Volitional Intervention Development (VoID)

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

2. 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

3. 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

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

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

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

7. 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

8. 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

9. 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

10. Main materials for assessing • Are you…. • Male • Female

11. 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.

12. 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

13. Condoms • 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. • Please click to go to next page

14. 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

15. 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. • Write that decision down now as a promise to yourself. • For help and suggestions doing this click here

16. 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 partner • 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

17. 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

18. 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? • When you’ve done this click here

19. Condoms – advice for women • 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 sex • Click to continue

20. 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

21. 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

22. 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

23. 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

24. 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

25. 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? • When you’ve done this click here

26. Girlfriend’s pill • 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. • Click to continue

27. 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

28. 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

29. 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

30. 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

31. The pill • 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. • Also the pill does not protect you from sexually transmitted infections (STIs).Condoms should be used to protect you from STIs. • Click to continue

32. 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

33. 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 toplan to take the pill at the same time as something else you do once a day (e.g. take a shower).

34. 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?

35. 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.

36. 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

37. 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

38. 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

39. 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.

40. 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

41. 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

42. 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.

43. 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

44. Girlfriend’s injections/implants • 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.

45. 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

46. 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

47. 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

48. 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

49. 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.

50. Implementation intention - condom carrying (females) • When you have decided when and whereyou 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. • 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.