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dc.contributor.authorKnights, Nicola
dc.contributor.authorStone, Nicole
dc.contributor.authorNadarzynski, Tom
dc.contributor.authorBrown, Katherine
dc.contributor.authorNewby, Katie
dc.contributor.authorGraham, Cynthia
dc.date.accessioned2021-08-03T15:42:54Z
dc.date.available2021-08-03T15:42:54Z
dc.date.issued2021-07-27
dc.identifier.citationKnights , N , Stone , N , Nadarzynski , T , Brown , K , Newby , K & Graham , C 2021 , ' Feasibility study of the Home-based Exercises for Responsible Sex (HERS) intervention to promote correct and consistent condom use among young women ' , BMC Pilot and Feasibility Studies , vol. 7 , no. 1 , 145 , pp. 1-16 . https://doi.org/10.1186/s40814-021-00885-1
dc.identifier.issn2055-5784
dc.identifier.otherORCID: /0000-0003-2472-5754/work/98164052
dc.identifier.otherORCID: /0000-0002-9348-0116/work/98164055
dc.identifier.urihttp://hdl.handle.net/2299/24944
dc.description© 2021 The Author(s). This is an open access article distributed under the terms of the Creative Commons Attribution License (CC BY), https://creativecommons.org/licenses/by/4.0/
dc.description.abstractBackground: Male condoms are effective in preventing common sexually transmitted infections (STIs) and unintended pregnancy, if used correctly and consistently. However, condom use errors and problems are common and young people report negative experiences, such as reduced pleasure. The Kinsey Institute Home-Based Exercises for Responsible Sex (KIHERS) is a novel condom promotion intervention for young women, which aims to reduce condom errors and problems, increase self-efficacy and improve attitudes towards condoms, using a pleasure-focussed approach. The study objective was to test the operability, viability and acceptability of an adapted version of the KIHERS intervention with young women aged 16–25 years in the United Kingdom (UK) (Home-Based Exercises for Responsible Sex-UK (HERS-UK). Methods: A repeated-measures single-arm design was used, with a baseline (T1) and two follow-up assessments (T2 and T3), conducted 4 weeks and 8 weeks post intervention over a 3-month period. Participants were provided a condom kit containing different condoms and lubricants and were asked to experiment with condoms alone using a dildo and/or with a sexual partner. Ten process evaluation interviews were conducted post intervention. Results: Fifty-five young women received the intervention; 36 (65%) completed T2 and 33 (60%) completed T3. Condom use errors and problems decreased, self-efficacy increased and attitudes towards condoms improved significantly. The proportion of participants who reported using a condom for intercourse in the past 4 weeks increased from T1 (20; 47%) to T2 (27; 87%) and T3 (23; 77%) and using lubricant with a condom for intercourse increased from T1 (6; 30%) to T2 (13; 48%)) and T3 (16; 70%). However, motivation to use condoms did not change. Cronbach’s alpha scores indicated good internal consistency of measures used. Qualitative data provided strong evidence for the acceptability of the intervention. Conclusions: HERS-UK was implemented as intended and the recruitment strategy was successful within a college/university setting. This feasibility study provided an early indication of the potential effectiveness and acceptability of the intervention, and the benefits of using a pleasure-focussed approach with young women. Measures used captured change in outcome variables and were deemed fit for purpose. Future research should explore cost-effectiveness of this intervention, in a large-scale controlled trial using a diverse sample and targeting young women most at risk of STIs.en
dc.format.extent16
dc.format.extent832543
dc.language.isoeng
dc.relation.ispartofBMC Pilot and Feasibility Studies
dc.subjectCondom
dc.subjectCondom use
dc.subjectIntervention
dc.subjectMedicine (miscellaneous)
dc.titleFeasibility study of the Home-based Exercises for Responsible Sex (HERS) intervention to promote correct and consistent condom use among young womenen
dc.contributor.institutionDepartment of Psychology, Sport and Geography
dc.contributor.institutionCentre for Research in Psychology and Sports
dc.contributor.institutionSchool of Life and Medical Sciences
dc.contributor.institutionPublic Health and Applied Behaviour Change Laboratory
dc.description.statusPeer reviewed
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85111274462&partnerID=8YFLogxK
rioxxterms.versionofrecord10.1186/s40814-021-00885-1
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


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