Predicting protected sexual behaviour using the Information-Motivation-Behaviour skills model among adolescent substance abusers in court-ordered treatment

Abstract

The Information-Motivation-Behavioural skills model (Fisher & Fisher, 1992) was used to predict condom use among adolescents residing in a court-ordered inpatient substance abuse treatment programme (N = 271; 181 male and 90 female, primarily of minority ethnicity). In a predictive structural equation model, demographic variables, HIV transmission knowledge, and motivational variables of pro-condom norms and attitudes, and perceived susceptibility predicted condom use skills and condom use self-efficacy. Along with the other variables in the model, condom skills and condom self-efficacy were hypothesized to predict condom use over a three-month period. It was found that condom skills were predicted by greater age, pro-condom attitudes and greater perceived susceptibility. Condom self-efficacy was predicted by gender, pro-condom norms and condom attitudes. Condom use was significantly predicted by pro-condom norms and stronger condom selfefficacy. Both condom skills and knowledge did not significantly predict condom use. Significant demographic predictors of condom use included greater age and gender. Results suggest that changing personal attitudes about condoms and reinforcing the power of pro-condom beliefs among significant others will encourage condom use among adolescents who are at high risk for HIV and other STDs.

Sexual Protection Behavior in HIV-Positive Gay Men: Testing a Modified Information-Motivation-Behavioral Skills Model

“…Various studies have shown that knowledge is an insufficient determinant to change risk behavior (Fishbein, Middlestadt, & Hitchcock, 1994). While providing adequate information is of public health value, information or knowledge of condom use appears insufficient in predicting condom use (Cornman, Schmiege, Bryan, Benziger, & Fisher, 2007;Kalichman et al, 2002). However, as in the original model, the important role of self-efficacy as a substantial component of behavioral skills was confirmed.…”

Application of the information, motivation and behavioural skills model for targeting HIV risk behaviour amongst adolescent learners in South Africa

“…Some researchers have been critical of this approach. Jemmott, Jemmott, Fong and McCaffree (1999) indicated that self-reporting measures used on risky sexual behaviour (which is a private behaviour) are, to some degree, unintentionally or intentionally inaccurate while Kalichman, Stein, Malow, Averhart, Devieux, Jennings, et al (2002) indicate that self-reporting may lead to concealment of behaviours and therefore under-reporting. More recently, McAuliffe, Difranceisco and Reed (2007) argued that, in self-reporting, respondents tend to give socially desirable answers.…”

Applying a Cognitive-Behavioral Model of HIV Risk to Youths in Psychiatric Care

“…Risky sexual behavior has been alternatively defined by specific indicators (e.g., number of partners, condom use, sexual debut) (Blum et al, 2000;Smith, 1997), composite scores (Boyer et al, 2000;Donenberg et al, 2001), or both (Doljanac & Zimmerman, 1998;Pinkerton et al, 1998). We assessed adolescent self-reported global risky sexual behavior, a composite score consisting of four high-risk behaviors that have been linked to HIV risk in previous research: multiple partners (Fisher et al, 1999;Kalichman et al, 2002), sex while using drugs and alcohol , sex with someone whose history is not well known and therefore could be a high-risk partner (Eiser & Ford, 1995;Metzler, Noell, Biglan, Ary, & Smolkowski, 1994;Rickman, Lodico, DiClemente, & Morris, 1994), and sex without a condom (Fisher et al, 1999;Kalichman et al, 2002).…”