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IRCT20170430033718N3 IRCT 2018-03-07 Mashhad University of Medical Sciences Comparison the Effectiveness of counseling based on PLISSIT and BETTER models on sexual function and sexual self-disclosure of women after childbirth Comparision the Effectiveness of Counseling based on two models of PLISSIT and BETTER on Sexual function and Sexual self-disclosure of women after childbirth 2017-09-11 anticipated 80 Complete https://irct.ir/trial/25932 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: subjects were allocated to each group of intervention and control randomly by Table of random numbers. First group will receive PLISSIT model and BETTER model will be implemented for the second group. Both groups will participate in two sessions. All enrolled subjects will be assessed for demographic characteristics, sexual function, sexual self-disclosure, stress, depression and anxiety, Randomization description: The initial selection of samples was a multistage cluster. From the five health centers of Mashhad, two comprehensive health services were selected randomly (centers number 1 and 3). Then, among the centers of health center number one, two centers (one in city and the other is the margin) through the lottery. For the health center number three, we also work the same way. Of the 4 centers selected (2 centers are in the margin area and 2 centers in the non-marginal area of ​​Mashhad) we select one health center by lottery, which collects 4 base stations. Of all 4 centers and 4 bases, 10 eligible samples are selected as unpredictable. In order to prevent the exchange of information, Participants in centers and sub-bases receive counseling in two different ways. N/A sexual function. Intervention 1: Intervention group1: First, the FSFI and DASS-21 questionnaires and the Hulbert sexual self-disclosure questionnaire are measured by the individuals and the sexual function, sexual self-disclosure, and the degree of anxiety, depression and stress.PLISSIT model (Permission, Limited Information, Specific Suggestions, Intensive Therapy):The subjects in this group will receive five 60-90 minute therapy sessions. Sessions 1, 2 are all adapted from the PLISSIT treatment model including four therapeutic stages. St1: Permission; client freely talks about her sexual concerns. Permission also is given to those non-problematic sexual behaviors which subject has already experienced. St2: Limited Information; therapist provides patient with limited information about the given problem. St3: Specific Suggestions; specific recommendations are offered enabling patient to manage her sexual problems. The fourth stage: Intensive Therapy; psycho-sexual therapy is performed by the researcher or Co-I psychiatrist. All subjects will be provided the two therapy sessions even if they might not need to receive intensive therapy. Researcher will be in contact with the subjects regularly to avoid missing follow up as well as addressing their concerns related to the therapy. Interventions for the subjects will be free of charge. One month after the last session, sexual self-disclosure and sexual function are re-measured. Intervention 2: Intervention group2: Intervention group1: First, the FSFI and DASS-21 questionnaires and the Hulbert sexual self-disclosure questionnaire are measured by the individuals and the sexual function, sexual self-disclosure, and the degree of anxiety, depression and stress. BETTER model(Bring up,Explain,Tell,Time,Educate,Record). The subjects in this group will receive five 60-90 minute therapy sessions. Sessions 1, 2 are all adapted from the BETTER treatment model including six therapeutic stages. St1: Bring up; In the first step, the counselor simply speaks to the client about sexual issues and tells them that he can talk quite comfortable. In fact, this step is to give the client a chance to talk about sexual issues and identify her attitudes. St2: Explain; The consultant explains the importance and impact of sexual issues on quality of life, and also tells the reader that it is completely free to talk about this. It helps to normalize sexual discourse and reduce feelings of shame.St3: TELL; The consultant assures the client that she will provide all his information to solve her problem. St4:Time; The counseling time is determined on the basis of the patient's preference. Since rebuilding sex is a continuous process, the counselor should be available to address the concerns and respond to the patient's questions. St5: Educate; The counselor will educate the patient about the complications of childbirth, the effects of childbirth and lactation on sexual matters, so that her concerns go away. The counselor must be familiar with the client's knowledge of how to deal with sexual problems in order to correct misconceptions about proximity to delivery. St6: Record; Assessments, interventions and therapeutic outcomes are recorded. In order to prevent samples from falling and respond to their health problems, the researcher will frequently contact with the individuals during the visits. At the end one month after the last session, the degree of sexual self-confidence and performance score Sex is measured again. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is No more information.
public Farzaneh karimi
Mashhad Nursing and Midwifery Faculty, Doktora Crossroads, Avicenna Street
Mashhad Iran (Islamic Republic of) 9137913199 +98 51 3605 0971 Karimifr941@mums.ac.ir Mashhad University of Medical Sciences scientific Rahele Babazadeh
Mashhad Nursing and Midwifery Faculty, Doktora Crossroads, Avicenna Street
Mashhad Iran (Islamic Republic of) 9137913199 +98 51 3605 0971 BabazadehR@mums.ac.ir Mashhad University of Medical Sciences Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Iran (Islamic Republic of) Giving a written consent Having literacy Being iranian and living in Mashhad Having a single child in recent pregnancy Age 20 t0 45 years Married and having an intact marriage Participate in study from 4 week to 6 months after delivery Having sex after delivery Score 28 or less than 28 in FSFI questionnaire Do not have chronic medical history that affect on sexual function Term pregnancy 20 years 45 years Female Alcohol and other form of drug abuse Severe mental disorder Participate in sexual educational sessions outside the study enviroment Taking medications that affect sexual function in woman or her husband Prostatic and sexual dysfunction in husband postpartum complications in recent delivery History of surgical procedures or pelvic radiotherapy F52.9 Other Other Intervention group1: First, the FSFI and DASS-21 questionnaires and the Hulbert sexual self-disclosure questionnaire are measured by the individuals and the sexual function, sexual self-disclosure, and the degree of anxiety, depression and stress.PLISSIT model (Permission, Limited Information, Specific Suggestions, Intensive Therapy):The subjects in this group will receive five 60-90 minute therapy sessions. Sessions 1, 2 are all adapted from the PLISSIT treatment model including four therapeutic stages. St1: Permission; client freely talks about her sexual concerns. Permission also is given to those non-problematic sexual behaviors which subject has already experienced. St2: Limited Information; therapist provides patient with limited information about the given problem. St3: Specific Suggestions; specific recommendations are offered enabling patient to manage her sexual problems. The fourth stage: Intensive Therapy; psycho-sexual therapy is performed by the researcher or Co-I psychiatrist. All subjects will be provided the two therapy sessions even if they might not need to receive intensive therapy. Researcher will be in contact with the subjects regularly to avoid missing follow up as well as addressing their concerns related to the therapy. Interventions for the subjects will be free of charge. One month after the last session, sexual self-disclosure and sexual function are re-measured. Intervention group2: Intervention group1: First, the FSFI and DASS-21 questionnaires and the Hulbert sexual self-disclosure questionnaire are measured by the individuals and the sexual function, sexual self-disclosure, and the degree of anxiety, depression and stress. BETTER model(Bring up,Explain,Tell,Time,Educate,Record). The subjects in this group will receive five 60-90 minute therapy sessions. Sessions 1, 2 are all adapted from the BETTER treatment model including six therapeutic stages. St1: Bring up; In the first step, the counselor simply speaks to the client about sexual issues and tells them that he can talk quite comfortable. In fact, this step is to give the client a chance to talk about sexual issues and identify her attitudes. St2: Explain; The consultant explains the importance and impact of sexual issues on quality of life, and also tells the reader that it is completely free to talk about this. It helps to normalize sexual discourse and reduce feelings of shame.St3: TELL; The consultant assures the client that she will provide all his information to solve her problem. St4:Time; The counseling time is determined on the basis of the patient's preference. Since rebuilding sex is a continuous process, the counselor should be available to address the concerns and respond to the patient's questions. St5: Educate; The counselor will educate the patient about the complications of childbirth, the effects of childbirth and lactation on sexual matters, so that her concerns go away. The counselor must be familiar with the client's knowledge of how to deal with sexual problems in order to correct misconceptions about proximity to delivery. St6: Record; Assessments, interventions and therapeutic outcomes are recorded. In order to prevent samples from falling and respond to their health problems, the researcher will frequently contact with the individuals during the visits. At the end one month after the last session, the degree of sexual self-confidence and performance score Sex is measured again. Sexual Function. Timepoint: Before intervention and 4 weeks after intervention. Method of measurement: female sexual function index. Sexual self-disclosure. Timepoint: Before intervention and 4 weeks after intervention. Method of measurement: Hurlbert Sexual Self-disclosure questionnaire. Mashhad University of Medical Sciences Approved 2017-08-02 Ethics Committee of Mashhad University of Medical Sciences Mashhad University of Medical Sciences, Vice chancellor for research, Ghoraishy Building, University St Mashhad Razavi Khorasan Iran (Islamic Republic of)