title: Safer sex in a digital world: A Web-based motivational enhancement intervention to increase condom use among college women.
abstract: OBJECTIVE
  This study is a randomized trial of a Web-based intervention to increase condom use among college women.
  
  
  METHODS
  From October 2012 to March 2013, N = 422 completed baseline questionnaires and intervention procedures. n = 216 completed 3-month follow-up.
  
  
  METHODS
  Participants completed a decisional balance exercise examining their sex acts over the past 3 months and wrote an essay encouraging young girls to use condoms. All procedures were conducted online.
  
  
  RESULTS
  The intervention improved intentions to use and attitudes towards condoms for 3 subscales of condom attitudes. Attitudes following the intervention significantly predicted condom use at 3-month follow-up, and this relationship was mediated by condom intentions immediately post intervention. The relationship between intentions and condom use was moderated by group.
  
  
  CONCLUSIONS
  The intervention improved condom attitudes and intentions immediately post intervention, and immediately post intervention intentions had a greater impact on condom use at 3-month follow-up among those in the condom intervention compared with those in the control group.
authors.affiliation: a Department of Psychology , University at Albany, State University of New York , Albany , New York , USA.
authors.forename: Amy J
authors.initials: AJ
authors.lastname: Starosta
authors.affiliation: a Department of Psychology , University at Albany, State University of New York , Albany , New York , USA.
authors.forename: Emma
authors.initials: E
authors.lastname: Cranston
authors.affiliation: a Department of Psychology , University at Albany, State University of New York , Albany , New York , USA.
authors.forename: Mitch
authors.initials: M
authors.lastname: Earleywine
mesh_terms: D017280:Condoms / Q000706:statistics & numerical data*; D005260:Female; D006266:Health Education / Q000379:methods*; D006801:Humans; D020407:Internet; D009042:Motivation; D015999:Multivariate Analysis; D009518:New York; D015397:Program Evaluation; D012309:Risk-Taking; D021841:Safe Sex; D012725:Sexual Behavior / Q000523:psychology; D013334:Students / Q000523:psychology* / Q000706:statistics & numerical data; D014495:Universities
keywords: Condom use; health education; online interventions; safer sex