Abstract
ABSTRACTObjective:translate and adapt the Condom Self-Efficacy Scale to Portuguese in the Brazilian context. The scale originated in the United States and measures self-efficacy in condom use. Method:methodological study in two phases: translation, cross-cultural adaptation and verification of psychometric properties. The translation and adaptation process involved four translators, one mediator of the synthesis and five health professionals. The content validity was verified using the Content Validation Index, based on 22 experts’ judgments. Forty subjects participated in the pretest, who contributed to the understanding of the scale items. The scale was applied to 209 students between 13 and 26 years of age from a school affiliated with the state-owned educational network. The reliability was analyzed by means of Cronbach’s alpha. Results:the Portuguese version of the scale obtained a Cronbach’s alpha coefficient of 0.85 and the total mean score was 68.1 points. A statistically significant relation was found between the total scale and the variables not having children (p= 0.038), condom use (p= 0.008) and condom use with fixed partner (p=0.036). Conclusion:the Brazilian version of the Condom Self-Efficacy Scale is a valid and reliable tool to verify the self-efficacy in condom use among adolescents and young adults.
Highlights
The condom is a contraceptive barrier method that grants double protection, as it prevents pregnancy and sexually transmitted diseases (STDs)
A methodological cross-cultural adaptation study was undertaken, in which the following method was adopted for the scale translation and adaptation process, in five phases, as follows: initial translation [1], consensus version of translations [2], backtranslation [3], review by an expert committee [4] and pretest [5](5)
As a prerequisite to start the translation and cross-cultural adaptation process, the author of the scale was contacted by e-mail to present the research objectives
Summary
The condom is a contraceptive barrier method that grants double protection, as it prevents pregnancy and sexually transmitted diseases (STDs). It needs to be used consistently, that is, in all sexual relationships and correctly. The epidemiological data signal the need for sexual and reproductive health promotion strategies directed at adolescents and young adults. Perceiving this population as prone to the non-use of this barrier method and knowing the main factors associated with this susceptibility are fundamental to guide the health professionals’ actions
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