SELF-EFFICACY, DECISIONAL BALANCE AND STAGES OF CHANGE FOR CONDOM USEAMONG WOMEN AT RISK FOR HIV-INFECTION

Theory-based models of HIV prevention need to be tested using appropri ate measures with populations at high risk, Data from interviews with 4036 women recruited from facilities and randomly sampled from high-ri sk communities were used to examine the mediating variables specified by the Transtheoretical Model (TM), The analysis aimed to test the rel iability of brief self-efficacy and decisional balance measures, asses s the relationships of these measures to stages of change for condom a nd contraceptive use, and examine the extent to which these findings a re consistent for women interviewed in different settings, The results indicated that the scales measuring self-efficacy and advantages (pro s) of the behaviors were moderately to highly reliable, while those me asuring disadvantages (cons) were much less reliable. Results were sim ilar for women recruited from community and from facility settings. Po ssible explanations for the low reliabilities for cons were examined. Significant differences in mean scores by stage of change were found f or all measures of self-efficacy, pros and cons, These findings are co nsistent with patterns predicted by TM.