The effectiveness of a tailored programme to promote reproductive-health-promoting behaviour in young women based on the Precaution Adoption Process Model: A randomized controlled trial

Aim: The study aimed to evaluate a tailored reproductive health promotion programme based on the Precaution Adoption Process Model (PAPM) for young adults. Design: This was a two-group, non-blinded randomized controlled trial. Methods: This study was performed with women aged 18–25 who were not performing reproductive health-related behaviour from September 2018 to November 2018 in Seoul, South Korea. The participants were stratified by stage of PAPM (1, 2 or 3) and were randomly allocated to the intervention group (n = 30) and the control group (n = 30). Women in the intervention group were given the programme, which was customized according to the stage of PAPM over 8 weeks, such as lectures, giving information, discussions, practical training, Q&A, case experience and counselling. The control group received educational material. The primary outcomes were reproductive-health-promoting behaviour and rate of contraception use. Results: Reproductive-health-promoting behaviour was significantly higher in the intervention group than the control group post-intervention, as were reproductive health beliefs, motivation and self-efficacy.