CONDOM USE ADOPTION AND CONTINUATION - A TRANSTHEORETICAL APPROACH

The use of latex condoms can reduce the risks of sexually transmitted diseases (STDs), including the human immunodeficiency virus (HIV) that can lead to the acquired immunodeficiency syndrome (AIDS), Yet, most intervention programs have demonstrated little effect on overall condo m use, The major limitation of many traditional behavioral change prog rams is that they are based on an action paradigm which implicitly or explicitly views behavior change as a dramatic and discrete movement ( e.g. going from 'never' using condoms to 'always' using condoms). The Transtheoretical Model of Change (TMC) offers an alternative conceptua lization of the structure of change, a stage paradigm, that defines be havior change as an incremental process through a series of stages, Th is paper offers a summary of how measures and models of condom use bas ed on the TMC have been developed and continue to be refined, offers s ome preliminary findings with diverse populations, and describes inter vention applications of a stage paradigm approach to condom use adopti on and continuation.