Is a web video effective in increasing intention to use condoms? A test based on the Health Action Process Approach

Andrea Gragnano, Massimo Miglioretti

Accepted August 31, 2017

First published August 31, 2017

https://doi.org/10.26387/bpa.279.1

Abstract

The effectiveness of internet video in the promotion of healthy sexual behaviours is still not proved despite the large diffusion of this tool on the web. It is useful to rely on the theories of behaviour change when tailoring and evaluating a health promoting video. The HAPA model is a well-known theory of behaviour change still not tested in the field of promotion of healthy sexual behaviour. This study tested the usefulness of the motivational phase of the HAPA model to the promotion of healthy sexual behaviour and the effectiveness of a video delivered via web in increasing the intention to use condoms. Methods: The data were collected among 352 Italian participants recruited through Facebook. Participants were randomly assigned to the vision of the video or to the control group. Assessments were pre and post the intervention. SEMs were used to test the hypothesis. Results: The HAPA model explains 33% of the variance of Intention to use condoms and fit the data well. Outcome expectancies and self-efficacy are significant predictors of intention and the role of risk perception is discussed. The video increases the intention to use condoms (b = .11 p<.05). The video was more effective among non-intenders than intenders. The moderating effect of the initial level of intention had a p value of .07. Conclusion: Web videos are potentially effective and efficient tools to use in broader campaigns promoting the use of condom. Theories of behaviour change have to be used to design effective and tailored web videos. The HAPA model demonstrated its validity for the behaviour of condom use.

References

AIKEN, L.S., STEIN, J.A. & BENTLER, P.M. (1994). Structuralequation analyses of clinical subpopulation differences andcomparative treatment outcomes: Characterizing the daily livesof drug addicts. Journal of consulting and clinical psychology,62(3), 488-99.
ANDERSON, R.B. & McMILLON, P.Y. (1995). Effect of similar anddiversified modeling on African American women’s efficacyexpectations and intention to perform breast self-examination.Health Communication, 7(4), 324-343.
ARMITAGE, C.J. & CONNER, M. (2001). Efficacy of the theory ofplanned behaviour: A structured review. British Journal of SocialPsychology, 40(4), 471-499.
BĂBAN, A. & CRĂCIUN, C. (2007). Changing healthrisk behaviors:A review of theory and evidence-based interventions in healthpsychology. Journal of Cognitive and Behavioral Psychotherapies,7(1), 45-66.
BAGOZZI, R.P. & YI, Y. (2011). Specification, evaluation, andinterpretation of structural equation models. Journal ofthe Academy of Marketing Science, 40(1), 8-34. http:/
doi.org/10.1007/s11747011-0278-x
BALTAR, F. & BRUNET, I. (2012). Social research 2.0: Virtualsnowball sampling method using Facebook. Internet Research,22(1), 57-74.
BARG, C.J., LATIMER, A.E., POMERY, E., RIVERS, S.E., RENCH, T.,PRAPAVESSIS, H. & SALOVEY, P. (2012). Examining predictorsof physical activity among inactive middle-aged women: anapplication of the Health Action Process Approach. Psychology &health, 27(7), 829-845.
BULL, S., BRESLIN, L., WRIGHT, E., BLACK, S., LEVINE, D. &SANTELLI, J. (2011). Case Study: An Ethics Case Study of HIVPrevention Research on Facebook: The Just/Us Study. Journal ofPediatric Psychology, 36(10), 1082-1092.
BURGOON, M., DENNING, V.P. & ROBERTS, L. (2002). Languageexpectancytheory.InJ.E.Dillard&M.Pfau(Eds.),Thepersuasionhandbook: Developments in theory and practice. Thousand Oaks:Sage.
CARVALHO, T., ALVAREZ, M.J., BARZ, M. & SCHWARZER, R.(2015).Preparatorybehaviorforcondomuseamongheterosexualyoung men: A longitudinal mediation model. Health Education& Behavior, 42(1), 92-99.
CENTERS FOR DISEASE CONTROL AND PREVENTION (2009).Sexually Transmitted Disease Surveillance, 2008. Atlanta, GA:U.S. Department of Health and Human Services.
CHAIKEN, S. (1979). Communicator’s physical attractiveness andpersuasion. Journal of Personality and Social Psychology, 37(8),1387-1397.
CHEUNG, G. & RENSVOLD, R. (2002). Evaluating goodness-of-fitindexes for testing measurement invariance. Structural EquationModeling, 9(2), 233-255.
CORTINA, J.M. (1993). What is coefficient alpha? An examinationof theory and applications. Journal of Applied Psychology, 78(1),98-104.
GILES, H. & STREET, R.L. (1994). Communicator characteristicsand behaviour. In M.L. Knapp & G.R. Miller (Eds.), Handbook ofinterpersonal communication. Thousand Oaks: Sage.
GRAHAM, J.M. (2006). Congeneric and (Essential) Tau-EquivalentEstimates of Score Reliability. What They Are and How to UseThem. Educational and Psychological Measurement, 66(6), 930-944.
GRAY, J. & HARRINGTON, N. (2011). Narrative and framing: A testof an integrated message strategy in the exercise context. Journalof Health Communication, 16(3), 264-281.
JÖRESKOG, K. & SÖRBOM, D. (1996). LISREL 8: User’s referenceguide. Chicago: Scientific Software International.
KREBS, P., PROCHASKA, J.O. & ROSSI, J.S. (2010). A meta-analysisof computer-tailored interventions for health behavior change.Preventive medicine, 51(3), 214-221.
LIPPKE, S., SCHWARZER, R., ZIEGELMANN, J.P., SCHOLZ, U.& SCHÜZ, B. (2010). Testing stage-specific effects of a stage-matched intervention: A randomized controlled trial targetingphysical exercise and its predictors. Health Education &Behaviour, 37(4), 533-546.
MacCALLUM, R. (1986). Specification searches in covariancestructure modeling. Psychological Bulletin, 100(1), 107-120.
McCROSKEY, J.C. & TEVEN, J.J. (1999). Goodwill: A reexaminationof the construct and its measurements. CommunicationMonographs, 66(1), 90-103.
MILLER, A.G., COLLINS, B.E. & BRIEF, D.E. (1995). Perspectiveson obedience to authority: The legacy of Milgram experiments.Journal of Social Issues, 51(3), 1-19.
NOAR, M., PALMGREEN, P., CHABOT, M., DOBRANSKY, N.& ZIMMERMAN, R.S. (2009). A 10-year systematic reviewof HIV/aids mass communication campaigns: Have we madeprogress? Journal of Health Communication, 14(1), 15-42.
PAYAPROM, Y., BENNETT, P., ALABASTER, E. & TANTIPONG,H. (2011). Using the Health Action Process Approach andimplementation intentions to increase flu vaccine uptake inhigh risk Thai individuals: A controlled before-after trial. Healthpsychology, 30(4), 492-500.
PETTY, R.T., WHEELER, S.C. & TORMALA, Z.L. (2003). Persuasionand attitude change. In T. Millon & M.J. Lerner (Eds.), Handbookof psychology: Vol. 5. Hoboken: Wiley.
PING, R.A. (1995). A parsimonious estimating technique forinteraction and quadratic latent-variables. Journal of MarketingResearch, 32(3), 336-347.
PITTS, S.C., WEST, S.G. & TEIN, J.Y. (1996). Longitudinalmeasurement models in evaluation research: Examining stabilityand change. Evaluation and Program Planning, 19(4), 333-350.
REYNOLDS, R.A. & REYNOLDS, J.L. (2002). Evidence. In J.E.Dillard & M. Pfau (Eds.), The persuasion handbook: Developmentsin theory and practice. Thousand Oaks: Sage.
RHOADS, K.V.L. & CIALDINI, R.B. (2002). The business ofinfluence: Principles that lead to success in commercial settings.In J.P. Dillard & M. Pfau (Eds.), The persuasion handbook:Developments in theory and practice. Thousand Oaks: Sage.
ROBERTO, A.J., ZIMMERMAN, R.S., CARLYLE, K.E. & ABNER,E.L. (2007). A computer-based approach to preventingpregnancy, STD, and HIV in rural adolescents. Journal of HealthCommunication, 12(1), 53-76.
SCHWARZER, R. (2001). Social-Cognitive Factors in ChangingHealth-Related Behaviours. Current Directions in PsychologicalScience, 10(2), 47-51.
SCHWARZER, R. (2008). Modeling health behavior change: Howto predict and modify the adoption and maintenance of healthbehaviors. Applied Psychology, 57(1), 1-29.
SCHWARZER, R., LUSZCZYNSKA, A., ZIEGELMANN, J.P.,SCHOLZ, U. & LIPPKE, S. (2008). Social-cognitive predictorsof physical exercise adherence: Three longitudinal studies inrehabilitation. Health Psychology, 27(1), 54-63.
SCHWARZER, R. & RENNER, B. (2000). Social-cognitive predictorsof health behaviour: Action self-efficacy and coping self-efficacy.Health Psychology, 19(5), 487-495.
SOLID & HALLERFILM AG (Producer), (2005). Zürcher Aids Hilfe- Vergangenheit [Videofile]. Retrieved from http://www.youtube.com/watch?v=W6BslQ4NZnM
TENG, Y. & MAK, W.S. (2011). The role of planning and self-efficacy in condom use among men who have sex with men:An application of the Health Action Process Approach model.Health psychology, 30(1), 119-128.
UNAIDS (2010). Global report: UNAIDS report on the global AIDSepidemic 2010. Joint United Nations Program on AIDS/HIV,Geneva, Switzerland.
UNAIDS (2011). World AIDS day report 2011. Joint United NationsProgram on AIDS/HIV, Geneva, Switzerland.
UNAIDS (2016). Fact sheet November 2016. Joint United NationsProgram on AIDS/HIV, Geneva, Switzerland. Retrievedfrom http://www.unaids.org/sites/default/files/media_asset/UNAIDS_FactSheet_en.pdf
WORLD HEALTH ORGANIZATION (2016). Global health sectorstrategy on sexually transmitted infections, 2016-2021. Geneva,Switzerland: WHO.

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Gragnano Andrea. Miglioretti Massimo. Is a web video effective in increasing intention to use condoms? A test based on the Health Action Process Approach. BPA Applied Psychology Bulletin. 2017;279(1):2-14. doi:10.26387/bpa.279.1.

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