Modèle d’intervention pour les difficultés sexuelles suivant un AVC

Grenier-Genest, Anabelle; Courtois, F.

doi:10.1016/j.sexol.2021.04.003

Cited by 2 publications

(3 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…According to the World Health Organization, sexuality is "a central aspect of being human throughout life and encompasses sex, gender identities and roles, sexual orientation, eroticism, pleasure, intimacy and reproduction" (10). Stroke can lead to multiple difficulties related to sexuality, either because of the location and/or severity of the cerebral lesion or in relation to consequences of the stroke (11,12). In fact, more than 50% of persons with stroke are likely to experience difficulties influencing their participation and satisfaction related to sexual activities and their partners' (13)(14)(15).…”

Section: Sexuality After a Strokementioning

confidence: 99%

Co-designing a Program to Improve Post-stroke Sexual Rehabilitation: The Promise of Innovative Methods

Auger

Allegue

Morales

et al. 2022

Front. Rehabilit. Sci.

View full text Add to dashboard Cite

IntroductionMost people who sustain a stroke are likely to experience sexual difficulties during their recovery. However, few people get the opportunity to address sexuality during their rehabilitation because of factors related to the organization (e.g., culture), managers (e.g., lack of resources), clinicians (e.g., perceived lack of knowledge, skills, and comfort), and clients (e.g., taboo). A multifactorial program tailored to stakeholders' needs with various complementary interventions is needed to lead to a change of practice in post-stroke sexual rehabilitation.ObjectiveTo co-design with stakeholders (i.e., people with stroke, partners, clinicians, managers and researchers) a theory-driven multifactorial program to improve post-stroke sexual rehabilitation services.MethodsThis qualitative study will be conducted in four steps using an Intervention Mapping approach and a co-design methodology divided into four phases: (1) exploration; (2) co-design; (3) validation; and (4) development. Persons with stroke, partners, clinicians and managers from five distinct stroke rehabilitation centres in the province of Quebec (Canada), and researchers will be recruited to either participate in an advisory committee or working groups throughout the study. A combination of contributions from three different types of groups (advisory group, Lego® groups, work groups) will be used for data collection. Qualitative data analysis will first be realized by two independent reviewers using the Theoretical Domains Framework, and preliminary results of analysis will be validated with the advisory and working groups.ConclusionThis study will lead to the co-design of the first theory-driven program intended to optimize post-stroke sexual rehabilitation services.

show abstract

Section: Sexuality After a Strokementioning

confidence: 99%

Co-designing a Program to Improve Post-stroke Sexual Rehabilitation: The Promise of Innovative Methods

Auger

Allegue

Morales

et al. 2022

Front. Rehabilit. Sci.

View full text Add to dashboard Cite

show abstract

“…Recently, Grenier-Genest and Courtois [ 19 ] adapted a three-level model for sexual post-stroke rehabilitation, initially created for individuals presenting multiple sclerosis [ 20 ]. The aim is to deepen our understanding of the multiple impacts that a stroke can have on sexuality.…”

Section: Introductionmentioning

confidence: 99%

“…The aim is to deepen our understanding of the multiple impacts that a stroke can have on sexuality. According to this model, sexuality can be affected by the primary (e.g., severity of the stroke), secondary (e.g., incontinence, shoulder pain, fatigue) and tertiary impacts (e.g., anxiety, depression, change in partner’s role) [ 19 ] effects of stroke. It is thus imperative that patients are provided evidence-based sexuality rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

Sexual Rehabilitation After a Stroke: A Multi-site Qualitative Study About Influencing Factors and Strategies to Improve Services

et al. 2023

View full text Add to dashboard Cite

This study aimed to better understand the factors influencing the provision of sexuality-related post-stroke rehabilitation services by clinicians on different sites and to explore strategies to improve post-stroke rehabilitation services with stakeholders. A qualitative study with co-design methods was conducted with 20 clinicians from five post-stroke rehabilitation centers in Canada, 1 manager and 1 patient-partner. Participants either took part in a focus group or in sessions of an adapted version of the LEGO Serious Play method to explore influencing factors and strategies of improvement in relation to post-stroke sexual rehabilitation services. Thematic analysis was conducted semi-deductively using the Theoretical Domains Framework (TDF), the Capability, Opportunity, Motivation and Behaviour (COM-B) system and the Behaviour Change Wheel (BCW). A total of twenty factors pertaining either to the categories of Capability (n = 8; e.g., Sexual rehabilitation procedural knowledge), Motivation (n = 4; e.g., Professional boundaries) or Opportunity (n = 8; e.g., Workload) were perceived as influencing provision of sexual rehabilitation services by participants. A theoretical model was conceptualized. Strategies (n = 10) were categorized in concordance with the BCW as Training (n = 1), Enablement (n = 5) or Environmental restructuring (n = 4). This study showed that factors influencing provision of post-stroke rehabilitation services were numerous and interrelated, and that various strategies aiming either clinicians or the rehabilitation environment would be relevant to improve services. This study will help guide the design and implementation of future interventions studies aiming at improving post-stroke sexual rehabilitation services.

show abstract

Modèle d’intervention pour les difficultés sexuelles suivant un AVC

Cited by 2 publications

References 37 publications

Co-designing a Program to Improve Post-stroke Sexual Rehabilitation: The Promise of Innovative Methods

Co-designing a Program to Improve Post-stroke Sexual Rehabilitation: The Promise of Innovative Methods

Sexual Rehabilitation After a Stroke: A Multi-site Qualitative Study About Influencing Factors and Strategies to Improve Services

Contact Info

Product

Resources

About