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

Jennifer Macdonald, Karen Lorimer, Christina Knussen, Paul Flowers

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14 Citations (Scopus)
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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.

Original languageEnglish
Pages (from-to)2477-2492
Number of pages16
JournalJournal of Health Psychology
Issue number11
Early online date27 May 2015
Publication statusPublished - 1 Nov 2016


  • age
  • condoms
  • risk reduction
  • sexual health
  • systematic review

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