A Pilot Intervention Study to Improve Sexuality Outcomes in Breast Cancer Survivors

Almeida, Natália Gondim de; Knobf, Tish; Oliveira, Marcos Renato de; Salvetti, Marina de Góes; Oriá, Mônica Oliveira Batista; Fialho, Ana Virginía de Melo

doi:10.4103/apjon.apjon_56_19

Cited by 12 publications

(26 citation statements)

References 23 publications

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“…[ 36 37 ] As such, improving the sexual quality of life of patients with cancer requires intervention programs focusing on physical, psychological and communication interventions. [ 38 39 ] Cancer patients regardless of gender, age, and type of cancer need to receive sexual health services and access to sexual health services should be provided for these patients. [ 40 ] Therefore, recognizing the sexual health needs of patients with cancer can help to remove barriers and providing sexual health services for them in the health system.…”

Section: Discussionmentioning

confidence: 99%

Sexual health promotion interventional program for women undergoing breast cancer treatment: Protocol for a mix-methods study

Zangeneh

Savabi-Esfahani

Taleghani

et al. 2022

J Edu Health Promot

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Section: Discussionmentioning

confidence: 99%

Sexual health promotion interventional program for women undergoing breast cancer treatment: Protocol for a mix-methods study

Zangeneh

Savabi-Esfahani

Taleghani

et al. 2022

J Edu Health Promot

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“…The PLISSIT model (Permission, Limited Information, Speci c suggestions, and Intensive therapy) has been widely used in sexual counseling (11). The BETTER model is another approach to sexual counseling in cancers (12) The PLISSIT model is a simple way to address sexual issues (13); however, it has a linear format, and due to entering from one stage to another, the therapist cannot recognize that it may be necessary to return to the previous stage to address the patient's sexual concerns. This model places little emphasis on patient feedback.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Effect of Sexual Counseling Based on BETTER and PLISSIT Models on Sexual Assertiveness of Women with Breast Cancer after Mastectomy

shalamzari

Jamali

Kermani

et al. 2022

Preprint

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Introduction: Sexual changes in breast cancer occur after diagnosis and treatment include mastectomy. Sexual assertiveness is an effective factor in sexual satisfaction that means the ability to convey sexual feelings, beliefs, and thoughts and logically defend sexual rights. The present study aimed to compare the effectiveness of individual sexual counseling using the BETTER model with individual sexual counseling using the PLISSIT model in terms of increasing sexual assertiveness.Materials and Methods: The present quasi-experimental intervention was conducted in Mashhad in 2021, and 78 mastectomized women with breast cancer were randomly assigned to two groups: BETTER and PLISSIT. Both groups received four individual counseling sessions of 60-90 minutes one week apart. The research tools included demographic information form, female sexual function index (FSFI), and the Hulbert index of sexual assertiveness (HISA). Changes in the mean scores of sexual assertiveness between the two groups were evaluated before and 4 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 SPSS 25 (P<0.05).Results: The mean scores of sexual assertiveness were not significantly different between BETTER (46.7) and PLISSIT (43.07) groups before the intervention (P=0.253); however, the mean scores of sexual assertiveness in the BETTER group (54.8) and the PLISSIT group (48.6) were significantly different 4 weeks after the intervention. (P<0.001)Conclusion: The results indicated that sexual counseling based on the BETTER model was more effective in increasing the sexual assertiveness of mastectomized women with breast cancer than counseling by the PLISSIT method.

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“…Conversely, interest in receiving such information is reported by over 40% of women with this type of medical history 4 5. Studies report that sexual rehabilitation models effectively improve the sexual function of cancer patients 6–8. Consequently, the active approach of medical professionals regarding sexual counseling could contribute to more accessible sexual care 9…”

Section: Introductionmentioning

confidence: 99%

Clinician attitude towards sexual counseling in women with gynecologic malignancies: European Network of Young Gynaecological Oncologists (ENYGO) survey

Kacperczyk‐Bartnik

Nowosielski

Razumova

et al. 2022

Int J Gynecol Cancer

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ObjectiveBoth the location of primary disease and treatment side effects may have an impact on sexual function in oncogynecological patients. The aim of this study was to examine the prevalence, strategies, difficulties, and ideas for improvement in sexual counseling among specialists managing patients with gynecologic malignancies.MethodsThis was a cross-sectional survey study performed among healthcare professionals treating patients with gynecologic malignancies. A self-prepared questionnaire included 61 questions concerning general demographic information and different aspects of sexual counseling in the gynecologic oncology practice. Analysis included attitudes, behaviors, management strategies, difficulties, and ideas for possible systemic improvements. Statistical analysis involved descriptive statistics, two-sided chi-square test, and Fisher’s exact test.ResultsA total of 150 respondents from 46 countries answered the survey. The majority of survey participants stated that sexual counseling of oncological patients is very important (n=73, 49%) or important (n=46, 31%). One hundred and two (68%) respondents agreed that sexual counseling of gynecologic oncology patients should be routinely provided by the specialist managing the primary disease. However, collecting information concerning sexual function is performed often or always by only 21% of respondents and 19% discuss the topic rarely or never. The most frequently indicated barriers leading to difficulties in sexual counseling include lack of time (74%), lack of specialist knowledge (55%), and patient embarrassment (48%). One hundred and seven (71%) respondents expressed interest in participating in sexual counseling workshops organized by the European Society of Gynaecological Oncology (ESGO)/European Network of Young Gynaecological Oncologists (ENYGO), 74 (49%) would like to access webinars on the topic, and 120 (80%) would be interested in materials in the ESGO online educational resources.ConclusionOne of the proposed solutions to insufficient access to sexual care for women with gynecologic malignancies is providing access to specialist educational programs for both patients and healthcare specialists.

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A Pilot Intervention Study to Improve Sexuality Outcomes in Breast Cancer Survivors

Cited by 12 publications

References 23 publications

Sexual health promotion interventional program for women undergoing breast cancer treatment: Protocol for a mix-methods study

Sexual health promotion interventional program for women undergoing breast cancer treatment: Protocol for a mix-methods study

Comparison of the Effect of Sexual Counseling Based on BETTER and PLISSIT Models on Sexual Assertiveness of Women with Breast Cancer after Mastectomy

Clinician attitude towards sexual counseling in women with gynecologic malignancies: European Network of Young Gynaecological Oncologists (ENYGO) survey

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