The Effect of Sexual Counseling Using BETTER Model on Sexual Function of Women with Infertility: A Randomized Controlled Trial

Mohammadzadeh, Maryam; Lotfi, Razieh; Karimzadeh, Mansoureh; Kabir, Kourosh

doi:10.1080/19317611.2020.1870608

Cited by 4 publications

(1 citation statement)

References 28 publications

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“…Studies related to using the PLISSIT and BETTER model in the postpartum period,[ 20 ] infertility,[ 21 22 ] and some chronic diseases[ 23 ] have been done, but so far, there is no research comparing these two models in the field of sexual assertiveness in patients undergoing mastectomy due to cancer. Considering the cultural beliefs of Iranian society about the difficulty of talking about sexual function problems, especially after changes in the appearance of sexual organs and the client‘s participation in these two models, and the contradictions about the performance of the PLISSIT model and on the other hand the simplicity of the BETTER model, the researcher aimed to conduct research to compare the effect of counseling based on PLISSIT and BETTER models on women’s sexual assertiveness after mastectomy.…”

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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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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