Effectiveness of a PLISSIT model intervention in patients with type 2 diabetes mellitus in primary care: design of a cluster-randomised controlled trial

Rutte, Anne; Oppen, Patricia van; Nijpels, Giel; Snoek, Frank J.; Enzlin, Paul; Leusink, Peter; Elders, Petra

doi:10.1186/s12875-015-0283-0

Cited by 24 publications

(16 citation statements)

References 66 publications

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“…Telephone follow-up, 3 and 12 months after the intervention showed improved sexual function, sexual satisfaction, and the quality of life in the intervention group. The results of the above-mentioned study corroborate with the results of the present study in terms of improving the sexual function of pregnant women (32).…”

Section: Discussionsupporting

confidence: 90%

“…Evaluating the mean scores of different sub-scales of sexual function (i.e., desire, arousal, lubrication, orgasm, satisfaction, and pain after the intervention) between intervention and control groups showed a statistically significant difference in all the above-mentioned studies (24,(32)(33)(34)(35)(36)(37). Based on the findings of different studies performed so far, PLISSIT model has a positive effect in different societies.…”

Section: Discussionmentioning

confidence: 86%

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The Effect of Sexual Counseling Based on PLISSIT Model on Sexual Function of Pregnant Women: A Randomized Controlled Clinical Trial

Shahbazi

Farshbaf‐Khalili

Sattarzadeh

et al. 2018

International Journal of Women’s Health and Reproduction Scienc

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Objectives: Several factors, including pregnancy which is associated with physical, psychological, and hormonal changes, affect females and their sexual partners’ relation and function. This study aimed to investigate the effect of "permission, limited information, specific suggestions, intensive therapy" (PLISSIT)-based sexual counseling on the sexual function of pregnant women. Materials and Methods: The present randomized controlled trial was performed on 70 pregnant women who had a sexual function score of less than the cut-off point within a gestation period of 16-20 weeks. The participants were randomly divided into intervention and control groups by the blocking method. The intervention group received individual counseling based on the PLISSIT model by a well-trained midwife while the control group only received the usual care for pregnancy. The primary outcome measures were the total score of female sexual function four weeks after the intervention. Finally, the data were collected using a questionnaire of personal and midwifery information, as well as the female sexual function index in previous stages and four weeks after the intervention. All analyses were based on the intention to treat the approach. Results: There was a significant difference between the mean total score of sexual function (adjusted mean difference: 9.07; 95% CI: 7.24 to 10.90) and all the sub-scales that intervention and control groups adjusted for baseline scores four weeks after the intervention (P<0.05). Consultation significantly reduced the frequency of sexual dysfunction and there was a significant difference between the 2 groups in this regard (P<0.001). Conclusions: Given the effect of sexual counseling on the improvement of sexual function of pregnant women based on the PLISSIT model, this approach is recommended during pregnancy.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 86%

The Effect of Sexual Counseling Based on PLISSIT Model on Sexual Function of Pregnant Women: A Randomized Controlled Clinical Trial

Shahbazi

Farshbaf‐Khalili

Sattarzadeh

et al. 2018

International Journal of Women’s Health and Reproduction Scienc

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“…Problems with erection. (Rutte et al, 2015) I struggle obtaining an erection or maintaining it once I have initiated sexual activity. I would like to find other means of experiencing sexual satisfaction to compensate for lack of orgasm.…”

Section: Appendixmentioning

confidence: 99%

“…Although the PLISSIT model has been heavily referenced throughout the literature as a technique to resolve conversational discomfort and enhance the client's sexual well-being (McGrath & Lynch, 2014), it has limitations. The focus of the model is to assist therapists with the discussion, not to solve problems associated with sexuality and intimacy (Rutte et al, 2015). Once permission is granted to discuss aspects of sexuality and intimacy, the client is expected to initiate the conversation, readily identify known deficits in occupational performance, and provide general information about the concerns they feel comfortable addressing (Taylor & Davis, 2007).…”

mentioning

confidence: 99%

Development of the Occupational Performance Inventory of Sexuality and Intimacy (OPISI): Phase One

Walker¹,

Otte²,

LeMond³

et al. 2020

The Open Journal of Occupational Therapy

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Background: The occupational therapy profession needs a framework to guide understanding of the occupational nature of sexuality and intimacy, assessment, intervention design, and measurement of outcomes. This study aimed to define the occupational nature of sexuality and intimacy and develop a theoretical and occupation-based screen, in-depth self-assessment, and performance measure.Method: The Occupational Performance Inventory of Sexuality and Intimacy (OPISI) was developed following DeVellis's (2017) guidelines for scale development that involved mapping the construct, generating an item pool, determining the format for measurement, and reviewing the initial item pool.Results: The Occupational Therapy Sexual Assessment Framework (OTSAF) was developed to define the occupational nature of sexuality and intimacy, depict how the theoretical constructs intertwine with the domain of occupational therapy, and guide scale development. The OPISI includes a self-screen, in-depth self-assessment, and an individualized measure to establish baseline performance and detect selfperceived change in ability, satisfaction, understanding, and confidence in skills and ability to improve occupational performance associated with sexuality and intimacy over time.Conclusion: The OTSAF defines the occupational nature of sexuality and intimacy and informs the occupational therapy scope of practice. The OPISI includes theoretical and occupation-based tools to adequately screen, assess, and measure performance related to the complex occupational nature of sexuality and intimacy. Formal validation is needed prior to releasing the OPISI for clinical use. CommentsThe authors report that that they have no conflicts of interest to disclose.

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“…As previously noted, there is a need for critical consideration of any model, including PLISSIT. However, recent evaluation studies suggest an emerging evidence base examining the usefulness of PLISSIT in supporting specific groups of people to overcome some forms of sexual dysfunction [59,60].…”

Section: The Plissit and Ex-plissit Modelsmentioning

confidence: 99%

Sexuality in Rehabilitation: Supporting Canadian Practitioners Conceptually Towards Client Enablement

Reel

Davidson

2019

bioethics

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Cet article explore les nombreuses dimensions du sexe qui entrainent de très fortes réactions morales et éthiques. Pour soutenir les praticiens qui souhaitent se sentir plus à l'aise et compétents pour discuter de questions sexuelles, l'article introduit un modèle de pratique conceptuel hybride. Combinant un modèle issu à l'origine de la sexologie et un autre de l'ergothérapie, le Ex-PLISSIT Enablement Model offre un cadre souple et progressif permettant d'orienter les praticiens vers un plan qui leur permettra de mieux comprendre et de travailler dans leur propre champ d'application tout en évaluant si les clients sont prêts et disposés à s'engager dans le sujet à des degrés divers. This article explores the many dimensions of sex which result in very strong moral and ethical responses. In support of practitioners who wish to feel more comfortable and competent discussing sexual matters, the article then introduces a hybrid conceptual model of practice. Combining one model originally from sexology and another from occupational therapy, the Ex-PLISSIT Enablement Model offers a flexible, progressively-staged framework to guide practitioners toward a plan to better understand and work within their own scope while also assessing if clients are ready and willing to engage with the subject to varying degrees.

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Effectiveness of a PLISSIT model intervention in patients with type 2 diabetes mellitus in primary care: design of a cluster-randomised controlled trial

Cited by 24 publications

References 66 publications

The Effect of Sexual Counseling Based on PLISSIT Model on Sexual Function of Pregnant Women: A Randomized Controlled Clinical Trial

The Effect of Sexual Counseling Based on PLISSIT Model on Sexual Function of Pregnant Women: A Randomized Controlled Clinical Trial

Development of the Occupational Performance Inventory of Sexuality and Intimacy (OPISI): Phase One

Sexuality in Rehabilitation: Supporting Canadian Practitioners Conceptually Towards Client Enablement

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