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Background
Theoretical Framework
Purpose
To improve self-efficacy, STI knowledge and
healthy behaviors of older adults, aged 55 and over,
through a theory-based intervention promoting
healthy sexual behaviors by providing STI
information and safe sex practice education.
Hypothesis
We hypothesize that there will be a significant
improvement in self-efficacy and safe sex practices
following a safe sex education program verses a
comparison group receiving only an informational
pamphlet.
Proposed Methodology
A prospective quasi-experimental pre-test/post-test
design with a convenience sample of 110
participants, aged 55+, in a senior living
community, randomly assigned to either the
intervention group or comparison group. The
Canadian Sexual Health Indicators Survey
(Smylie et al., 2013) will be used to measure the
effects of a safe sex education program
(independent variable) on self-efficacy, STI
knowledge
and
healthy
sexual
behaviors
(dependent variables) in older adults.
Nursing Implications
Nurses play an integral role in bridging the
generational gap that often fails to address the
sexual health needs of the older adult. This nursing
intervention of safe-sex education presents the
opportunity to neutralize the sense of taboo
associated with the older adult's sexual activities
through the promotion of self-efficacy and healthy
behaviors, and may lead to a healthy behavior
change that will support older adults during this
life transition.
References
1. Center for Disease Control and Prevention (2013). HIV Among Older
Americans. Retrieved from: http://www.cdc.gov/hiv/risk/
2. Pender, Nola, J. (2011). Health Promotion Model Manual. Deep Blue.
University of Michigan. Retrieved from:
http://deepblue.lib.umich.edu/bitstream/handle/2027.42/85350_health
_promotion_manual_Rev_5-2011.pdf
3. Smylie, L., Clarke, B., Doherty, M., Gahagan, J., Numer, M., Otis, J., & ...
Soon, C. (2013). The development and validation of sexual health
indicators of canadians aged 16-24 years. Public Health Reports,
128(Supp 1), 53-61.
4. World Health Organization (2013). Sexually transmitted infections (STIs)
Factsheet. Retrieved from http://www.who.int/mediacentre/factsheets/