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Reducing denial and sexual risk behaviors in college students: A comparison of a cognitive and a motivational approach

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Annals of Behavioral Medicine

Abstract

This study compared two interventions designed to decrease denial of sexually transmitted disease (STD)/human immunodeficiency virus (HIV) risk, to increase purchase of and intent to use condoms, and to decrease sexual risk behaviors. One hundred and fifty sexually active male and female undergraduates were assessed at baseline for denial of STD/HIV risk, knowledge of sexual risk behaviors, and self-reports of sexual behavior and were randomly assigned to either a motivational or cognitive intervention or a control condition. After the intervention, subjects were offered the opportunity to purchase condoms and were assessed for denial and intent to use condoms. Two months later, sexual risk behaviors and denial were measured. The motivational approach was most effective in reducing denial and in increasing intent to use condoms immediately following the intervention and in reducing sexual risk behaviors 2 months later.

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References

  1. DiClemente RJ, Forrest KA, Mickler S: College students' knowledge and attitudes about AIDS and changes in HIV-prevention behaviors.AIDS Education and Prevention. 1990,2:201–212.

    Google Scholar 

  2. Schoenborn CA, Marsh SL, Hardy AM: AIDS knowledge and attitudes for 1992: Data from the National Health Interview Survey. InAdvance Data. Atlanta, GA: Centers for Disease Control and Prevention, 1994.

    Google Scholar 

  3. Rosenthal D, Waters L, Glaun L: What do pre-adolescents and adolescents understand about HIV/AIDS?Psychology and Health 1995,10:507–522.

    Article  Google Scholar 

  4. Helweg-Larson M, Collins BE: Beyond education: Predicting college students' intentions to use condoms. American Psychological Society Conference. Chicago, IL: 1993.

  5. McCormack AS, Anderton J, Barbieri T: Gender, HIV awareness and prevention among college students.College Student Journal. 1993,27(4):514–522.

    Google Scholar 

  6. Strader MK, Beaman ML: College students' knowledge about AIDS and attitudes toward condom use.Public Health Nursing. 1989,6:62–66.

    Article  PubMed  CAS  Google Scholar 

  7. Taylor-Nicholson ME, Wang MQ, Adame DA: Impact of AIDS education on adolescent knowledge, attitudes and perceived susceptibility.Health Values. 1989,13:3–7.

    Google Scholar 

  8. Walter HJ, Vaughan RD, Ragen DF, et al: Prevalence and correlates of AIDS-risk behaviors among urban minority high school students.Preventive Medicine. 1993,22:813–824.

    Article  PubMed  CAS  Google Scholar 

  9. Abraham CS, Sheeran P, Abrams D, Spears R: Exploring teenagers' adaptive and maladaptive thinking in relation to the threat of HIV infection.Psychology and Health. 1994,9(4):253–272.

    Article  Google Scholar 

  10. Elkind D: Egocentrism in adolescence.Child Development. 1967,38:1025–1034.

    Article  PubMed  CAS  Google Scholar 

  11. Elkind D: Egocentrism redux.Developmental Review. 1985,5:218–226.

    Article  Google Scholar 

  12. Bryan AD, Aiken LS, West SG: Young women's condom use: The influence of acceptance of sexuality, control over the sexual encounter, and perceived susceptibility to common STDs.Health Psychology. 1997,15(5):468–479.

    Article  Google Scholar 

  13. American College Health Association: CDC supported survey of HIV infection on college campuses suggest that current problems exist (press release). Rockville, MD: May 22, 1980.

  14. Weinstein ND: Reducing unrealistic optimism about illness susceptibility.Health Psychology. 1983,2:11–20.

    Google Scholar 

  15. Weinstein ND, Lachendro E: Egocentrism as a source of unrealistic optimism.Personality and Social Psychology Bulletin. 1982,8(2): 195–200.

    Article  Google Scholar 

  16. Aronson E, Fried C, Stone J: Overcoming denial and increasing the intention to use condoms through the induction of hypocrisy.American Journal of Public Health. 1991,81:1636–1638.

    Article  PubMed  CAS  Google Scholar 

  17. Stone J, Aronson E, Crain AL, Winslow MP, Fried CB: Inducing hypocrisy as a means of encouraging young adults to use condoms.Personality and Social Psychology Bulletin. 1994,20:116–128.

    Article  Google Scholar 

  18. Weinstein ND: Unrealistic optimism about future life events.Journal of Personality and Social Psychology. 1980,39(5):806–820.

    Article  Google Scholar 

  19. Weinstein ND: Unrealistic optimism about susceptibility to health problems.Journal of Behavioral Medicine. 1982,5(4):441–460.

    Article  PubMed  CAS  Google Scholar 

  20. Weinstein ND: Why it won't happen to me: Perceptions of risk factors and susceptibility.Health Psychology. 1984,3(5):431–457.

    Article  PubMed  CAS  Google Scholar 

  21. Kulik JA, Mahler HIM: Health status, perceptions of risk and prevention interest for health and non-health problems.Health Psychology. 1987,6:15–27.

    Article  PubMed  CAS  Google Scholar 

  22. Moore SM, Rosenthal DA: Adolescents' invulnerability and perception of AIDS risk.Journal of Adolescent Research. 1991,6:164–180.

    Article  Google Scholar 

  23. Moore SM, Rosenthal DA: Australian adolescents' perceptions of health-related risks.Journal of Adolescent Research. 1992,7:177–191.

    Article  Google Scholar 

  24. Avis NE, Smith KW, McKinlay JB: Accuracy of perceptions of heart attack risk: What influences perceptions and can't they be changed?American Journal of Public Health. 1989,79:1608–1612.

    PubMed  CAS  Google Scholar 

  25. Kreuter MW, Strecher VJ: Changing inaccurate perceptions of health risk: Results from a randomized trial.Health Psychology. 1995,14:56–63.

    Article  PubMed  CAS  Google Scholar 

  26. Weinstein ND, Klein WM: Resistance of personal risk perceptions to debiasing interventions.Health Psychology. 1995,14:132–140.

    Article  PubMed  CAS  Google Scholar 

  27. Weinstein ND, Sandman PM, Roberts NE: Perceived susceptibility and self-protective behavior: A field experiment to encourage home radon testing.Health Psychology. 1991,10:25–33.

    Article  PubMed  CAS  Google Scholar 

  28. Fisher JD, Misovich SJ: Evolution of college students' AIDS-related behavioral responses, attitudes, knowledge and fear.AIDS Education and Prevention. 1990,24:322–337.

    Google Scholar 

  29. Lewin K: Group decision and social, change. In Maccoby EE, Newcomb TM, Hartley EL (eds),Readings in Social Psychology (3rd Ed.). New York: Holt, 1957, 197–211.

    Google Scholar 

  30. Stone J, Wiegand AW, Aronson E: The effects of ethnicity, personal excuses, and self-affirming alternatives on the need for consistency following hypocritical behavior. 66th Annual Meeting of the Eastern Psychological Association. Boston, MA: 1995.

  31. Freedman JL: Long-term behavioral effects of cognitive dissonance.Journal of Experimental Social Psychology, 1965,1:145–155.

    Article  Google Scholar 

  32. Axsom D, Cooper J: Cognitive dissonance and psychotherapy: The role of effort justification in inducing weight loss.Journal of Experimental Social Psychology. 1985,21:149–160.

    Article  Google Scholar 

  33. Aronson E: Persuasion via self-justification: Large commitments for small rewards. In Festinger L (ed),Retrospectives in Social Psychology. New York: Oxford University Press, 1980.

    Google Scholar 

  34. Reynolds WM: Development of reliable and valid short forms of the Marlowe-Crowne Social Desirability Scale.Journal of Clinical Psychology. 1982,38:119–125.

    Article  Google Scholar 

  35. Crowne DP, Marlowe D: A new scale of social desirability independent of psychopathology.Journal of Consulting Psychology. 1960,24:349–354.

    Article  PubMed  CAS  Google Scholar 

  36. Zook A, Sipps GJ: Cross-validation of a short form of the Marlowe-Crowne social desirability scale.Journal of Clinical Psychology. 1985,41:236–238.

    Article  Google Scholar 

  37. Moore SM, Rosenthal DA: Condoms and coitus: Adolescents attitudes to AIDS and safe sex behavior.Journal of Adolescence. 1991,14:211–227.

    Article  PubMed  CAS  Google Scholar 

  38. Sandfort TGM, Van Zessen G: Denial as a barrier for HIV prevention within the general population.Journal of Psychology and Human Sexuality. 1992,5:69–87.

    Google Scholar 

  39. Fisher JD, Fisher WA, Williams SS, Malloy TE: Empirical tests of an information-motivation-behavioral skills model of AIDS-preventive behavior with gay men and heterosexual university students.Health Psychology, 1994,13:238–250.

    Article  PubMed  CAS  Google Scholar 

  40. Leventhal H: Findings and theory in the study of fear communications. In Berkowitz L (ed),Advances in Experimental Social Psychology (Vol. 5). New York: Academic Press, 1970.

    Google Scholar 

  41. Goodman E, Chesney MA, Tipton AC: Relationship of optimism, knowledge, attitudes, and beliefs to use of HIV antibody testing by at-risk female adolescents.Psychosomatic Medicine. 1995,57(6): 541–546.

    PubMed  CAS  Google Scholar 

  42. Bryan AD, Aiken LS, West SG: Increasing condom use: Evaluation of a theory-based intervention to prevent sexually transmitted diseases in young women.Health Psychology. 1996,15(5):371–382.

    Article  PubMed  CAS  Google Scholar 

  43. Fisher JD, Fisher WA, Misovich SJ, et al: Changing AIDS risk behavior: Effects of an intervention emphasizing AIDS risk reduction information, motivation, and behavioral skills in a college student population.Health Psychology. 1996,15(2):114–123.

    Article  PubMed  CAS  Google Scholar 

  44. Stone J, Wiegand AW: The effects of ethnicity, personal excuses, and self-affirming alternatives on the need for consistency following hypocritical behavior. 66th Annual Meeting of the Eastern Psychological Association. Boston, MA: 1995.

  45. Fisher JD, Fisher WA: Changing AIDS-risk behavior.Psychological Bulletin. 1992,3:455–474.

    Article  Google Scholar 

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Eitel, P., Friend, R. Reducing denial and sexual risk behaviors in college students: A comparison of a cognitive and a motivational approach. ann. behav. med. 21, 12–19 (1999). https://doi.org/10.1007/BF02895028

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