Enhancing condom use experiences among young men to improve correct and consistent condom use: Feasibility of a Home-Based Intervention Strategy (HIS-UK)

Nicole Stone, Cynthia Graham, Sydney Anstee, Katherine Brown, Katie Newby, Roger Ingham

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    Abstract

    Background: Condoms remain the main protection against sexually transmitted infections (STIs) when used correctly and consistently. Yet, there are many reported barriers to their use such as negative attitudes, reduced sexual pleasure, fit-and-feel problems and erection difficulties. The UK Home-Based Intervention Strategy (HIS-UK) is a behaviour change condom promotion intervention for use among young men (aged 16-25 years) designed to increase condom use by enhancing enjoyment of condom-protected intercourse. The objective of this feasibility study was to test HIS-UK for viability, operability and acceptability. Along with an assessment of the recruitment strategy and adherence to the intervention protocol, the study tested the reliability and suitability of a series of behavioural and condom use outcome measures to assess condom use attitudes, motivations, self-efficacy, use experience, errors and problems, and fit-and-feel.
    Methods: The HIS-UK intervention and associated assessment instruments were tested for feasibility using a single-arm, repeated measures design with baseline measurement and two follow-up measurements over three months. A three-month target of 50 young men completing the baseline questionnaire was set. Twenty process and acceptability evaluation interviews with participants and health promotion professionals were conducted post trial.
    Results: Of the 61 young men who registered for the study, 57 completed the baseline questionnaire and 33 met with the study researcher to receive the HIS-UK condom kit. Twenty-one young men remained for the duration of the study (64% retention). The Cronbach’s alpha scores for the condom use outcome measures were 0.84 Attitudes, 0.78 Self-efficacy, 0.83 Use experience, 0.69 Errors and problems, and 0.75 Fit-and-feel. Participant and health professional feedback indicated strong acceptability of the intervention.
    Conclusions: The feasibility study demonstrated that our recruitment strategy was appropriate and the target sample size was achieved. Adherence was favourable when compared to other similar studies. The condom use measures tested proved to be fit-for-purpose with good internal consistency. Some further development and subsequent piloting of HIS-UK is required prior to a full randomised-controlled trial, including the feasibility of collecting STI biomarkers, and assessment of participant acceptance of randomisation.
    Trial Registration: Research registry, RR2315, 27th March 2017 (retrospectively registered)
    Original languageEnglish
    Article number63
    Number of pages10
    JournalPilot and Feasibility Studies
    Volume4
    DOIs
    Publication statusPublished - 7 Mar 2018

    Bibliographical note

    Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver
    (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

    Keywords

    • Condom
    • Condom use
    • Fit and feel
    • Intervention
    • Sexual health
    • Sexually transmitted infections
    • Behaviour change
    • Health promotion
    • Young men
    • Feasibility

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