Generalizing Behavioral Findings Across Times, Samples, and Measures: A Study of Condom Use<sup>1</sup>

Albarracín, Dolores; Fishbein, Martin; Middlestadt, Susan E.

doi:10.1111/j.1559-1816.1998.tb01725.x

Cited by 46 publications

(40 citation statements)

References 18 publications

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“…As Fishbein and his colleagues (Fishbein et al, 1992(Fishbein et al, , 1993(Fishbein et al, , 1995; see also Albarracín, Fishbein, & Middlestadt, 1998) observed, all of these theories suggest a number of different intervention strategies that can be expected to change behavior. Each strategy dictates the particular types of content of an intervention and the ways in which the intervention affects behavior.…”

Section: Theoretical Assumptions Intervention Strategies and Mediatmentioning

confidence: 99%

A Test of Major Assumptions About Behavior Change: A Comprehensive Look at the Effects of Passive and Active HIV-Prevention Interventions Since the Beginning of the Epidemic.

Albarracín¹,

Gillette²,

Earl³

et al. 2005

Psychological Bulletin

678

644

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This meta-analysis tested the major theoretical assumptions about behavior change by examining the outcomes and mediating mechanisms of different preventive strategies in a sample of 354 HIVprevention interventions and 99 control groups, spanning the past 17 years. There were 2 main conclusions from this extensive review. First, the most effective interventions were those that contained attitudinal arguments, educational information, behavioral skills arguments, and behavioral skills training, whereas the least effective ones were those that attempted to induce fear of HIV. Second, the impact of the interventions and the different strategies behind them was contingent on the gender, age, ethnicity, risk group, and past condom use of the target audience in ways that illuminate the direction of future preventive efforts. Keywords behavior change; active intervention; HIV; health; communicationThe development of effective health behavior interventions and adequate understanding of the processes that underlie change to risky behavior continues to top the agenda for reducing disease and death among at-risk populations. For example, infection with HIV has been diagnosed in almost 1 million people in the United States (Centers for Disease Control [CDC], 2003) as well as an estimated 40 million worldwide (UNAIDS/ WHO Working Group, 2002). In some countries, the epidemic continues to escalate, and even in nations that have successfully Copyright 2005 by the American Psychological AssociationCorrespondence concerning this article should be addressed to Dolores Albarracín, Department of Psychology, University of Florida, Gainesville, FL 32611. E-mail: E-mail: dalbarra@ufl.edu. NIH Public Access NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author Manuscript curbed the spread of the disease, certain groups still show increases in infection rates (see, e.g., CDC, 2003). Given these distressing figures, it is no surprise that research on HIV prevention has become increasingly important and progressively more sophisticated. Indeed, HIV prevention presently constitutes one of the most significant paradigms for the discovery of health behavior change techniques and for the understanding of the theoretical processes that underlie such change.In fact, the HIV epidemic of the 1980s stimulated the uniting of funds and expertise from various disciplines in the development of a shared behavior-change paradigm. As a key example, in 1992, a group of behavioral researchers joined forces-upon request from the National Institutes of Health-to develop a paradigm for behavior change that would guide research and practice in the prevention of HIV (see Fishbein et al., 1992). Various models were examined, and the key assumptions were condensed into a limited number of premises that illuminated preventive efforts.Although the various models had independently received broad support, this support was derived almost entirely from behavior prediction studies. However, the formulation of these general assumptions contributed to...

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Section: Theoretical Assumptions Intervention Strategies and Mediatmentioning

confidence: 99%

A Test of Major Assumptions About Behavior Change: A Comprehensive Look at the Effects of Passive and Active HIV-Prevention Interventions Since the Beginning of the Epidemic.

Albarracín¹,

Gillette²,

Earl³

et al. 2005

Psychological Bulletin

678

644

View full text Add to dashboard Cite

show abstract

“…While various theories propose slightly different underlying cognitive structures, an integrated behavioural model illustrated by Fishbein (2000) includes those factors generally accepted as influencing condom use (Albarracin et al, 1998(Albarracin et al, , 2001(Albarracin et al, , 2004Crepaz & Marks, 2002;Terry, 1993). This model holds that three cognitive factors: condom-use attitudes, normative beliefs and selfefficacy, indirectly influence condom-use behaviour through the intention to use condoms.…”

Section: Introductionmentioning

confidence: 99%

An investigation of a personal norm of condom-use responsibility among African American crack cocaine smokers

et al. 2008

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The purpose of this study was to investigate the unique contribution of a personal norm of condom-use responsibility to the formation of intentions to use male condoms during vaginal sex. Data were collected from 402 male and 157 female heterosexual African American crack cocaine smokers in Houston, Texas, US. Two structural equation models of the intention to use a condom with the last sex partner were estimated. One model included measures of condom-use attitudes, subjective norms and condom-use self-efficacy. A second model included these three measures and a fourth measure of a personal norm of condom-use responsibility. Separate models were estimated for men and women. The addition of a personal norm of condom-use responsibility provided a significantly better fit to the data than did models including only outcome expectations, subjective norms and self-efficacy. Results also showed distinctly different underlying cognitive structures of condom-use intention for men and women. A personal norm of condom-use responsibility had a strong direct effect on men's intentions to use condoms with the last sex partner. Other variables appeared to have no direct effect on men's intentions. Women's intentions were strongly influenced by a personal norm and social subjective norms. Situational self-efficacy and outcome expectations had weaker, yet significant, effects on women's intentions. Given the strong effect of personal norms on men's intentions to use condoms, further research should be undertaken.

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“…Measures should specify the behavior, object of the behavior, time and behavioral context. To predict a patient's intention to use clonidine for heroin detoxification, for example, an investigation should assess the attitude toward taking clonidine (behavior) for heroin detoxification (context).The Theory of Reasoned Action and the Theory of Planned Behavior have found widespread application to health-related behaviors including HIV risk reduction and use of contraceptives (Albarracin, Fishbein, & Middlestadt, 1998;Fishbein & Guinan, 1996;McCarty, 1981), and (Bearden & Woodside, 1978;McCarty, Morrison, & Mills, 1983;Schlegel, Crawford, & Sanborn, 1977;Schlegel, D'Avernas, Zanna, DeCourville, & Manske, 1992). Reviews of applications of the model to health behaviors report that the model can explain 40 to 50 percent of the variation in intention (Godin & Kok, 1996;Sutton, 1998).…”

mentioning

confidence: 99%

Client and counselor attitudes toward the use of medications for treatment of opioid dependence

Rieckmann

Daley

Fuller

et al. 2007

Journal of Substance Abuse Treatment

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Attitudes, perceived social norms and intentions were assessed for 376 counselors and 1083 clients from outpatient, methadone and residential drug treatment programs regarding four medications used to treat opiate dependence: methadone, buprenorphine, clonidine, and ibogaine. Attitudes, social norms and intentions to use varied by treatment modality. Methadone clients and counselors had more positive attitudes toward the use of methadone, while their counterparts in residential and outpatient settings had neutral or negative assessments. Across modalities, attitudes, perceived social norms, and intentions toward the use of buprenorphine were relatively neutral. Assessments of clonidine and ibogaine were negative for clients and counselors in all settings. Social normative influences were dominant across settings and medications in determining counselor and client intentions to use medications, suggesting that perceptions about beliefs of peers may play a critical role in use of medications to treat opiate dependence. INTRODUCTIONInvestments in the development of pharmacotherapies for the treatment of alcohol and drug dependence have begun to yield medications that enhance treatment effectiveness (Garbutt, West, Carey, Lohr, & Crews, 1999; Litten,1999;O'Brien, 1997;Swift, 1999). Underutilization of these innovative phamacotherapies, however, is a concern and points to the need for advancements in adoption and implementation strategies (Institute of Medicine, 1998). Speculation about resistance to the use of medications suggests that some patients and therapists believe that the use of medication to treat addiction is inconsistent with the experience of recovery (Institute of Medicine, 1995;Institute of Medicine, 1997). Unfortunately, there is Corresponding Author: Traci Rieckmann, Ph.D., OHSU Dept. PHPM, 3181 SW Sam Jackson Park Rd. CB 669, Portland, OR 97239, rieckman@ohsu.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. little empirical data on the attitudes and beliefs of clients and counselors toward using medication as part of a therapeutic plan for the treatment of drug dependence. NIH Public Access Attitudes Toward the Use of Medications for Opiate DependenceInvestigations conducted in the early 1970's found ambivalent attitudes and beliefs about the use of methadone in treating opiate dependence (Brown, 1975). More contemporary investigations used a measure of "abstinence orientation" (beliefs that methadone use should be time-limited) and assessed the opinions of staff in methadone programs in Australia (Caplehorn, Irwig, Saunders, 1996a;Caplehorn, Irw...

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Generalizing Behavioral Findings Across Times, Samples, and Measures: A Study of Condom Use¹

Cited by 46 publications

References 18 publications

A Test of Major Assumptions About Behavior Change: A Comprehensive Look at the Effects of Passive and Active HIV-Prevention Interventions Since the Beginning of the Epidemic.

A Test of Major Assumptions About Behavior Change: A Comprehensive Look at the Effects of Passive and Active HIV-Prevention Interventions Since the Beginning of the Epidemic.

An investigation of a personal norm of condom-use responsibility among African American crack cocaine smokers

Client and counselor attitudes toward the use of medications for treatment of opioid dependence

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Generalizing Behavioral Findings Across Times, Samples, and Measures: A Study of Condom Use1

Cited by 46 publications

References 18 publications

A Test of Major Assumptions About Behavior Change: A Comprehensive Look at the Effects of Passive and Active HIV-Prevention Interventions Since the Beginning of the Epidemic.

A Test of Major Assumptions About Behavior Change: A Comprehensive Look at the Effects of Passive and Active HIV-Prevention Interventions Since the Beginning of the Epidemic.

An investigation of a personal norm of condom-use responsibility among African American crack cocaine smokers

Client and counselor attitudes toward the use of medications for treatment of opioid dependence

Contact Info

Product

Resources

About

Generalizing Behavioral Findings Across Times, Samples, and Measures: A Study of Condom Use¹