PLISSIT model: sexual counseling for breast cancer survivors

Almeida, Natália Gondim de; Britto, Débora Fernandes; Figueiredo, Juliana Vieira; Moreira, Thereza Maria Magalhães; Carvalho, Rhanna Emanuela Fontenele Lima de; Fialho, Ana Virginía de Melo

doi:10.1590/0034-7167-2018-0525

Cited by 12 publications

(6 citation statements)

References 8 publications

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“…The PLISSIT model (Permission, Limited Information, Specific Suggestions, and Intensive Therapy) has been widely used in sexual counseling. [ 15 ] The BETTER model is another approach to sexual counseling in cancers. [ 16 ] and consists of six stages as follows: The first stage (Bringing Up): discussing the issue of sexual relations with the patient.…”

Section: Introductionmentioning

confidence: 99%

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Comparing the effect of sexual counseling based on BETTER and PLISSIT models on sexual assertiveness in women with breast cancer after mastectomy

Shalamzari,

Asgharipour,

Jamali

et al. 2024

Journal of Education and Health Promotion

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BACKGROUND: Sexual changes in breast cancer occur after diagnosis and treatment, including a mastectomy. Sexual assertiveness is an effective factor in sexual satisfaction, which means the ability to convey sexual feelings, beliefs, and thoughts. Given the limited studies on sexual assertiveness in breast cancer and different client participation, this study was conducted to compare the effect of sexual counseling based on two models of PLISSIT (Permission, Limited Information, Specific Suggestion, Intensive Therapy) and BETTER (Bring Up, Explain, Tell, Time, Education, Record) on sexual assertiveness in women after mastectomy. MATERIALS AND METHODS: This quasi-experimental intervention was conducted in 2021 in Mashhad, Iran. Seventy-eight mastectomized women with breast cancer were assigned to the BETTER (n = 39) and PLISSIT (n = 39) groups using permuted block randomization with a block size of 4 and an allocation ratio of 1:1. Both groups received four individual counseling sessions, one week apart. The research tools included a demographic information form and the Hulbert index of sexual assertiveness. Changes in the mean scores of sexual assertiveness between the two groups were evaluated before and four weeks after the intervention, and the mean changes were compared between the groups. Data analysis was conducted using the Kolmogorov-Smirnov test, independent t-test, paired t-test, and Chi-square tests using Statistical Package for the Social Sciences (SPSS) version 25 (P < 0.05). RESULTS: The results of the study showed that before the intervention, there was no significant difference in the score of sexual assertiveness in both groups (P = 0.253). The mean score of sexual assertiveness changes before and after the intervention in the BETTER group (8.07 ± 4.9) was significantly higher than in the PLISSIT group (5.58 ± 4.7) (P < 0.001). CONCLUSION: The results indicated that BETTER sexual counseling was more effective in increasing the sexual assertiveness of mastectomized women than PLISSIT counseling. Due to its simplicity and client-centeredness, this model can be used in breast cancer care programs.

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Section: Introductionmentioning

confidence: 99%

“…A limitation of the model is that due to the need for knowledge and skills at the third and fourth levels of PLISSIT, midwives and nurses can only intervene in the first and second stages. [ 15 18 ]…”

Section: Introductionmentioning

confidence: 99%

Comparing the effect of sexual counseling based on BETTER and PLISSIT models on sexual assertiveness in women with breast cancer after mastectomy

Shalamzari,

Asgharipour,

Jamali

et al. 2024

Journal of Education and Health Promotion

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“…The model consists of four steps for addressing sexual concerns: Permission, Limited Information, Specific Suggestions, and Intensive Therapy [ 17 , 18 ]. This model provides a framework for health care providers to implement appropriate and effective strategies to address sexual concerns [ 19 , 20 ]. Health care providers have an important role in educating and providing psychological support to breast cancer patients and their families [ 21 ].…”

Section: Introductionmentioning

confidence: 99%

The effect of PLISSIT based counseling model on sexual function, quality of life, and sexual distress in women surviving breast cancer: a single-group pretest–posttest trial

et al. 2021

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Background Diagnosis and treatment of breast cancer potentially leads to sexual dysfunction and sexual distress in women and negatively affects their quality of life (QoL). This study aimed at determining the effect of PLISSIT based counseling on sexual function, sexual distress, and QoL in women surviving breast cancer. Methods In this pre-test, post-test, single-group semi-experimental study, 65 women surviving breast cancer who were referred to the selected centers were included in the study via the available sampling method. Data gathering tools included a researcher-made demographic questionnaire, female sexual function index, beck depression inventory-II, State‐Trait Anxiety Inventory, World Health Organization QoL-Brief, and Female Sexual Distress Scale-Revised. The counseling program (7 sessions 60 min each) was designed based on the PLISSIT model. The sexual function, sexual distress, and QoL were evaluated before, and 2 and 4 weeks after the intervention. To compare the mean scores of variables before and after the intervention, repeated-measured ANOVA was used. Results The findings showed that PLISSIT based counseling significantly reduced sexual distress and increased the scores of QoL and all its domains, as well as sexual function and all its domains in women surviving breast cancer (p < 0.05). There was no significant difference in the mean scores of variables 2 and 4 weeks after the intervention. Conclusions It seems that PLISSIT based counseling reduces sexual dysfunction and sexual distress and improves the QoL of women surviving breast cancer. So, it is recommended that these counseling programs be integrated into the health care program of this group of women. Trial registration TCTR202103170010, 17 March 2021, Retrospectively registered, at https://www.thaiclinicaltrials.org/.

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“…The PLISSIT model allows sexuality to be addressed, providing practical suggestions such as changing of positions, using lubricants, offering advice according to the needs of individual patients in treatment, and referring to Intensive Therapy with specialized practitioners in more complex situations (Almeida et al, 2019). Therefore, the provision of accurate and scientific information by maternity nurses and healthcare providers with sexual counseling for diabetic pregnant women is considered an essential component of antenatal education to promote quality of life of diabetic women (Erbil, 2018;MacPhedran, 2018).…”

Section: Introductionmentioning

confidence: 99%

Effect of PLISSIT Based Sexual Counseling Model on Sexual Dysfunction among Diabetic Pregnant Women

Abd-Ella

Heggy

El-Kurdy

2019

Egyptian Journal of Health Care

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Sexual dysfunction is a common problem in women. It extremely affects reproductive health and quality of life. This study aimed to examine the effectiveness of permission, limited information, specific suggestions, and intensive therapy (PLISSIT) based sexual counseling model on sexual dysfunction among diabetic pregnant women. Methods: A quasi-experimental design was utilized at Antenatal Clinic, Mansoura University Hospital, Egypt. A nonprobability purposive sample of 68 pregnant women with diabetes was allocated to either the control group (received routine antenatal care) or intervention group (received PLISSIT based sexual counseling). Data were collected using a structured interview schedule, Pregnancy Sexual Response Inventory (PSRI), and Sexual Quality of Life-Female (SQOL-F). Results: There was no statistical significant difference the total mean scores of PSRI and SQOL-F at baseline assessment between control and PLLIST groups. However, there were highly significant differences in the PSRI (P < 0.0001) and SQOL-F (P < 0.001) scores after implementation of PLISSIT based sexual counseling model among the studied groups. Moreover, the total PSRI score showed direct significant correlation with the total SQOL score before (p = 0.028) and after (p < 0.001) application of PLISST. Conclusion: The PLISSIT-based sexual counseling model has a positive effect on sexual function of pregnant women with diabetes. It improves the quality of their sexual life. Recommendations: The study recommended that, the PLISSIT model of sexual therapy should be integrated into routine antenatal care for pregnant women with diabetes.

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PLISSIT model: sexual counseling for breast cancer survivors

Cited by 12 publications

References 8 publications

Comparing the effect of sexual counseling based on BETTER and PLISSIT models on sexual assertiveness in women with breast cancer after mastectomy

Comparing the effect of sexual counseling based on BETTER and PLISSIT models on sexual assertiveness in women with breast cancer after mastectomy

The effect of PLISSIT based counseling model on sexual function, quality of life, and sexual distress in women surviving breast cancer: a single-group pretest–posttest trial

Effect of PLISSIT Based Sexual Counseling Model on Sexual Dysfunction among Diabetic Pregnant Women

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