, R., Maglaya, C., and Cordero, M. (1998). Identifying condom users at risk for breakage and slippage: Findings from three international sites. American Journal of Public Health, 88, 239–244.PubMedGoogle Scholar
  32. St. Lawrence, J. S., Crosby, R. A., Belcher, L., Yazdani, N., and Brasfeld, T. L. (1999). Sexual risk reduction and anger management interventions for incarcerated male adolescents: A randomized controlled trial of two interventions. Journal of Sex Education and Therapy, 24, 9–17.Google Scholar
  33. Trussell, J., Warner, D. L., and Hatcher, R. A. (1992). Condom slippage and breakage rates. Family Planning Perspectives, 24, 20–23.PubMedCrossRefGoogle Scholar
  34. Warner, L., Clay-Warner, J., Boles, J., and Williamson, J. (1998). Assessing condom use practices: Implications for evaluating method and user effectiveness. Sexually Transmitted Diseases, 25, 273–277.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  • Dana F. Lindemann
    • 1
  • Thomas A. Brigham
    • 1
    • 2
  • Colin R. Harbke
    • 1
  • Teresa Alexander
    • 1
  1. 1.Department of PsychologyWashington State UniversityPullmanUSA
  2. 2.Department of PsychologyWashington State UniversityPullmanUSA

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