A randomized trial of a minimal intervention for sexual concerns after cancer: a comparison of self-help and professionally delivered modalities

Perz, Janette; Ussher, Jane M.

doi:10.1186/s12885-015-1638-6

Cited by 44 publications

(34 citation statements)

References 98 publications

(130 reference statements)

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“…The PLISSIT model is one example of an approach providers can use to discuss sexuality and intimacy with their patients. 15,16 Our study has several limitations. It included a small number of patients at a single academic institution and thus may have limited applicability to other environments and locations.…”

Section: Discussionmentioning

confidence: 94%

Sexual Health as Part of Gynecologic Cancer Care: What Do Patients Want?

Hay¹,

Donovan²,

Hartnett³

et al. 2018

International Journal of Gynecological Cancer

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ObjectiveSexual health is important to quality of life; however, the sexual health of gynecologic cancer patients is infrequently and inadequately addressed. We sought to understand patient experiences and preferences for sexual health care to help inform strategies for improvement.Methods/MaterialsAn anonymous, cross-sectional survey of outpatient gynecologic cancer patients at a large academic medical center was performed as part of a larger study examining patient and caregiver needs. The survey explored patient-provider discussions about sexuality across 3 domains (experiences, preferences, barriers) and 4 phases of cancer care (diagnosis, treatment, treatment completion, follow-up). Age, relationship status, sexual activity, and cancer type were recorded.ResultsMean age was 63 years. Most patients had ovarian cancer (38%) or endometrial cancer (32%). Thirty-seven percent received treatment within the last month, 55% were in a relationship, and 35% were sexuality active. Thirty-four percent reported sexuality as somewhat or very important, whereas 27% felt that it was somewhat or very important to discuss. Importance of sexuality was associated with age, relationship status, and sexual activity but not cancer type. Fifty-seven percent reported never discussing sexuality. Age was associated with sexuality discussions, whereas relationship status, sexual activity, and cancer type were not. The most common barrier to discussion was patient discomfort. Follow-up was identified as the best time for discussion. Sexuality was most often discussed with a physician or advanced practice provider and usually brought up by the provider.ConclusionsDemographic predictors of importance of sexuality to the patient are age, relationship status, and sexual activity. Providers primarily use age as a proxy for importance of sexuality; however, relationship status and sexual activity may represent additional ways to screen for patients interested in discussing sexual health. Patient discomfort with discussing sexuality is the primary barrier to sexual health discussions, and awareness of this is key to developing effective approaches to providing sexual health care.

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Section: Discussionmentioning

confidence: 94%

Sexual Health as Part of Gynecologic Cancer Care: What Do Patients Want?

Hay¹,

Donovan²,

Hartnett³

et al. 2018

International Journal of Gynecological Cancer

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“…This model continues to be widely used to provide sexual education and as a method to illicit discussion about sexual health based on the different levels of the intervention (Perz & Ussher, 2015). Instructional methods were based on main chapter topics found in Models of Teaching (Joyce, Weil, & Calhoun, 2009).…”

Section: Participants and Proceduresmentioning

confidence: 99%

Exploring the Activity of Daily Living of Sexual Activity: A Survey in Occupational Therapy Education

Lohman¹,

Kobrin²,

Chang³

2017

The Open Journal of Occupational Therapy

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This study aimed to query occupational therapy educators in professional programs in the United States about the amount of time spent addressing sexual activity and the type and depth of education related to sexual activity. The study aims to inform educators about how sexual activity is taught. A cross-sectional survey research design was used with both closed-and open-ended questions. A total of 51 educators participated. An average of 3.5 hr was spent teaching sexual activity. Many of the participants were comfortable teaching sexual activity. However, some reported that sexual activity was often an overlooked topic in occupational therapy curriculum and was not emphasized as much as other activities of daily living. In addition, participants reported that the under emphasis of teaching sexuality may be due to a lack of educational background, the broadness of the topic, discomfort of the students, and a lack of information in textbooks. Most of the participants are comfortable teaching sexual activity and believe that it is an important topic in occupational therapy curriculum. However, many consider it an overlooked topic specifically with chronic conditions and sexually transmitted infections. Therefore, educating instructors on sexual activity and pedagogical methods will enhance occupational therapy curriculum.

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“…In our study, we found that a significant proportion of women with cervical cancer is sexually active at the beginning of treatment, however, they have significant sexual dysfunction, due to increased stress after the diagnosis or adverse symptoms related to the tumor [1]. The PLISSIT model which consists in four levels of intervention-Permission, Limited Information, Specific Suggestions and Intensive Therapyhas been widely suggested as an intervention to treat sexual dysfunction after cancer [3]. Kim et al notes that in Korea, programs based on the PLISSIT model have been successfully implemented in women with gynecological cancer [4,5].…”

mentioning

confidence: 78%