title: The systematic development of ROsafe: an intervention to promote STI testing among vocational school students.
abstract: This article describes the development of ROsafe, an intervention to promote sexually transmitted infection (STI) testing at vocational schools in the Netherlands. Using the planning model of intervention mapping (IM), an educational intervention was designed that consisted of two lessons, an Internet site, and sexual health services at the school sites. IM is a stepwise approach for theory- and evidence-based development and implementation of interventions. It includes six steps: needs assessment, specification of the objectives in matrices, selection of theoretical methods and practical strategies, program design, implementation planning, and evaluation. The processes and outcomes that are performed during Steps 1 to 4 of IM are presented, that is, literature review and qualitative and quantitative research in needs assessment, leading to the definition of the desired behavioral outcomes and objectives. The matrix of change objectives for STI-testing behavior is presented, and then the development of theory into program is described, using examples from the program. Finally, the planning for implementation and evaluation is discussed. The educational intervention used methods that were derived from the social cognitive theory, the elaboration likelihood model, the persuasive communication matrix, and theories about risk communication. Strategies included short movies, discussion, knowledge quiz, and an interactive behavioral self-test through the Internet.
authors: GGD Rotterdam-Rijnmond, Department of Infectious Diseases Control, P.O. Box 70032, Rotterdam, 3000 LP, Netherlands. m.wolfers@ggd.rotterdam.nl
authors: Mireille
authors: M
authors: Wolfers
authors: Onno
authors: O
authors: de Zwart
authors: Gerjo
authors: G
authors: Kok
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006266:Health Education / Q000379:methods / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008403:Mass Screening; D020380:Needs Assessment; D016730:Program Development; D018570:Risk Assessment; D012574:Schools / Q000458:organization & administration*; D020377:Self Efficacy; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases / Q000175:diagnosis / Q000517:prevention & control*; D013334:Students; D055815:Young Adult