Exploration, designing, and effectiveness of a comprehensive model of prevention and counseling on improving sexual motivation and function of women at menopausal ages: A Sequential Exploratory Mixed Methods Study
مشخصات نویسندگان مقاله Exploration, designing, and effectiveness of a comprehensive model of prevention and counseling on improving sexual motivation and function of women at menopausal ages: A Sequential Exploratory Mixed Methods Study
Objective: The purpose of this study was to explore, design and evaluate the effect of a comprehensive and native model of prevention and counseling on improving sexual motivation and function among perimenopausal women in Tabriz city using a sequential exploraty mixed methods study Methods: This sydy was sequential exploraty mixed methods study with two phases.In firs phse we purposefully approached 22 married women ages 44–59 (52.81 ± 3.6 years) in urban health care centers and workplaces in Tabriz city, located in northwest Iran. Individual face-to-face interviews were performed at a place and time convenient to the women. All interviews were audio recorded and then transcribed to create verbatim written accounts. Data were analyzed using qualitative content analysis with the conventional approach.In second phase the randomized controlled trial study was conducted in Tabriz, Iran from May to December 2017. 32 married couples, attending a public health center and meeting the inclusion criteria, were randomly assigned to the intervention (receiving REEC) and control (receiving routine care) groups. The outcome measures were marital intimacy, sexual motivation, and sexual function. Personal assessment of intimacy in relationships (PAIR), sexual motivation and Sexual Function
questionnaires were completed before and after intervention.Data were collected at three points in times. The Statistical Package for the Social Sciences (SPSS) was used for the purpose of data analysis such as independent samples t-test; adjusted analysis of covariance; repeated measure Anova. Results: In qualitative phase of study four main themes emerged from data analysis including sexual capacity, sexual motivation, sexual function and sexual script.According to described sexual script, participants mentioned strong emotional intimacy as a main factore that enabled and accelerated them to maintain sexuality in menopausal transition. The results of second phase of study showed in the interventional group, the total score of marital intimacy, sexual motivation, and sexual functionwas significantly improved after twelve weeks, in both wives (MD (95% CI): 50.80(46.67 to 60.93); 19.59 (16.34 to 22.84); 19.08 (12.96 to 25.20) and their husbands (MD (95% CI): 35.10 (28.56 to 41.65); 15.13 (11.75 to18.51); 12.11 (9.17 to 15.06) respectively P < 0.0001. Conclusion: The results of this study indicate the role of couples intimacy in motivating and sustaining the sexual capacity and sexual function of women during menopausal transition. Given that relationship enhancement education and counseling (REEC) program positively affects marital life quality and the strength of the family unit; using the REEC is recommended as a dynamic problem-solving process for promoting marital intimacy and improving sexual function in middle aged couples.
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Javadivala, Zeinab and Allahverdipour, Hamid and Merghati-Khoei, Effat and Mirghafourvand, Mojgan,1397,Exploration, designing, and effectiveness of a comprehensive model of prevention and counseling on improving sexual motivation and function of women at menopausal ages: A Sequential Exploratory Mixed Methods Study,The 7th International Conference on Women,Shiraz,https://civilica.com/doc/875134
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