First, formative research was carried out using a quantitative survey, in-depth
interviews and focus group discussions with 112 boys and 10 parents. After
deriving predictors from phase I situation analysis, research and development
processes were used to develop an educational program using a group meeting
and brainstorming technique among boys, parents, and stakeholders (ie, health
teachers, health care providers, health care volunteers, and community leaders).
The four stages of model development were:
1) developing participant readiness;
2) organizing the prevention program;
3) replanning the prevention program;
and 4) forming a network for the prevention program.
The boys’ education program was composed of five 1-hour interactive group sessions carried out weakly. Each session consisted of 16-20 boys and involved
1) providing STIs knowledge through lectures, discussions, and a card game;
2) discussion of self-efficacy in delaying initiation of sexual intercourse and skills
in condom use involving demonstration and practice;
3) improving skills in decision making,
4) improving refusal skills,
and 5) improving sexual communication with parents through lectures, discussions, and practice.Two additional were added based on the boys’ needs,
6) discussion STIs and birth control methods;
and 7) practicing mixed skills from the previous sessions by role-playing. Parents who participated in this study were involved in two 3-hour interactive group sessions during 2 consecutive weeks:
1) discussion of parent monitoring, STIs prevention and birth control through lectures and demonstrations;
2) practice in communication with sons about sex.
The processes in model development and the prevention program are reported elsewhere . Pre- and postprogram questionnaires were filled out by the 74 boys and their parents at baseline, just after the program and at one and two months after the program. The boys and parents were compensated 60 Baht (THB 33 = USD1) for their participation.