Ex-Plissit Model Based Counseling on Sexual Function and Sexual Satisfaction

Not Applicable

Completed

• Conditions: Counseling; Sexual Dysfunctions; MS (Multiple Sclerosis)
• Interventions: Other: Sexual counseling, based on the extended (EX-PLISSIT)

• Registration Number: NCT06199219
• Lead Sponsor: Necmettin Erbakan University

Brief Summary

Aimed to determine the effect of sexual education based on the EX-PLISSIT model on sexual function and sexual satisfaction in women with multiple sclerosis.

The present study was a pretest-posttest randomized controlled study. Conducted between June and August 2023 in Turkey. The participants were MS patients who were women 18-49 years old. The intervention (n = 20) and a control group (n = 20). The intervention group received sexual counseling based on the EX-PLISSIT model. The model consists of four levels. The levels are permission, limited information, specific suggestions and intensive therapy. Counseling was presented in six to eight sessions according to the women's sexual problems. The Female Sexual Function Index (FSFI) and the New Sexual Satisfaction Scale were used to measure the sexual function and sexual satisfaction of the participants.

Data were analyzed using the Statistical Package for the Social Sciences (SPSS) version 21. P values below 0.05 were considered statistically significant.

Detailed Description

Within the scope of this research, sexual counseling, based on the extended (EX-PLISSIT) model was offered to women for 6-10 weeks (until a solution was achieved). The EX-PLISSIT model is based on the core concepts of the PLISSIT model. The PLISSIT model is an effective, convenient and cost effective counseling method. This model was designed by Annon (1976) and includes the stages permission, limited ınformation, specific recommendations and intensive therapy. It is known that the PLISSIT model is effective for SD. The PLISSIT Model has been updated and expanded because it offers one-way, passive interaction. While counseling is linear in the PLISSIT model, it is feedback-oriented in the EX-PLISSIT model. This is one of the reasons why the EX-PLISSIT model is superior to the PLISSIT model. Unlike PLISSIT's linear mode; The EX-PLISSIT model is done in a cyclical manner. In other words, it is an interactive and repetitive model. All interventions must begin with "Permission." Each stage of "Limited Information", "Special Recommendation" and "Intensive Therapy" is supported by "Allowing". Thus, the interaction between counselors and clients is improved. While in the PLISSIT model, a direct transition can be made from one step to another, in the EX-PLISSIT model, the permission stage is at the center of the other stages and techniques such as review, and examination are used to increase the client's self-awareness. The EX-PLISSIT model is a practical guide for nursing research and practice.

Study Timeline

• Study Start: 2023-05-10
• Primary Completion: 2023-08-30
• Study Completion: 2023-09-30
• Study First Submitted: 2023-12-27
• Status Verified: 2024-01
• Study First Submitted QC: 2024-01-09
• Last Update Submitted: 2024-01-09
• Study First Posted: 2024-01-10
• Last Update Posted: 2024-01-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 40

Inclusion Criteria

Being between the reproductive age range of 18-49

• Being sexually active for at least 1 year
• MS diagnosis must have been confirmed at least 6 months ago
• EDSS scale score <7
• Be willing to participate
• Not having any chronic disease (thyroid problems, diabetes mellitus, cardiovascular diseases, etc.)
• Being able to speak and understand Turkish

Exclusion Criteria

• Pregnant or breastfeeding women
• Those who score 16 and above according to the BECK depression scale
• Women under treatment for sexual dysfunction
• Women with inadequate cognitive levels
• Having an MS attack within the last month
• Alcohol and drug addiction

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention Group	Sexual counseling, based on the extended (EX-PLISSIT)	Sexual counseling, based on the extended (EX-PLISSIT) model was offered to women for 6-10 weeks (until a solution was achieved). All interventions must begin with "Permission." Each stage of "Limited Information", "Special Recommendation" and "Intensive Therapy" is supported by "Allowing". Thus, the interaction between counselors and clients is improved

Primary Outcome Measures

Name	Time	Method
The Female Sexual Function Index (FSFI) Score	8 weeks	The Female Sexual Function Index 19-item self-report questionnaire evaluating the sexual functions of female patients. The questions are regarding women's sexual feelings and responses during the last four weeks. Accordingly, the highest score that can be obtained from the scale is 36.0 and the lowest score is 2.0.

Secondary Outcome Measures

Name	Time	Method
New Sexual Satisfaction Scale (NSSS) Score	8 weeks	The New Sexual Satisfaction Scale (NSSS) was developed by Štulhofer et al. (2010), and the psychometric properties of the Turkish form were examined by Tuğut (2016). Turkish NSSS is a valid and reliable measurement tool to evaluate sexual satisfaction in Turkish women.

Trial Locations

Locations (1)

Vesile KOÇAK; 🇹🇷 Konya, Turkey