Memos on Sexuality Education Effectiveness; A Qualitative Study in Severe Mental Illness in Iran

Shahvari, Zahra; Raisi, Firoozeh; Khojastefar, Reihaneh Firoozi; Yahyavi, Seyyed Taha; Mirsepassi, Zahra

doi:10.1080/19317611.2020.1793047

Cited by 5 publications

(8 citation statements)

References 28 publications

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“…Survey 1 included items which allowed respondents to communicate directly with the content creators and inform design and content of the educational package [ 28 , 35 ]. Importantly, 98% of those surveyed felt that the educational package they engaged with was highly relevant to their needs and matched their learning style; the latter of which has been associated with improved learning outcomes in educational [ 36 ].…”

Section: Discussionmentioning

confidence: 99%

The impact of a targeted education package on the knowledge, attitudes, and utilisation of patient reported outcome measures amongst chiropractors in Australia

et al. 2022

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Background Patient Reported Outcome Measures (PROMs) have been shown to be valid and reliable indicators of health status and treatment outcomes, however, the current knowledge, understanding, and utilisation of PROMs within the Australian Chiropractic profession is limited. This study used the New World Kirkpatrick Model (NWKM) to evaluate whether an online PROM education package could improve knowledge, confidence, attitude, and utilisation of PROMs by chiropractors in Australia. Methods A longitudinal cohort interventional study of chiropractors in Australia. The recruitment phase and data collection period occurred from November 2020 – May 2021. Participants completed three online surveys two weeks before, four weeks after, and 12 weeks after receiving an online education package that included ten evidence-based region-specific modules on PROMs. Survey questions were grouped into five subthemes for analysis according to the NWKM levels: (1) Reaction; (2) Learning - knowledge; (3) Learning – confidence; (4) Behaviour – attitude; (5) and Behaviour - utilisation). Results Of the 116 participants that enrolled in the study, 43 completed all three survey and were included in the analysis. There was very positive reaction to the education package with mean response scores (1–5 Likert scale) for the reaction questions ranging from 3.75 to 4.43. There was a small, but significant, increase in knowledge (out of 32) at four weeks (24.3 ± 6.1) and 12 weeks after receiving the education package (27.2 ± 5.5), compared to baseline (27.4 ± 5.1). There was no effect of the intervention on clinician confidence or attitude towards PROMs. Utilisation of function- and pain-related PROMs did not change after the intervention. There was a small and significant (p < 0.05) increase in utilisation of health-related PROMs 12 weeks after the intervention. Conclusion Despite modest improvements in knowledge, which were retained 12 weeks after the educational package was provided, there was no evidence that participant confidence, attitude, or utilisation of PROMs changed because of the intervention. While the respondents’ have positive attitudes and beliefs regarding PROMs use, further education surrounding the clinical translation process into clinical practice is required. Caution is advised when interpreting these findings due to the low participant response and completion rate with the potential for selection bias and the inability to generalise the results.

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Section: Discussionmentioning

confidence: 99%

The impact of a targeted education package on the knowledge, attitudes, and utilisation of patient reported outcome measures amongst chiropractors in Australia

et al. 2022

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“…Participants without lived experience of SMI were included in 11 studies [19][105][103][94][82][78][54][50][40][38][33]. These included psychiatric nurses, midwives, administrators of mental health care facilities, caregivers or family members of people with SMI, government decision makers, mental healthcare providers, and people living in communities that include people with SMI.…”

Section: Participantsmentioning

confidence: 99%

“…HIV (prevalence, risk-taking behaviour and knowledge) All of the 14 studies that ascertained the prevalence of HIV reported it to be higher in women with SMI than in men with SMI [21][30][39][80][53][57][69][70][72][76][86][97][77]; however, not all of these studies were probabilistically sampled. Sixteen studies researched HIV risk behaviour [18][34][36][3][40][49][53][68][75][83][2][90][94][102][106]. Results were varied, although the majority reported HIV risk behaviour was generally higher among women with SMI than men with SMI.…”

Section: Study Focusmentioning

confidence: 99%

Sexual and Reproductive Health Needs of Women with Severe Mental Illness in Low- and Middle-Income Countries: A Scoping Review

Sisodia,

Hammond,

Leonardi-Bee

et al. 2024

Preprint

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BackgroundThis scoping review aimed to understand the extent and type of evidence in relation to sexual and reproductive health needs of women with severe mental illness (SMI) in low-and middle-income countries (LMIC) and to summarise those needs.MethodsInclusion criteria were 1) focus on sexual and reproductive health needs 2) women or girls with SMI, professionals, caregivers of women with SMI and community members 3) study set in a LMIC 4) peer reviewed literature (no restriction on study date or design). Studies were identified from comprehensive searches of Medline, EMBASE, CINAHL and PsycINFO (to July 2023).ResultsThe review included 100 papers. Most studies were cross-sectional and set in hospital outpatient departments. We identified studies in only 19 of 140 LMIC countries and only 15 studies were set-in low-income countries. Included studies often had multiple focus areas which were grouped into themes of HIV (prevalence, risk behaviour and knowledge), other sexually transmitted infections (STIs), sexual function, contraception use and family planning, sexual violence, fertility, pregnancy and postpartum.Included studies indicated women with SMI have worse outcomes and worse sexual and reproductive health compared to both women without SMI and men with SMI. Women with SMI were shown to have higher rates of HIV and low levels of contraception knowledge and use, with little advice offered by professionals.ConclusionsThis review highlights the need for a greater diversity of study methodology, robustness of ethical and consensual reporting when researching vulnerable populations and for further research on interventions and models of care aimed at addressing stigma, discrimination and improving the sexual and reproductive health of women with SMI. Future research should better represent the breadth of LMIC, investigate cultural adaptability of interventions and consider sexual health needs across the life course.

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“…Women and young people with mental illnesses have unique demands in terms of sexuality and sexual health education. They could also be more vulnerable towards sexual abuse and exploitation as a result of unequal power balances in relationships and/or early experiences of sexual abuse, increased rates of re-victimization in adulthood [39]. Gordon et al, reported that sexual activity in severe mental illness patients was frequently unplanned, ending in unprotected sex, and that risk perceptions were frequently erroneous, leading in a lack of willingness to reduce sexual risk behaviors [12].…”

Section: Sexual Health Needs and Risksmentioning

confidence: 99%

Evaluating family knowledge about sexual health in patients with severe mental illness: a qualitative study in Iran

et al. 2022

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Introduction Although paying more attention to sex education in patients with severe mental illness is recommended in the literature, the role of families has not been specifically clarified. Aim This study aims to explore family knowledge about sexual health in patients with severe mental illness in Iran. Methods We conducted a total number of 21 interviews with 4 patients, 5 families, 7 psychiatrists, 1 general practitioner, 2 nurses, and 2 psychologists through purposive sampling. The text was analyzed using conventional qualitative content analysis. Results The family knowledge about patients’ sexual health is described in three subcategories: ‘informal sources for knowledge acquisition’, ‘common myths, and ‘inappropriate reaction to the patients’ needs”. Conclusions Family sex education should be integrated into a comprehensive rehabilitation program to promote sexual health in patients with severe mental illness. Family members should be aware of the necessity of accurate information about patients’ sexual concerns.

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Memos on Sexuality Education Effectiveness; A Qualitative Study in Severe Mental Illness in Iran

Cited by 5 publications

References 28 publications

The impact of a targeted education package on the knowledge, attitudes, and utilisation of patient reported outcome measures amongst chiropractors in Australia

The impact of a targeted education package on the knowledge, attitudes, and utilisation of patient reported outcome measures amongst chiropractors in Australia

Sexual and Reproductive Health Needs of Women with Severe Mental Illness in Low- and Middle-Income Countries: A Scoping Review

Evaluating family knowledge about sexual health in patients with severe mental illness: a qualitative study in Iran

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