Volitional Intervention Development (VoID) Bridging the gap between intention and behaviour for adolescent contraceptive use

This programme involves you reading things on the screen and answering questions or responding by writing things down in the planning booklet you will have been given. The programme asks about contraceptive use and sex, and it doesn’t matter whether you are having sex at the moment or not or if you currently use contraception or not, you should still have a go! Click the screen to continue

Thinking about when you might be likely to have sex can be an important part of making sex safer as well as fun. Do you think you might be interested in having sex some time soon? Yes I think I might No I’m sure I won’t I don’t know

Abstinence slide Participant would be directed to information designed to enhance feelings about it being ok to abstain from sex

Motivational intervention delivery Participant would be guided to material designed to enhance feelings of motivation for using contraception effectively

Educational material Participants would be provided with educational information to increase knowledge about contraception

If you think you might be interested in having sex soon, is using a method of contraception when you have sex important to you? Yes it is important to me No I’m not bothered I’m not sure

Why do you feel unsure about wanting to use contraception when you have sex? I don’t know enough about it I don’t really like using it I find it difficult to use

Although you may not think you are likely to have sex with anyone in the near future, do you think using contraception would be important to you if you did have sex? Yes it would be important to me No it wouldn’t bother me much I’m not sure

Main materials for assessing Are you…. Male Female

Volitional male You have agreed that when you have sex with someone it’s important to you that you use contraception. The best way for you to ensure that this happens is for you to use a condom when you have sex A condom will protect you from sexually transmitted infections (STIs) and it will protect you from causing a pregnancy.

Volitional female You have agreed that when you have sex with someone it’s important to you that you use contraception. What is your preferred method? –Condoms (either on their own or with another method) –The pill only –Injections/implants only

Condoms It’s important to use a condom whenever you have sex!It’s important to use a condom whenever you have sex! You are more likely to use a condom every time you have sex if you make some specific plans to help you do so.You are more likely to use a condom every time you have sex if you make some specific plans to help you do so. Please click to go to next pagePlease click to go to next page

Making sure you always have condoms You will be more likely to use condoms if you always have them with you You will be more likely to have condoms with you if you make a specific plan or decision about how you will get hold of and carry condoms Please click to go to next page

Making sure you always have condoms Make a decision now about when and where you will get hold of condoms and how you will ensure you always have them with you.whenwhere Write that decision down now as a promise to yourself. For help and suggestions doing this click here

Condoms You will be more likely to use the condoms you’re carrying if you check you’ve got them before you have sex and mention them to your partnermention Below are some behaviours that tend to happen just before two people have sex –Undressing –Touching in private places Choose one of these or think of another behaviour, but it needs to be one that you think you would always do before you have sex with someone

Condoms Think about the behaviour you have just chosen. Now, make a decision that whenever you are doing that behaviour you will check you have your condoms with you – this will help you remember to use one before you begin to have sex. Click to go to next page

Condoms Write your decision down now in your planning booklet as a promise to yourself What to write: “Whenever I am (insert your chosen behaviour) I will check I have condoms with me and mention them to my partner” Remember if you want to use a condom and your female partner doesn’t, you should refuse to have sex. How do I do this?How do I do this? When you’ve done this click here

Condoms – advice for women It’s important to use a condom whenever you have sex!It’s important to use a condom whenever you have sex! For women who want to use a condom, some communication with their male partner is needed so that that one is used during sexFor women who want to use a condom, some communication with their male partner is needed so that that one is used during sex Click to continueClick to continue

Condoms and women You will be more likely to use condoms if you always have them with you You will be more likely to have condoms with you if you make a specific plan or decision about how you will get hold of and carry condoms Please click to go to next page

Condoms and women Make a decision now about when and where you will get hold of condoms and how you will ensure you always have them with you. Write that decision down now in your planning booklet as a promise to yourself

Condoms and women You will be more likely to use the condoms you have if you feel able to talk to your male partner about using one There are lots of ways you can bring up the topic of using a condom You could simply ask ‘Do you have any condoms?’ Or if you feel comfortable doing so, you could say, ‘Let me put a condom on you!’ More suggestions Decide on a way to ask and then click to continue

Condoms and women You are more likely to remember to bring up using a condom if you make a plan that you will do this. Below are some behaviours that tend to happen just before two people have sex –Undressing –Touching in private places Choose one of these or think of another behaviour, but it needs to be one that you think you would always do before you have sex with someone

Condoms and women Think about the behaviour you have just chosen. Now, make a decision that whenever you are doing that behaviour you will bring up the subject of using a condom with your male partner with the phrase you decided on earlier Click to go to next page

Condoms and women Write your decision down now and commit to it as a promise to yourself What to write: “Whenever I am (insert your chosen behaviour) I will bring up using condoms by saying (insert the phrase you chose earlier)” Remember if you want to use a condom and your male partner doesn’t, you should refuse to have sex. How do I do this?How do I do this? When you’ve done this click here

Girlfriend’s pill If a woman or girl takes the pill correctly it is very good at preventing her from getting pregnant.If a woman or girl takes the pill correctly it is very good at preventing her from getting pregnant. The pill does not protect you from sexually transmitted infections (STIs) – you need to use condoms to protect from STIs every time you have sex.The pill does not protect you from sexually transmitted infections (STIs) – you need to use condoms to protect from STIs every time you have sex. Click to continueClick to continue

Girlfriend’s pill A girl you are having sex with is more likely to take her pill correctly if she gets support from her male partner to do so If you are having sex or thinking about having sex with a girlfriend then just asking her about her pill can show support. Click to continue

More choices… If condoms are the only method you want to use click here If you or your partner also use or want to use the contraceptive pill click below –Males –Females If you or your partner also use or want to use hormonal injections or implants click below –Males –Females If you wish to end the program now click here

Girlfriend’s pill There are lots of ways you can ask a girlfriend about the pill… …some suggestions Using the suggestions decide on a way you would prefer to bring up the subject Make a decision to ask your girlfriend about it the next time you see her Click to continue

Girlfriend’s pill Write your decision down now in the planning booklet provided: “The next time I see my girlfriend I will ask her about the pill by saying (insert the suggestion you decided on or choose your own).” E.g. “The next time I see my girlfriend I will ask her about the pill by saying, ‘you know you’re on the pill, where do you keep it then?’” Click to finish the program

The pill You’ve stated that the contraceptive pill is your preferred method of contraception or that you are interested in taking this.You’ve stated that the contraceptive pill is your preferred method of contraception or that you are interested in taking this. Using this method means making sure you take the pills correctly to prevent pregnancy.Using this method means making sure you take the pills correctly to prevent pregnancy. Also the pill does not protect you from sexually transmitted infections (STIs). Condoms should be used to protect you from STIs.Also the pill does not protect you from sexually transmitted infections (STIs). Condoms should be used to protect you from STIs. Click to continueClick to continue

The pill You are more likely to take your pill correctly every day if you have a specific plan about where and when you will take it each day. Forgetting to take your pill is something that everybody can do sometimes so making a good plan is important. Click to continue

The pill Make a decision now about exactly where and when you will take your pill each day and in a moment you’ll be asked to write this down. You may already have a time and place, so think about them if you do. It’s good to plan to take the pill in the morning. Why? It’s also good to plan to take the pill at the same time as something else you do once a day (e.g. take a shower).

The pill Suggestions for times/actions to attach to taking the pill When you’ve decided exactly where and when you will take your pill each day, make a commitment to doing this and write it down in your planning booklet. Write “I will take my pill every morning/evening when I (…insert time or other action…..) in (…insert place...).” E.g. “ I will take my pill every morning when I put my underwear on in my bedroom. Tip: You should keep your packet of pills in a place that will help you to do this. So if you’re going to take it when you put your underwear on, maybe keep the pills on top of your underwear draw?

The pill It’s great if you can remember to take the pill correctly each day – this will really help you to avoid an unwanted pregnancy. But if you want to avoid STIs as well and make double sure you don’t get pregnant then using condoms is essential. For more information about using condoms click here. To finish the programme click here.

Injections and implants You’ve stated that hormonal injections or implants are your preferred method of contraception. This method provides good protection from pregnancy but will not protect you from STIs You should use condoms to protect you from STIs Click for next page

Injections and implants With this hormonal method of contraception you are protected from pregnancy as long as you keep your appointments with the doctor or nurse who provides your contraception You are more likely to do this if you plan carefully to do so

Injections and implants If you know when your next appointment is then click here If you still need to make your next appointment then click here

Injections and implants If you have a diary that you use to plan your time, or a calendar on the wall at home, or a mobile phone with a calendar section in it, whatever you use, make a decision to put your appointment time in it. Also, put a reminder in one week before the appointment to help you remember to plan how to get there.

Injections and implants Make a decision that you will enter the appointment in your diary tonight and write this decision down in your planning booklet now. Write: ‘As soon as I get home tonight I will add my appointment and a one week reminder to my (phone/calendar/diary)’ When you’ve done that click here

Injections and implants Make a plan now that you will contact your contraceptive provider tomorrow to make an appointment, and that you will keep trying to contact them, even if they are busy until you have made your appointment. Doing this will help to ensure that you continue to be protected from pregnancy

Injections and implants Use your planning booklet to write down your plan and add specific details to it if you can. For example, you could write, ‘I will phone the clinic tomorrow when I get home from school and make my next appointment to get hormonal contraception.’ When you have done this click here.

What about condoms? Even though your hormonal injections or implants protect you from unwanted pregnancy, you can only protect yourself from STIs by using a condom. If you want to find out more about using condoms click here To finish the program click here

Girlfriend’s injections/implants If a woman or girl has injections or implants she is well protected from getting pregnant.If a woman or girl has injections or implants she is well protected from getting pregnant. Injections/implants do not protect you or her from sexually transmitted infections (STIs) – you need to use condoms to protect from STIs every time you have sex.Injections/implants do not protect you or her from sexually transmitted infections (STIs) – you need to use condoms to protect from STIs every time you have sex.

Girlfriend’s injections/implants Your girlfriend is more likely to continue to use her chosen method of contraception if she gets support from her male partner If you are having sex or thinking about having sex with a girlfriend then just asking her about her injections or implants can show support. Click to continue

Girlfriend’s injections/implants There are lots of ways you can ask a girlfriend about her injections/implants… …some suggestions Using the suggestions decide on a way you would prefer to bring up the subject Make a decision to ask your girlfriend about it the next time you see her Click to continue

Girlfriend’s injections/implants Write your decision down now in the planning booklet provided: “The next time I see my girlfriend I will ask her about her injections/implants by saying (insert the suggestion you decided on or choose your own).” E.g. “The next time I see my girlfriend I will ask her about her injections/implants by saying, ‘you know you’re on those injections, how often do you have to have them then?’” Click to finish the program

Condoms Condoms are a very reliable method of contraception when used properly They also protect you from sexually transmitted infections including HIV If you want to be sure about preventing pregnancy, it is worth considering using an additional method of contraception with your condoms. Click for more information

Condom carrying When you have decided when and where you will get hold of condoms write down your plan in as much detail as possible in the planning booklet provided. Think about which day, what time of day, where you will go and how you will get there. Try to build the plan into activities you know you will do anyway e.g. buying condoms from a toilet vending machine at a place you go to regularly. Write down your plan now in the planning book provided and when you have finished click on the arrow to continue.

Implementation intention - condom carrying (females) When you have decided when and where you will get hold of condoms write down your plan in as much detail as possible. Think about which day, what time of day, where you will go and how you will get there.whenwhere Try to build the plan into activities you know you will do anyway e.g. buying condoms from a toilet vending machine at a place you go to regularly. Write down your plan now and when you have finished click on the arrow to continue.

Times to get condoms When planning when to get hold of condoms you need to think about when this will be possible for you! It will depend on where you plan to get them from toowhere Can you call into a shop or clinic after school or at the weekend?

Places to get condoms Buy condoms: Chemists Petrol station shops (some open 24 hours) Vending machines in bars/cafes etc Supermarkets (some open 24 hours) Some smaller local shops On-line Get condoms free: Family planning clinics Young person’s sexual health clinics GUM clinics Go back to when to get condomswhen

More suggestions for how to bring up condoms ‘I haven’t brought any condoms – do you have any?’ ‘Your condoms or mine?’ ‘I’ve got some flavoured/ribbed condoms, shall we try one of those?’ ‘I’ll just get my condoms out’ Back to condom advice

Suggestions for times/actions to attach to taking the pill As soon as you get out of bed Just before you get in the shower When you put in contact lenses or put on glasses When you put your underwear on When you take another pill e.g. vitamin pill There are lots of things you probably only do once a day in the morning, choose anything as long as it works for you! Back to pill information

Suggestions for ways to bring up talking about the pill ‘You know that you take the pill, how do you remember to take it every day?’ ‘You know that you’re on the pill, when do you take it, every morning or…?’ ‘Do you check your pill packet to make sure you’ve taken it every day?’ ‘Have you ever forgotten to take your pill?’ OR – if you don’t know if she’s on the pill you could just ask her – ‘I was wondering, are you on the pill?’ Back to pill information

Some tips for refusing sex without a condom Say ‘We need to protect ourselves from STIs and pregnancy so we MUST use a condom’ Say to him, ‘If we don’t use a condom then I don’t want to have sex’ Suggest other safer activities such as masturbating each other Back to main condom information

Suggestions for ways to bring up talking about injections or implants ‘So you know you’re on those injections, how often do you have to have them then?’ ‘Those implants that you have to stop you getting pregnant, how do they work?’ Where do you have to go to have your contraceptive injections/implants?’ Click to return to the main info

Ways to mention condoms ‘I haven’t brought any condoms – do you have any?’ ‘Your condoms or mine?’ ‘I’ve got some flavoured/ribbed condoms, shall we try one of those?’ ‘I’ll just get my condoms out’ Back to condom advice

Tips for refusing sex without a condom Say ‘We need to protect ourselves from STIs and pregnancy so we MUST use a condom’ Say to her, ‘If we don’t use a condom then I don’t want to have sex’ Suggest other safer activities such as masturbating each other Back to main condom information

END You should now re-read all the promises and commitments you have made to yourself and written in your planning booklet. Keep the booklet safe and private, it’s yours and no-one else needs to see it. Re-read it now!