Interventions to increase condom use among middle-aged and older adults : a systematic review of theoretical bases, behaviour change techniques, modes of delivery and treatment fidelity

Macdonald, Jennifer and Lorimer, Karen and Knussen, Christina and Flowers, Paul (2016) Interventions to increase condom use among middle-aged and older adults : a systematic review of theoretical bases, behaviour change techniques, modes of delivery and treatment fidelity. Journal of Health Psychology, 21 (11). pp. 2477-2492. ISSN 1359-1053

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    Abstract

    This systematic review collates, examines and syntheses condom use interventions for middle-aged and older adults. Associations between effectiveness and theoretical basis, behaviour change techniques, mode of delivery and treatment fidelity were explored. Five interventions were included; one was effective. Compared to interventions with non-significant findings, the effective telephone-administered intervention used theory to a greater extent, had a higher number of behaviour change techniques and employed more treatment fidelity strategies. There is a need to develop theory-based interventions targeting condom use among this population and evaluate these in randomised controlled trials that are rigorously designed and reported. Health psychologists have a key role in this endeavour.