A comprehensive interventional program to improve the sexual function of women with endometriosis: a mixed-methods protocol study.

Endometriosis Iran Mixed methods study Sexual function Women

Journal

Reproductive health
ISSN: 1742-4755
Titre abrégé: Reprod Health
Pays: England
ID NLM: 101224380

Informations de publication

Date de publication:
27 Feb 2024
Historique:
received: 09 02 2024
accepted: 21 02 2024
medline: 28 2 2024
pubmed: 28 2 2024
entrez: 27 2 2024
Statut: epublish

Résumé

Endometriosis is a chronic disease affecting 6-10% of women worldwide. Sexual dysfunction has been reported in a significant percentage of these patients. Thus, the present study will be conducted to design, implement, and determine the effectiveness of an interventional program to improve the sexual function of women with endometriosis. This mixed-methods study will be carried out in three phases with a sequential exploratory approach. In the first phase (qualitative study) participants will be selected by purposive sampling in Isfahan, Iran. The data will be collected through in-depth interviews and field notes and analyzed using conventional content analysis. The interventional program will be designed in the second phase based on the results of the qualitative study and literature review and using the Delphi method and panel of experts. The interventional program will be implemented at the individual level in the third phase to investigate its effect on improving women's sexual function. This phase includes quasi-experimental research, in which the pre- and post-intervention data will be collected from the intervention and control groups using the FSFI questionnaire and analyzed by descriptive and inferential statistical methods. Ultimately, a suitable interventional program will be presented by combining the data obtained in the qualitative and quantitative phases of the research. Conducting the present study, along with the design and implementation of an appropriate, native, and culturally sensitive interventional program, can contribute to improving the sexual function of women with endometriosis and enhancing the quality of sexual relations between couples. Endometriosis is a chronic disease in women of reproductive age. The negative impact of endometriosis on intimate relationships and sexual function has been reported in a significant number of women with this disease. The results of this study offer a rich source of information for the required interventions to promote the sexual and reproductive health of women with endometriosis. This study is a sequential exploratory (qualitative–quantitative) mixed methods design that consists of three consecutive phases. In this study, following a qualitative approach, the researchers will explain the experiences of women with endometriosis of sexual function and the appropriate strategies to improve the sexual function of these women. In the second phase, the researcher will design an appropriate interventional program for to improving the sexual function of women with endometriosis by using the results of the qualitative phase and literature reviews. The purposed interventional program is designed using the Delphi method and panel of experts and will be finalized for execution. In the third stage, the effectiveness of interventional program on the sexual function of women with endometriosis will be investigated in a quasi-experimental study. Therefore, it is expected that conducting a mixed method study by presenting an interventional culturally sensitive program can contribute to improving the sexual function of women with endometriosis and enhancing the quality of sexual relations between couples.

Sections du résumé

BACKGROUND BACKGROUND
Endometriosis is a chronic disease affecting 6-10% of women worldwide. Sexual dysfunction has been reported in a significant percentage of these patients. Thus, the present study will be conducted to design, implement, and determine the effectiveness of an interventional program to improve the sexual function of women with endometriosis.
MATERIALS AND METHODS METHODS
This mixed-methods study will be carried out in three phases with a sequential exploratory approach. In the first phase (qualitative study) participants will be selected by purposive sampling in Isfahan, Iran. The data will be collected through in-depth interviews and field notes and analyzed using conventional content analysis. The interventional program will be designed in the second phase based on the results of the qualitative study and literature review and using the Delphi method and panel of experts. The interventional program will be implemented at the individual level in the third phase to investigate its effect on improving women's sexual function. This phase includes quasi-experimental research, in which the pre- and post-intervention data will be collected from the intervention and control groups using the FSFI questionnaire and analyzed by descriptive and inferential statistical methods. Ultimately, a suitable interventional program will be presented by combining the data obtained in the qualitative and quantitative phases of the research.
CONCLUSION CONCLUSIONS
Conducting the present study, along with the design and implementation of an appropriate, native, and culturally sensitive interventional program, can contribute to improving the sexual function of women with endometriosis and enhancing the quality of sexual relations between couples.
Endometriosis is a chronic disease in women of reproductive age. The negative impact of endometriosis on intimate relationships and sexual function has been reported in a significant number of women with this disease. The results of this study offer a rich source of information for the required interventions to promote the sexual and reproductive health of women with endometriosis. This study is a sequential exploratory (qualitative–quantitative) mixed methods design that consists of three consecutive phases. In this study, following a qualitative approach, the researchers will explain the experiences of women with endometriosis of sexual function and the appropriate strategies to improve the sexual function of these women. In the second phase, the researcher will design an appropriate interventional program for to improving the sexual function of women with endometriosis by using the results of the qualitative phase and literature reviews. The purposed interventional program is designed using the Delphi method and panel of experts and will be finalized for execution. In the third stage, the effectiveness of interventional program on the sexual function of women with endometriosis will be investigated in a quasi-experimental study. Therefore, it is expected that conducting a mixed method study by presenting an interventional culturally sensitive program can contribute to improving the sexual function of women with endometriosis and enhancing the quality of sexual relations between couples.

Autres résumés

Type: plain-language-summary (eng)
Endometriosis is a chronic disease in women of reproductive age. The negative impact of endometriosis on intimate relationships and sexual function has been reported in a significant number of women with this disease. The results of this study offer a rich source of information for the required interventions to promote the sexual and reproductive health of women with endometriosis. This study is a sequential exploratory (qualitative–quantitative) mixed methods design that consists of three consecutive phases. In this study, following a qualitative approach, the researchers will explain the experiences of women with endometriosis of sexual function and the appropriate strategies to improve the sexual function of these women. In the second phase, the researcher will design an appropriate interventional program for to improving the sexual function of women with endometriosis by using the results of the qualitative phase and literature reviews. The purposed interventional program is designed using the Delphi method and panel of experts and will be finalized for execution. In the third stage, the effectiveness of interventional program on the sexual function of women with endometriosis will be investigated in a quasi-experimental study. Therefore, it is expected that conducting a mixed method study by presenting an interventional culturally sensitive program can contribute to improving the sexual function of women with endometriosis and enhancing the quality of sexual relations between couples.

Identifiants

pubmed: 38414010
doi: 10.1186/s12978-024-01759-4
pii: 10.1186/s12978-024-01759-4
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

29

Subventions

Organisme : Isfahan University of Medical Sciences
ID : 3402284

Informations de copyright

© 2024. The Author(s).

Références

Berek JS. Berek & Novak’s gynecology essentials. Lippincott Williams & Wilkins; 2020.
Daneshfar Z, Jahanian Sadatmahalleh S, Jahangiri N. Comparison of sexual function in infertile women with polycystic ovary syndrome and endometriosis: a cross-sectional study. IJRM. 2022;20(9):761–8.
pubmed: 36340671 pmcid: 9619126
Della Corte L, Di Filippo C, Gabrielli O, Reppuccia S, La Rosa VL, Ragusa R, et al. The burden of endometriosis on women’s lifespan: a narrative overview on quality of life and psychosocial wellbeing. Int J Environ Res Public Health. 2020;17(13):4683.
doi: 10.3390/ijerph17134683 pubmed: 32610665 pmcid: 7370081
Moradi Y, Shams-Beyranvand M, Khateri S, Gharahjeh S, Tehrani S, Varse F, et al. A systematic review on the prevalence of endometriosis in women. IJMR. 2021;154(3):446–54.
pubmed: 35345070 pmcid: 9131783
Pérez-López FR, Ornat L, Pérez-Roncero GR, López-Baena MT, Sánchez-Prieto M, Chedraui P. The effect of endometriosis on sexual function as assessed with the Female Sexual Function Index: systematic review and meta-analysis. Gynecol Endocrinol. 2020;36(11):1015–23.
doi: 10.1080/09513590.2020.1812570 pubmed: 32880200
Cristian D. The effects of endometriosis on women’s sexual function. IJASS. 2022;1(4):91–6.
Barbara G, Facchin F, Meschia M, Berlanda N, Frattaruolo MP, Vercellin IP. When love hurts. A systematic review on the effects of surgical and pharmacological treatments for endometriosis on female sexual functioning. Acta Obst Gyn Scand. 2017;96(6):668–87.
doi: 10.1111/aogs.13031 pubmed: 27687240
Emam AMM, Elmenim S, Sabry SS. Effectiveness of application of PLISSIT counseling modelo on sexuality among women with dyspaurenia. AJNS. 2018;7(2):73–83.
doi: 10.11648/j.ajns.20180702.15
Youseflu S, Jahanian Sadatmahalleh S, Bahri Khomami M, Nasiri M. Influential factors on sexual function in infertile women with endometriosis: a path analysis. BMC Womens Health. 2020;20(1):92.
doi: 10.1186/s12905-020-00941-7 pubmed: 32370796 pmcid: 7201757
Hämmerli S, Kohl Schwartz AS, Geraedts K, Imesch P, Rauchfuss M, Wölfler MM, et al. Does endometriosis affect sexual activity and satisfaction of the man Partner? A comparison of partners from women diagnosed with endometriosis and controls. J Sex Med. 2018;15(6):853–65.
doi: 10.1016/j.jsxm.2018.03.087 pubmed: 29706579
Simonsen SM, Strømberg C, Zoffmann V, Hartwell D, Olesen ML. About me as a person not only the disease—piloting Guided Self-Determination in an outpatient endometriosis setting. Scand J Caring Sci. 2020;34(4):1017–27.
doi: 10.1111/scs.12810 pubmed: 31875661
Norinho P, Martins M, Ferreira H. A systematic review on the effects of endometriosis on sexuality and couple’s relationship. Facts Views Vis Ob Gyn. 2020;12(3):197.
Yang X, Xu X, Lin L, Xu K, Xu M, Ye J, et al. Sexual function in patients with endometriosis: a prospective case-control study in China. JIMR. 2021;49(4):3000605211004388.
pubmed: 33874775
Sadock BJ. Kaplan & Sadock’s synopsis of psychiatry: behavioral sciences/clinical psychiatry. Philadelphia: Wolters Kluwer; 2015.
Bancroft J. Human sexuality and its problems. 3rd ed. London: Churchill Livingstone; 2008.
Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24(2):105–12.
doi: 10.1016/j.nedt.2003.10.001 pubmed: 14769454
Basger BJ, Chen TF, Moles RJ. Validation of prescribing appropriateness criteria for older Australians using the RAND/UCLA appropriateness method. BMJ Open. 2012;2(5):e001431.
doi: 10.1136/bmjopen-2012-001431 pubmed: 22983875 pmcid: 3467596
Heydari M, Faghihzadeh S. The female sexual function index (FSFI): validation of the Iranian version. Payesh. 2008;7(2):269–78.
Bernays V, Schwartz AK, Geraedts K, Rauchfuss M, Wölfler MM, Haeberlin F, et al. Qualitative and quantitative aspects of sex life in the context of endometriosis: a multicentre case control study. RBM Online. 2020;40(2):296–304.
pubmed: 31954612
Barbara G, Facchin F, Buggio L, Somigliana E, Berlanda N, Kustermann A, et al. What is known and unknown about the association between endometriosis and sexual functioning: a systematic review of the literature. Reprod Sci. 2017;24(12):1566–76.
doi: 10.1177/1933719117707054 pubmed: 28558521
Pluchino N, Wenger JM, Petignat P, Tal R, Bolmont M, Taylor HS, et al. Sexual function in endometriosis patients and their partners: effect of the disease and consequences of treatment. Hum Reprod Update. 2016;22(6):762–74.
doi: 10.1093/humupd/dmw031 pubmed: 27591248
Polit D, Beck C. Essentials of nursing research: appraising evidence for nursing practice. Philadelphia: Lippincott Williams & Wilkins; 2020.
Hesse-Biber SN. Mixed methods research: merging theory with practice. New York: Guilford Press; 2010.
Boswell C, Cannon S. Introduction to nursing research: Incorporating evidence-based practice. Jones & Bartlett Learning; 2022.
Creswell JW, Clark VL. Designing and conducting mixed methods research. London: Sage Co; 2011.

Auteurs

Maryam Heidari Sarvestani (MH)

Student Research Committee, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

Mahnaz Noroozi (M)

Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran. noroozi@nm.mui.ac.ir.

Maryam Hashemi (M)

Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

Firoozeh Mostafavi (F)

Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.

Classifications MeSH