The PLISSIT Model

Dixon, Krystyna; Dixon, Paul N.

doi:10.1097/00129234-200603000-00008

Cited by 18 publications

(7 citation statements)

References 6 publications

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“…Nevertheless, in line with the principles of the adult learning theory, single live media, multiple media and multiple education techniques seem to cause a positive effect on practice performance (Davis & Galbraith, 2009 (Hordern, 2008). The PLISSIT model is generally represented as an inverted triangle, which implies the deeper the level, the more knowledge, training and skill is required from the concerning healthcare professional (see Figure 3) (Dixon & Dixon, 2006; "2019, the PLISSIT model. Accessed at 8 June 2019").…”

Section: Discussionmentioning

confidence: 89%

Investigating the effect of a symposium on sexual health care in prostate cancer among Dutch healthcare professionals

Palacios

Hendriks

Ouden

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To investigate whether a symposium aimed at healthcare professionals in the uro‐oncological field changes knowledge, competence and general practice regarding sexual dysfunction after prostate cancer treatment. Background Sexual dysfunction is not frequently discussed by healthcare professionals; lack of knowledge and training are two of the most often reported barriers. Provision of additional training could improve knowledge, competence and general practice of healthcare professionals. Design Two questionnaires were used in this pre–post study to determine knowledge, competence and general practice at the time of the symposium and six months afterwards. Methods In order to perform repeated measures to analyse alterations among participating healthcare professionals (n = 55), the McNemar's test was used. A STROBE checklist was completed. Results Seventy‐three per cent (n = 40) stated that not enough attention was paid to prostate cancer‐related sexual dysfunction during their education. Nurses felt significantly less competent in discussing sexual function, advising on sexual dysfunction and actively inquiring sexual complaints compared to other healthcare professionals. After the symposium, sexual dysfunction was significantly more often discussed. No significant effects were found on knowledge on sexual dysfunction, knowledge on treatment of sexual dysfunction, competence in discussing sexual function, advising on sexual dysfunction, actively inquiring sexual complaints and rate of referral. Tools needed to address sexual dysfunction concerned written information materials (75.5%) and a website containing adequate information (56.6%). Conclusions The symposium had no significant influence on knowledge, competence and rate of referral in men with sexual dysfunction after prostate cancer treatment. However, sexual dysfunction was more frequently discussed after the symposium, so increase of awareness of consequences of prostate cancer treatment was achieved. Relevance to clinical practice Consequences of prostate cancer treatment to sexual function should be taken in consideration in daily practice; written information materials and a website containing adequate information were indicated as valuable resources to address sexual dysfunction in routine consultations.

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Section: Discussionmentioning

confidence: 89%

Investigating the effect of a symposium on sexual health care in prostate cancer among Dutch healthcare professionals

Palacios

Hendriks

Ouden

et al. 2019

Journal of Clinical Nursing

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“…However, this may not be practical in a busy cancer clinic with multiple competing demands. A number of resources are available to assist in helping oncology professionals assess sexuality in their patients, as a start to addressing their patients’ concerns [29, 73, 82]. …”

Section: Discussionmentioning

confidence: 99%

“…Despite a fair number of research trials examining interventions that address sexual function and body image in cancer, there is a lack of clinical attention to sexual concerns in routine cancer care [9, 24, 29]. The topic of sexuality is often ignored even when cancer treatments are known to have significant effects on sexual function, as in the case of surgical removal of the rectum [24] or in the radiation treatment of gynecological cancer [18].…”

Section: Limitations Of the Current Approaches To Sexuality In Cancermentioning

confidence: 99%

“…The topic of sexuality is often ignored even when cancer treatments are known to have significant effects on sexual function, as in the case of surgical removal of the rectum [24] or in the radiation treatment of gynecological cancer [18]. Providers may fail to bring up the issue of sexuality due to lack of adequate training, an opinion that sexual issues are unimportant relative to survival, their own assumptions related to patients’ sexuality, embarrassment, and fear of being intrusive [29, 42, 51, 54]. Patients also may be reluctant to raise the issue themselves for many of these same reasons.…”

Section: Limitations Of the Current Approaches To Sexuality In Cancermentioning

confidence: 99%

“…One quality of life domain that is often impacted by cancer treatment is the sexual domain. Many cancer patients and their partners report concerns about their sexual quality of life and changes to their sexual functioning [29]. Being diagnosed with and treated for cancer can impact sexuality and intimacy through effects on physical, emotional, and social functioning.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Coping with sexual concerns after cancer: the use of flexible coping

Reese

Keefe

Somers

et al. 2010

Support Care Cancer

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Introduction Although cancer treatment commonly has a negative impact on sexual functioning, sexual concerns are still largely undertreated in routine cancer care. The medical model that guides current approaches to sexual care in cancer does not adequately address key patient needs. Methods In this paper, we describe a broader approach to understanding and treating sexual concerns in cancer that focuses on the construct of flexibility in behavioral and cognitive coping strategies. We previously presented this model in the context of general medical conditions. We now adapt this model to the context of cancer, focusing on issues related to the benefits of flexible coping, interventions that shift perspectives following cancer, and on coping as a couple. Results We argue that coping flexibly with sexual concerns is likely to lead to improvements in mood and sexual and relationship satisfaction. We present clinical applications of the flexible coping model, including suggestions for assessment and sexual concerns and methods of introducing flexible coping into both the content and process of clinical interactions with patients. Discussion Finally, we discuss areas for future research, including the development of a validated instrument, the use of electronic methods of assessment, and intervention trials directly addressing flexibility in coping.

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Traitements des problèmes sexuels après un cancer : intégration des approches médicales et psychologiques

Reich

2007

Psycho Oncologie

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Les cancers, qu'ils soient d'origine gynécolo-gique, digestive ou urogénitale, et leurs traitements invasifs sont souvent responsables chez les patients de troubles sexuels associés à une détresse psychologique non négligeable avec une atteinte de leur qualité de vie. Paradoxalement, les malades évoquent rarement ces problèmes en consultation oncologique de routine. Pourtant, la communication sur la sexualité demeure à la fois une préoccupation importante pour les patients qui s'en plaignent rarement et un sujet inconfortable à aborder pour les médecins. Ces dysfonctionnements sexuels peuvent se manifester, entre autres, par une perte du sentiment de bien-être, une altération de l'image corporelle, une impuissance, une sécheresse vaginale, une dyspareunie, une diminution ou une perte complète du désir et, in fine, une insatisfaction sexuelle. Ajoutés à cela la douleur physique résiduelle, la fatigue, l'infertilité, l'atteinte narcissique et les troubles anxiodépressifs associés seront autant de symptômes pouvant entraver l'activité sexuelle de ces patients et majorer la mauvaise adaptation face aux répercussions sexuelles des traitements du cancer. Une prise en charge précoce, impliquant le développement d'un programme de réhabilitation sexuelle, doit pouvoir leur être proposée dès que possible, essentiellement durant la première année qui suit la fin des traitements du cancer, afin de diminuer ces troubles sexuels. Des informations appropriées, la gestion des symptômes physiques, un soutien et un suivi psychologique assortis d'une consultation sexologique et de thérapies psychosexuelles ciblées, des thérapies groupales, l'utilisation de dilatateurs vaginaux et de lubrifiants pourront atténuer le traumatisme induit par ces troubles. Les répercussions sexuelles des traitements systémiques du cancer représentent un challenge important pour les équipes soignantes. Ainsi, l'abord des problèmes de sexualité devrait s'intégrer dans une approche holistique, anticipée et routinière des soins en oncologie.Abstract: Gynaecological, digestive and urogenital cancers and their invasive treatment often cause sexual dysfunction and significant psychosocial distress and quality-oflife impairment. Paradoxically, patients seldom report their sexual difficulties in routine oncological consultations. Yet communicating sexual concern remains important to patients, in general, and is still an uncomfortable topic for practitioners.Sexual disorders can express themselves through the loss of physical well-being, negative body image, impotence, vaginal dryness, dyspareunia, loss of sexual desire or arousal, and, finally, reduced sexual satisfaction. In addition, residual pain, fatigue, infertility, narcissistic injury, anxiety, and depressive disorders are symptoms that can cause the interruption of sexual activity and impair the ability to cope with the impact of cancer treatment on sexual function.An early treatment programme, involving sexual rehabilitation, must be developed as soon as possible during the first year after cancer treat...

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The PLISSIT Model

Cited by 18 publications

References 6 publications

Investigating the effect of a symposium on sexual health care in prostate cancer among Dutch healthcare professionals

Investigating the effect of a symposium on sexual health care in prostate cancer among Dutch healthcare professionals

Coping with sexual concerns after cancer: the use of flexible coping

Traitements des problèmes sexuels après un cancer : intégration des approches médicales et psychologiques

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