Evaluation of a web-assisted intervention to promote condom use in Mexican deaf youth
DOI:
https://doi.org/10.21134/haaj.v23i2.759Keywords:
deaf, health education, eHealth, sign languagesAbstract
Deaf people are at risk of contracting Sexually Transmitted Infections and having unplanned pregnancies, in addition to having few programs that fit the communicative characteristics of this population. The purpose of this study was to evaluate the effects of an intervention program assisted by a web-based application aimed at promoting condom use. A quasi-experimental design with an intervention and control group was used, in which 32 young deaf people participated. The intervention consisted of four face-to-face sessions that were supported by the web application, which contains videos and review dynamics. Increases were seen in the level of knowledge about STIs and condom use, in perceived self-efficacy for correct condom use, and in the demonstrated ability to put on and take off a condom on a penis for teaching. The importance of computer tools for the promotion of health and the exercise of sexual and reproductive rights in the deaf population is discussed.
Downloads
References
Alegría, J., & Domínguez, A. (2009). Los alumnos sordos y la lengua escrita. Revista Latinoamericana de Educación Inclusiva, 3(1), 95-111. Recuperado de https://sid.usal.es/idocs/F8/ART11924/alumnos_sordos_y_lengua_Escrita.pdf
Anderson, E., Wagstaff, D., Heckman, T., Winett, R., Roffman, R., Solomon, L., Cargill, V., & Sikkema, K. (2006). Information-motivation-behavioral skills (IMB) model: testing direct and mediated treatment effects on condom use among women in low-income housing. Annals of Behavioral Medicine, 31(1), 70-79. https://doi.org/10.1207/s15324796abm3101_11
Anstee, S., Shepherd, J., Graham, C. A., Stone, N., Brown, K., Newby, K., & Ingham, R. (2019). Evidence for behavioural interventions addressing condom use fit and feel issues to improve condom use: a systematic review. Sexual health, 16(6), 539-547. https://doi.org/10.1071/SH19001
Bandura, A. (1999). Social cognitive theory: An agentic perspective. Asian Journal of Social Psychology, 2(21), 21-41. https://doi.org/10.1146/annurev.psych.52.1.1
Billings, D., Leaf, S., Spencer, J., Crenshaw, T., Brockington, S., & Dalal, R. (2015). A randomized trial to evaluate the efficacy of a web-based HIV behavioral intervention for high-risk African American women. AIDS & Behavior, 19(7), 1263-1274. https://doi.org/10.1007/s10461-015-0999-9
Brunnberg, E., Boström, M., & Berglund, M. (2009). Sexuality of 15/16-year-old girls and boys with and without modest disabilities. Sexuality and Disability, 27(3), 139-153. https://doi.org/10.1007/s11195-009-9123-2
Bull, S., Pratte, K., Whitesell, N., Rietmeijer, C., & McFarlane, M. (2009). Effects of an Internet-based intervention for HIV prevention: the youth net trials. AIDS & Behavior, 13(3), 474-487. https://doi.org/10.1007/s10461-008-9487-9
Campbell, D. T., & Stanley, J. C. (1974). Experimental and Quasi-Exprimental Designs for Research. USA: Houghton Mifflin Company Boston
Comisión Nacional de los Derechos Humanos. (2016). Cartilla derechos sexuales de adolescentes y jóvenes. México. Recuperado de https://www.cndh.org.mx/sites/default/files/doc/Programas/VIH/Divulgacion/cartillas/Cartilla-Derechos-Sexuales-Adolescentes-Jovenes.pdf
Danielson, C., McCauley, J., Gros, K., Jones, A., Barr, S., L. Borkman, M., B., Bryant, M., & Ruggiero, K. (2016). SiHLEWeb.com: Development and usability testing of an evidence-based HIV prevention website for female African-American adolescents. Health Informatics Journal, 22(2), 194-208. https://doi.org/10.1038/nature17150
De Andrade, V., & Baloyi, B. (2010). HIV/AIDS knowledge among adolescent sign-language users in South Africa. African Journal of AIDS Research, 9(3), 307-313. https://doi.org/10.2989/16085906.2010.530189
Debevc, M., StjepanoviÄ, Z., & Holzinger, A. (2014). Development and evaluation of an e-learning course for deaf and hard of hearing based on the advanced Adapted Pedagogical Index method. Interactive learning environments, 22(1), 35-50. https://doi.org/10.1080/10494820.2011.641673
Di Noia, J., Schinke, S., Pena, J., & Schwinn, T. (2004). Evaluation of a Brief Computer-mediated Intervention to reduce HIV risk among early adolescent females. Journal of Adolescent Heath, 35(1), 62-64. https://doi.org/10.1016/j.jadohealth.2003.09.006
Field, A. (2017). Discovering Statistics Using IBM SPSS Statistics: North American Edition. Sage.
Fisher, J., & Fisher, W. (1992). Changing AIDS-risk behavior. Psychological Bulletin, 3(3), 455-474. https://doi.org/10.1037/0033-2909.111.3.455
Fisher, J., Fisher, W., Bryan, A., & Misovich, S. (2002). Information-Motivation-Behavioral Skills model–based HIV risk behavior change intervention for inner-city high school youth. Health Psychology, 21(2). 177–186. https://doi.org/10.1037/0278-6133.21.2.177
Fisher, J., Fisher, W., Misovich, S., Kimble, D., & Malloy, T. (1996). Changing AIDS risk behavior: effects of an intervention emphasizing AIDS risk reduction information, motivation, and behavioral skills in a college student population. Health Psychology, 15(2), 114. https://doi.org/10.1037/0278-6133.15.2.114
Glasgow, R. (2007). eHealth evaluation and dissemination research. American journal of preventive medicine, 32(5), 119-126. https://doi.org/10.1016/j.amepre.2007.01.023
Goldstein, M. F., Eckhardt, E. A., Joyner-Creamer, P., Berry, R., Paradise, H., & Cleland, C. M. (2010). What do deaf high school students know about HIV? AIDS Education and Prevention, 22(6), 523-537. https://doi.org/10.1521/aeap.2010.22.6.523
Gomez, M. (2011). Sexual behavior among Filipino high school students who are deaf. Sexuality and Disability, 29(4), 301-312. https://doi.org/10.1007/s11195-011-9215-7
Hanass-Hancock, J., & Satande, L. (2010). Deafness and HIV/AIDS: a systematic review of the literature. African Journal of AIDS Research, 9(2), 187-192. https://doi.org/10.2989/16085906.2010.517488
Heiman, E., Haynes, S., & McKee, M. (2015). Sexual health behaviors of Deaf American Sign Language (ASL) users. Disability and Health Journal, 8(4), 579-585. https://doi.org/:10.1016/j.dhjo.2015.06.005
Heuttel, K., & Rothstein, W. (2001). HIV/AIDS knowledge and information sources among deaf and hearing college students. American Annals of the Deaf, 146(3), 280-286. https://doi.org/10.1353/aad.2012.0067
Hoffmann, T., & Worrall, L. (2004). Designing effective written health education materials: considerations for health professionals. Disability and Rehabilitation, 26(19), 1166-1173. https://doi.org/10.1080/09638280410001724816
Instituto Nacional de las Mujeres. (2018). Cartilla de Derechos Sexuales y Derechos Reproductivos de las Personas con Discapacidad. Sustento Normativo. Recuperado de https://www.gob.mx/cms/uploads/attachment/file/389292/Cartilla_de_DS_y_DR_Sustento_Normativo.pdf
Job, J. (2004) Factors involved in the ineffective dissemination of sexuality information to individuals who are deaf or hard of hearing. American Annals of the Deaf, 149(3), 264-273. https://doi.org/10.1353/aad.2004.0025
Karras, E., & Rintamaki, L. (2012). An examination of online health information seeking by deaf people. Health Communication, 27(2), 194-204. https://doi.org/10.1080/10410236.2011.575539
Kudo, Y. (2013). Effectiveness of a condom use educational program developed on the basis of the Information-Motivation-Behavioral Skills model. Japan Journal of Nursing Science, 10, 24-40. https://doi.org/10.1111/j.1742-7924.2012.00207.x
Mprah, W. (2013). Sexual and reproductive health needs assessment with deaf people in Ghana: Methodological challenges and ethical concerns. African Journal of Disability, 2(1), 1-7. https://doi.org/10.4102/ajod.v2i1.55
Muñoz-Baell, I. M., Alvarez-Dardet, C., Ruiz, M. T., Ferreiro-Lago, E., & Aroca-Fernandez, E. (2008). Setting the stage for school health-promoting programmes for Deaf children in Spain. Health Promotion International, 23(4), 311-327. https://doi.org/10.1093/heapro/dan026
Noar, S. & Willoughby, J. F. (2012). eHealth interventions for HIV prevention. AIDS Care, 24(8), 945-952. https://doi.org/10.1080/09540121.2012.668167
Organización Mundial de la Salud. (2021). Discapacidad y salud. Recuperado de https://www.who.int/es/news-room/fact-sheets/detail/disability-and-health
Pérez, Y. Y. & Robles, S. S. (2018). Comparación del nivel de conocimiento y debut sexual en jóvenes con sordera de la Ciudad de México y Guadalajara. Pensamiento Crítico. Revista de Investigación Multidisciplinaria, 9, 1-8. https://pensamientocriticoudf.com.mx/images/img/PDF/5_No_9/ART.%201%202018-II.pdf
Pérez-Bautista, Y. (2019). Intervención educativa en salud sexual apoyada por una aplicación vía internet, dirigida a jóvenes sordos mexicanos. (Tesis de doctoral inédita). Universidad Nacional Autónoma de México, México
Pérez-Bautista, Y. Y., Robles-Montijo, S. S., Tiburcio-Sainz, M. A., & Guevara-Benítez, C. Y. (2020). ProTGTlsm: Diseño y evaluación de una aplicación para la educación sexual de jóvenes sordos mexicanos. Revista de Estudios e Investigación en Psicología y Educación, 7(2), 136-148. https://doi.org/10.17979/reipe.2020.7.2.6905
Piña, J., & Rivera, B. (2006). Psicología de la salud: algunas reflexiones críticas sobre su qué y su para qué. Universitas Psychologica, 5(3), 669-680. https://www.redalyc.org/comocitar.oa?id=64750319
Robles, S. & Díaz-Loving, R. (2011). Validación de la Encuesta Estudiantil sobre Salud Sexual (EESS). México: Universidad Nacional Autónoma de México.
Robles, S., Guevara, Y., Pérez, Y., & Hermosillo, A. (2013). Comunicación con padres y conducta sexual en jóvenes mexicanos con discapacidad auditiva. Psicología y Salud, 23 (2), 227-237. https://doi.org/10.25009/pys.v23i2.504
Robles, S., Moreno, D., Frías, B., Rodríguez, M., Barroso, R., Díaz, E., Rodríguez, M. L., & Hernández, R. (2006). Entrenamiento conductual en habilidades de comunicación sexual en la pareja y uso correcto del condón. Anales de Psicología, 22(1), 60-71. https://www.redalyc.org/articulo.oa?id=16722108
Robles, S., Piña, J., & Moreno, D. (2006). Determinantes del uso inconsistente del condón en mujeres que tienen sexo vaginal, oral y anal. Anales de Psicología, 22(2), 200-204. https://revistas.um.es/analesps/article/view/25801
Robles, S., Solano, R., Díaz-Loving, R., Moreno, D., Frías, B., Rodríguez, M. & Barroso, R. (2012). Efectos de un programa de prevención de problemas de salud sexual sobre variables psicosociales y conductuales en adolescentes sin experiencia sexual. Revista Electrónica de Psicología Iztacala, 15(3), 1129-1155. Recuperado de https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=37528
Robles-Montijo, S. S., & Pérez-Bautista, Y. Y. (2021). Uso del condón en jóvenes sordos de la Ciudad de México: qué saben y cómo lo usan. Interacciones, e177-e187. https://doi.org/10.24016/2020.v7.177
Robles-Montijo, S., Guevara-Benítez, Y., & Pérez-Bautista, Y. (2021). Factores de Riesgo para la Salud Sexual de Jóvenes Sordos: Evaluación con un Cuestionario Computarizado. Revista Colombiana de Psicología, 30(1). https://doi.org/10.15446/rcp.v30n1.77173
Sanders, S. A., Graham, C. A., Yarber, W. L., Crosby, R. A., Dodge, B., & Milhausen, R. R. (2006). Women who put condoms on male partners: Correlates of condom application. American Journal of Health Behavior, 30(5), 460-466. https://doi.org/10.5993/AJHB.30.5.2
Sanson-Fisher, R., Bonevski, B., Green, L., & D’Este, C. (2007). Limitations of the randomized controlled trial in evaluating population-based health interventions. American Journal of Preventive Medicine, 33(2), 155-161. https://doi.org/10.1016/j.amepre.2007.04.007
Scott-Sheldon, L. A., Huedo-Medina, T. B., Warren, M. R., Johnson, B. T., & Carey, M. P. (2011). Efficacy of behavioral interventions to increase condom use and reduce sexually transmitted infections: a meta-analysis, 1991 to 2010. Journal of Acquired Immune Deficiency Syndromes, 58(5), 489-498. https://doi.org/10.1097/QAI.0b013e31823554d7
Secretaría de Salud (2021). Sistema de Vigilancia Epidemiológica de VIH. Informe histórico de VIH 3er trimestre 2021. Recuperado de https://www.gob.mx/cms/uploads/attachment/file/685221/VIH-Sida_3erTrim_2021.pdf
Secretaría de Salud de la Ciudad de México. (2021). Interrupción legal del embarazo (ILE), estadísticas abril 2007 –septiembre 2021. Recuperado de http://ile.salud.cdmx.gob.mx/wp-content/uploads/WEB-21.pdf
Shackleton, J. (2009) Exploring perceptions of deaf persons for recommendations towards effective HIV/AIDS Programming in Nairobi. Journal of Human Development, Disability, and Social Change, 18(2), 59-76. Recuperado de https://crires.ulaval.ca/sites/default/files/full-text/_obstacles_et_facilitateurs_a_la_participation_sociale_.pdf#page=61
Shadish, W., Cook, T., y Campbell, D. (2002). Experimental and Quasi-Experimental Designs for Generalized Causal Inference. Boston: Houghton-Mifflin.
Sheeran, P., & Orbell, S. (1998). Do intentions predict condom use? Meta-analysis and examination of six moderator variables. British journal of Social Psychology, 37(2), 231-250. https://doi.org/10.1111/j.2044-8309.1998.tb01167.x
Siegel, S., & Catellan, N. (1995). Estadística no paramétrica aplicada a las ciencias de la conducta (Vol. 4). México: Trillas.
Sikkema, K. (2005). HIV Prevention among Women in Low-Income Housing Developments: Issues and Intervention Outcomes in a Place-Based Randomized Controlled Trial. Annals of the American Academy of Political and Social Science, 599, 52–70. https://doi.org/10.1177/0002716205274516
Touko, A., Mboua, C., Tohmuntain, P., & Perrot, A. (2010). Sexual vulnerability and HIV seroprevalence among the deaf and hearing impaired in Cameroon. Journal of the International AIDS Society, 13(1), 1-8. https://doi.org/10.1186/1758-2652-13-5
Wingood, G., Card, J., Er, D., Solomon, J., Braxton, N., Lang, D., Braxton, N. Lang, D., Seth, P., Cartreine J., & DiClemente, R. (2011). Preliminary efficacy of a computer-based HIV intervention for African American women. Psychology & Health, 26(2), 223-234. https://doi.org/10.1080/08870446.2011.531576
Ybarra, M. L., Korchmaros, J., Kiwanuka, J., Bangsberg, D. R., & Bull, S. (2013). Examining the applicability of the IMB model in predicting condom use among sexually active secondary school students in Mbarara, Uganda. AIDS and Behavior, 17(3), 1116-1128. https://doi.org/10.1007/s10461-012-0137-x
Ybarra, M., Korchmaros, J., Prescott, T., & Birungi, R. (2015). A randomized controlled trial to increase HIV preventive Information, Motivation, and Behavioral skills in Ugandan adolescents. Annals of Behavioral Medicine, 49, 473-485. https://doi.org/10.1007/s12160-014-9673-0
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Health and Addictions Journal/Revista Salud y Drogas
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors publishing in this journal agree to the journal's statement of ethical principles and to the following terms:
The rights of the published material shall belong to their respective authors. Articles published in HAAJ may be used under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International license, and may be read, copied, distributed, printed, searched, or linked to in the full text of this journal without prior permission from the publisher or author, provided that HAAJ and the authors are acknowledged and not used for commercial purposes.
Authors may include the work in institutional repositories or other publications as long as this journal is acknowledged and properly cited.
The HAAJ editorial team encourages authors to disseminate their published work through any means (conferences, classes, lectures, talks, etc.) and/or platforms (social networks, repositories, websites, etc.).
HAAJ follows the Core Practices of COPE (Committee on Publication Ethics).
How to Cite
