The Effect of Couple-Based Intervention on Sexual Risky Behavior Among Prospective Brides and Grooms in Bandung, Indonesia

Abstract

Objective: This study evaluates the effect of a couple-based intervention (CBI) on self-efficacy, behavioral intention, and perceived benefits related to sexual risk behaviors among prospective brides and grooms in Bandung, Indonesia

Method: A quasi-experimental study design was implemented from May to June 2023, involving 44 participants recruited via convenience sampling. Participants were divided into intervention and control groups. The CBI included psychoeducation, communication skill-building, and practical risk reduction strategies delivered through interactive sessions. Data were collected using the Sexual Behavioural Abstinence and Avoidance of High-Risk Situation Questionnaire (SBAHAQ). Pre- and post-intervention assessments were analyzed using ANCOVA to determine the effectiveness of the intervention.

Results: The intervention group exhibited significant improvements in self-efficacy (mean difference = 2.28, p < 0.001), behavioral intention (mean difference = 1.96, p < 0.001), and perceived benefits (mean difference = 3.55, p < 0.001), alongside a notable increase in total scores (mean difference = 7.77, p < 0.001). In contrast, the control group showed minimal or non-significant changes across these variables (p > 0.05).

Conclusion: The findings underscore the effectiveness of CBIs in reducing risky sexual behaviors by enhancing self-efficacy, behavioral intention, and perceived benefits among prospective marital couples. Culturally adapted CBIs should be integrated into prenuptial programs to improve sexual and reproductive health outcomes in Indonesia.