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Sexually Transmitted Diseases
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Section 1
Section 2

- Objectives
- Prevention
- Education
- Assessing
- Skills Training
> Behavioral
- Couples
- Peer Groups
- Contraceptive
- Dual Method
- Alternative
- Male Condom
- Negotiating
- Reaching
- Correct Use
- Promotion
- Female
- Correct Use
- Resource
- Resource
- Summary

Section 3


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Section 2 - STD Prevention

Stages of Behavioral Change

Stages of Behavioral Change diagram

Source: Adapted from Prochaska et al, 1992.
Slide 33

Preventing or lowering the risk of STDs often requires changing behavior, which can be a slow and difficult process. However, effective counseling can support behavioral change. Social scientists have found that individuals tend to move through various stages in changing behavior. It is important that providers recognize these stages.

First, individuals must become aware of the problem, such as the danger of STDs, and understand that certain behaviors put them at risk. Then, they must be motivated to change their risky behavior. Using skills acquired through counseling, they can then try the new behavior. In the case of STD prevention, the new behavior might be consistent use of condoms. Ideally, individuals will evaluate and then sustain this new behavior. In some cases, changes are not sustained and a person must repeat the process. This often happens when an individual begins a relationship with a new sexual partner.

Counselors should adapt their messages to take into account where each client is in the behavioral change process.



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