Clinical Trial Details
— Status: Completed
Administrative data
NCT number |
NCT05967104 |
Other study ID # |
03072023 |
Secondary ID |
|
Status |
Completed |
Phase |
N/A
|
First received |
|
Last updated |
|
Start date |
May 1, 2022 |
Est. completion date |
February 27, 2023 |
Study information
Verified date |
July 2023 |
Source |
Sakarya University |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
In this study, it was aimed to determine the awareness levels and attitudes of the students
with the sexual counseling training conducted in line with the PLISSIT model. This
experimental (randomized-controlled) study was conducted with midwifery students who agreed
to participate in the study and met the inclusion criteria at a state university in western
Turkey. As a result of the randomization, there were 38 students in the intervention group
and 36 students in the control group. While training based on the PLISSIT framework was given
to the intervention group, no training was given to the control group. Data were collected
through the Introductory Information Form, the Gynecological Cancer Awareness Scale (GCPS),
and the Sexual Attitudes and Beliefs Scale (CTÄ°Ö) before the training and after the
completion of the 3 trainings.
Description:
Intervention In order to improve the educational content, researchers conducted a literature
review on gynecological cancers, sexual problems in gynecological cancer, sexual counseling.
The training content was created after the literature review.
Gynecological cancers are malignant diseases of the ovaries, cervix, endometrium, vulva,
vagina and fallopian tubes that make up the female reproductive system. GLOBACAN (Global
Cancer Observatory) 2020 data show that gynecological cancers rank fourth among the most
common types of cancer among women in the world. Gynecological cancers are responsible for
more than 100,000 incidences and 32,000 deaths per year. Significant changes are taking
place, especially in the area of sexuality. It is known that sexually active gynecological
cancer cases often complain of dyspareunia, vaginal dryness, postcoital bleeding,
deterioration in sexual arousal, lack of sexual desire, genitopelvic pain. In addition,
changes in the female genital organs, such as vaginal stenosis, vaginal dryness, scar
formation in the vagina and vaginal atrophy, can lead to sexual dysfunction. Sexual
dysfunction is one of the most common and troubling qualities of life issues faced by women
with gynecological cancer, but it is rarely discussed among cancer patients, survivors, and
health professionals. Therefore, a comprehensive assessment of sexual health from the first
visit of patients should be carried out as a routine part of each examination. In this
regard, health professionals need to apply resources that will encourage effective,
sensitive, communication with patients about sexual health problems. One of the most widely
used interventions in the field of assessing and managing sexual problems is the PLISSIT
model. The PLISSIT model provides a safe, tolerant and therapeutic environment for the
discussion of sexual concerns, encouraging referral to an appropriate specialist as needed.
The model consists of four steps to address sexual concerns: Consent, Limited Information,
Specific Recommendations, and Intensive Therapy. The first stage of this model is to allow
patients to share their thoughts and concerns about their sex life. In the second stage,
individuals are informed about their thoughts and concerns about their sex life. In the third
stage, patients are given "special recommendations". Specific recommendations should be
appropriate to each person's individual needs. At this point, health professionals need to
know more about sexuality in order to give patient-specific information. The fourth stage
involves the referral of the patient to the relevant specialist. This model enables
healthcare professionals to develop effective strategies for addressing sexual concerns. In
order for the model to be applied effectively, it is essential that the relevant health
professionals are informed about the subject. In this context, it is very important to show
health professionals and students studying in the field of health that sexuality is very
important in women with gynecological cancer, to raise their awareness in the field and to
ensure that their positive attitudes towards sexuality are formed. For this reason, in this
study, 3rd-year students of the midwifery department were trained on "sexuality education for
women with gynecological cancer" prepared based on the PLISSIT model, and it was examined how
the gynecological cancer awareness and sexual attitudes and beliefs of the students were
affected.
In this study, it is aimed to determine the effect of sexuality education in line with the
PLISSIT model on the gynecological cancer awareness levels of the students and their sexual
attitudes and beliefs.