Cross-cultural adaptation and validation of the Condom Self-Efficacy Scale: application to Brazilian adolescents and young adults.
Carla Suellen Pires de Sousa, Régia Christina Moura Barbosa Castro, Ana Karina Bezerra Pinheiro and 3 others
PMID 29319748WHAT IT FOUND
A Brazilian condom self-efficacy scale was understood by sexually active adolescents and young adults and scored consistently across its three areas.
Nurses can use it to assess confidence before sexual-health education.
Key findings
01The adapted scale was considered understandable to adolescents and young adults after expert review and pretest.
02In 209 sexually active students, the mean total score was 68.1, and the three domains had internal consistency values between 0.632 and 0.788.
03Male students averaged 70.5 and female students averaged 62.8 on the consistent-use domain, and the paper reports an association with sex.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The scale was tested in 209 sexually active students at a state-owned school in Fortaleza, so it may not behave the same in other Brazilian regions or in people who are not sexually active. The pretest included 40 people, and the main sample was 13 to 26 years old, so it does not cover people outside that age range. Some domain internal consistency values were between 0.632 and 0.788, and items 4, 5 and 9 were reallocated after factor analysis. This study validates a measurement tool; it does not show that using the scale improves condom use or health outcomes. Content validation was done by 22 nurses, not by a broader mix of professionals or the target group alone.
The easy way to misread this
Do not treat a high score on this scale as proof that a young person uses condoms consistently or correctly. The paper validates a confidence scale and reports that 58.5% of participants with a fixed partner used condoms inconsistently.