Mediation analysis of an effective sexual health promotion intervention for Spanish adolescents.
The objective of this study is to determinate the factors that mediate in the self-reported consistent condom use over the 24-months post-intervention period in adolescents who received COMPAS, a sexual health promotion intervention targeted to Spanish adolescents. Twelve high schools located in Spain were randomized to an intervention or a control group with baseline, immediate-post, 12 and 24-month post-intervention assessments. Self-reported consistent condom use by 24 months post-intervention was the primary outcome. Based on the theory of planned behavior, we identified which theory-based variables mediated the intervention's effect on consistent condom use. Serial multiple mediation analysis indicated that attitudes toward condom use, when there are obstacles to use it, and self-efficacy mediated the COMPAS's effect in increasing consistent condom use. This is the first study that identifies the theoretical constructs that mediate the efficacy of a school-based intervention to promote sexual health in adolescents from Spain.
Department of Health Psychology, Miguel Hernández University, 03202, Elche, Spain. silviaescribanocubas@gmail.com.
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S
Escribano
Department of Health Psychology, Miguel Hernández University, 03202, Elche, Spain.
J P
JP
Espada
Department of Health Psychology, Miguel Hernández University, 03202, Elche, Spain.
A
A
Morales
Department of Health Psychology, Miguel Hernández University, 03202, Elche, Spain.
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M
Orgilés
D000293:Adolescent; D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D033182:Intention; D008297:Male; D015397:Program Evaluation; D060728:Reproductive Health; D020377:Self Efficacy; D013030:Spain; D044465:White People / Q000523:psychology* / Q000706:statistics & numerical data
Adolescents; Consistent condom use; Mediation analysis; Sexual health promotion intervention; Theory of planned behavior