“…In keeping with current thinking, we renamed positive sexuality as pleasure oriented positive sexuality and highlighted the importance of pleasure by using the word in the title of the model (Spencer & Vencill, 2017). We also recognized that the phrase in the original model—sexual healthcare and safer sex—focuses sexual healthcare on HIV and sexually transmitted infections, rather than the breadth of sexual medicine (Walker et al, 2021). Following the retreat, a smaller group continued to meet and streamline the therapeutic theories, techniques, and constructs into a clinically focused sex therapy model, the SHIP Model.…”
Section: Development Of the Ship Modelmentioning
confidence: 99%
“…While not all sexual health concerns demand attention from multiple disciplines, assessing all dimensions of sexual health is important in developing a systematic and individualized treatment plan to cater to each individual/ couple/family and their sexual health needs. When multidisciplinary care is warranted, collaboration with other medical providers (e.g., sexual medicine physicians, gynecologists, urologists, psychiatrists, pelvic floor physical therapists) facilitates comprehensive care that assists in developing, maintaining, or recovering optimal sexual health (Walker et al, 2021). Sometimes locating competent providers can be a challenge, and the therapist can assist with referrals, whereas other times, the therapist is not involved in referring or providing medical intervention.…”
This manuscript presents a conceptual model-the Sexual Health and Integrative Pleasure (SHIP) Modelfor the clinical assessment and intervention of sexual health concerns. The model was developed by a group of couple/marital family therapy and psychologists who specialize in the treatment of sexual problems. The model consists of five philosophical foundations (systems framework, intersectionality, biopsychosocial model, lifespan approach, and empiricism) and five core therapeutic components (sexual literacy, sexual adaptation and resilience, relational intimacy, pleasure-oriented positive sexuality, and multidisciplinary care). We define each foundation and component, and compare and contrast the SHIP model with other existing sexual health models. Finally, we demonstrate how the SHIP model was used to provide individual and couple therapy with a cis/heterosexual couple in a university-based
“…In keeping with current thinking, we renamed positive sexuality as pleasure oriented positive sexuality and highlighted the importance of pleasure by using the word in the title of the model (Spencer & Vencill, 2017). We also recognized that the phrase in the original model—sexual healthcare and safer sex—focuses sexual healthcare on HIV and sexually transmitted infections, rather than the breadth of sexual medicine (Walker et al, 2021). Following the retreat, a smaller group continued to meet and streamline the therapeutic theories, techniques, and constructs into a clinically focused sex therapy model, the SHIP Model.…”
Section: Development Of the Ship Modelmentioning
confidence: 99%
“…While not all sexual health concerns demand attention from multiple disciplines, assessing all dimensions of sexual health is important in developing a systematic and individualized treatment plan to cater to each individual/ couple/family and their sexual health needs. When multidisciplinary care is warranted, collaboration with other medical providers (e.g., sexual medicine physicians, gynecologists, urologists, psychiatrists, pelvic floor physical therapists) facilitates comprehensive care that assists in developing, maintaining, or recovering optimal sexual health (Walker et al, 2021). Sometimes locating competent providers can be a challenge, and the therapist can assist with referrals, whereas other times, the therapist is not involved in referring or providing medical intervention.…”
This manuscript presents a conceptual model-the Sexual Health and Integrative Pleasure (SHIP) Modelfor the clinical assessment and intervention of sexual health concerns. The model was developed by a group of couple/marital family therapy and psychologists who specialize in the treatment of sexual problems. The model consists of five philosophical foundations (systems framework, intersectionality, biopsychosocial model, lifespan approach, and empiricism) and five core therapeutic components (sexual literacy, sexual adaptation and resilience, relational intimacy, pleasure-oriented positive sexuality, and multidisciplinary care). We define each foundation and component, and compare and contrast the SHIP model with other existing sexual health models. Finally, we demonstrate how the SHIP model was used to provide individual and couple therapy with a cis/heterosexual couple in a university-based
“…However, we also include a psychosocial approach to support couples in maintaining or restoring intimacy after PC treatment. This part of TrueNTH SHAReClinic is predicated on the fact that combining counseling interventions and medical interventions improves patients' adherence and satisfaction with sexual healthcare in cancer populations [35,36], and in particular in post-RP sexual health treatment and outcomes [37,38].…”
Purpose
The primary objective was to determine the feasibility of implementing the TrueNTH SHAReClinic as a pan-Canadian sexual health and rehabilitation intervention for patients treated for localized prostate cancer.
Methods
The feasibility study was designed to evaluate the accessibility and acceptability of the intervention. Participants from five institutions across Canada were enrolled to attend one pre-treatment and five follow-up online clinic visits over 1 year following their prostate cancer (PC) treatment.
Results
Sixty-five patients were enrolled in the intervention. Website analytics revealed that 71% completed the intervention in its entirety, including the educational modules, with an additional 10% completing more than half of the intervention. Five thousand eighty-three views of the educational modules were made along with 654 views of the health library items. Over 1500 messages were exchanged between participants and their sexual health coaches. At 12 months, the intervention received an overall average participant rating of 4.1 out of 5 on a single item satisfaction measure.
Conclusion
Results support the TrueNTH SHAReClinic as highly acceptable to participants as defined by intervention adherence and engagement. The TrueNTH SHAReClinic demonstrated promise for being a feasible and potentially resource-efficient approach to effectively improving the sexual well-being of patients after PC treatment.
“…More than 70 thousand people in England and almost 120 thousand people in the United States experience an ostomy annually (15,16). The rate of prevalence of sexual problems in patients with prostate, female, and breast cancers is high (86-91%); this rate is also high in other cancers such as head and neck, blood, and colorectal cancers (53-79%) (17,18). Many people who have survived colorectal Cancer are sexually active.…”
Cancer is a family of diseases unique to multicellular organisms characterized by uncontrolled growth and proliferation of cells. Gastrointestinal Cancer is one of the most common cancers associated with high mortality. Colon and rectal cancer are among the most critical public health problems worldwide, so nearly one million new colon and rectal cancer cases are diagnosed every year, and nearly half of the cases die. In 1999, Laumann and his colleagues defined sexual dysfunction as a significant public health problem. Many people who have survived colorectal Cancer are sexually active. These people can have problems with their sexual performance due to reasons such as therapeutic surgeries, radiotherapy, or the presence of an ostomy. This study is descriptive-comparative. To conduct the above study, 252 patients with colorectal Cancer were included in the study by a convenient method based on the inclusion criteria and after obtaining informed consent. The data collection tools included the demographic information form, the International Index of Erectile Function (IIEF), and the Women's Sexual Function Index (FSFI). The validity and reliability of these questionnaires have already been measured. Statistical analyzes were performed using IBM SPSS statistics version 24. According to the results of statistical analysis, the IIEF total score for men with a colostomy is 26.17 ± 15.30 and without a colostomy, is 29.05 ± 17.14, as well as the total FSFI score for women with a colostomy, is 7.21 ± 6.40 and without a colostomy is 14.67 ± 9.10. There was no statistically significant difference in the sexual performance score of men with pouches compared to men without pouches (P > 0.05). The sexual performance score of women with bags compared to women without bags had a lower sexual performance score, which was statistically significant (P < 0.05). Therefore, an ostomy in women causes a drop in FSFI. Health planners at the macro level and health service providers at the micro level should be aware of the importance of this issue and provide timely interventions to improve sexual performance and pay special attention to those aspects of FSFI that are of great importance.
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