Psychosexual counseling intervention to improve women's genital self‐image: Study protocol for a randomized controlled trial based on a multistage mixed method design
Abstract Background Genital self‐image (GSI) is a major barrier to reproductive and sexual health for women. This practical randomized trial aims to evaluate the effect of psychosexual counseling based on a cognitive‐behavioral approach to promoting GSI for reproductive‐age married Iranian women. Me...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-11-01
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| Series: | Health Science Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/hsr2.1720 |
| _version_ | 1797448790178791424 |
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| author | Mina Malary Zeinab Hamzehgardeshi Afsaneh Keramat Masoud Yunesian Maryam Farjamfar |
| author_facet | Mina Malary Zeinab Hamzehgardeshi Afsaneh Keramat Masoud Yunesian Maryam Farjamfar |
| author_sort | Mina Malary |
| collection | DOAJ |
| description | Abstract Background Genital self‐image (GSI) is a major barrier to reproductive and sexual health for women. This practical randomized trial aims to evaluate the effect of psychosexual counseling based on a cognitive‐behavioral approach to promoting GSI for reproductive‐age married Iranian women. Methods Married women aged 15–49 years under the coverage of health centers will be invited to join the study. The study will be conducted using a multistage mixed method design in three phases. In the first phase, semi‐structured interviews with women and key informants will be conducted to understand better the GSI concept, the factors influencing it, and the interventions promoting it. Simultaneously, a literature review will be conducted by searching electronic databases to find the factors influencing GSI and the interventions to enhance it. In the second phase, the GSI‐related factors, sexual and reproductive health outcomes correlated with GSI, and intervention programs for promoting GSI in women will be extracted from the integration of qualitative study and literature review. Then, based on the expert panel's priority, a suitable program will be prepared. In the third phase, at first, a cross‐sectional study will be conducted to identify women with poor GSI and the factors relating to GSI, and then psychosexual counseling intervention will be performed. For the randomized controlled trial study, participants will be randomly allocated into two groups: (1) the intervention group and (2) the control group. Data will be collected using the Female Genital Self‐Image Scale and sexual and reproductive health outcomes correlated with GSI at baseline, immediate, and 2‐month follow‐up assessments. The impact of the intervention on the promotion of GSI will be evaluated. Discussion This study provides a counseling program for promoting GSI. If this interventional program is successful, it has practical potential to be generalized for Iranian Women with poor GSI. |
| first_indexed | 2024-03-09T14:15:34Z |
| format | Article |
| id | doaj.art-328422e1883a413a90509fee75261c5d |
| institution | Directory Open Access Journal |
| issn | 2398-8835 |
| language | English |
| last_indexed | 2024-03-09T14:15:34Z |
| publishDate | 2023-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Science Reports |
| spelling | doaj.art-328422e1883a413a90509fee75261c5d2023-11-29T04:12:34ZengWileyHealth Science Reports2398-88352023-11-01611n/an/a10.1002/hsr2.1720Psychosexual counseling intervention to improve women's genital self‐image: Study protocol for a randomized controlled trial based on a multistage mixed method designMina Malary0Zeinab Hamzehgardeshi1Afsaneh Keramat2Masoud Yunesian3Maryam Farjamfar4Student Research Committee, School of Nursing and Midwifery Shahroud University of Medical Sciences Shahroud IranSexual and Reproductive Health Research Center Mazandaran University of Medical Sciences Sari IranDepartment of Reproductive Health and Midwifery, School of Nursing and Midwifery Shahroud University of Medical Sciences Shahroud IranDepartment of Research Methodology and Data Analysis, Institute for Environmental Research Tehran University of Medical Sciences Tehran IranClinical Research Development Unit, Imam Hossein Hospital Shahroud University of Medical Sciences IranAbstract Background Genital self‐image (GSI) is a major barrier to reproductive and sexual health for women. This practical randomized trial aims to evaluate the effect of psychosexual counseling based on a cognitive‐behavioral approach to promoting GSI for reproductive‐age married Iranian women. Methods Married women aged 15–49 years under the coverage of health centers will be invited to join the study. The study will be conducted using a multistage mixed method design in three phases. In the first phase, semi‐structured interviews with women and key informants will be conducted to understand better the GSI concept, the factors influencing it, and the interventions promoting it. Simultaneously, a literature review will be conducted by searching electronic databases to find the factors influencing GSI and the interventions to enhance it. In the second phase, the GSI‐related factors, sexual and reproductive health outcomes correlated with GSI, and intervention programs for promoting GSI in women will be extracted from the integration of qualitative study and literature review. Then, based on the expert panel's priority, a suitable program will be prepared. In the third phase, at first, a cross‐sectional study will be conducted to identify women with poor GSI and the factors relating to GSI, and then psychosexual counseling intervention will be performed. For the randomized controlled trial study, participants will be randomly allocated into two groups: (1) the intervention group and (2) the control group. Data will be collected using the Female Genital Self‐Image Scale and sexual and reproductive health outcomes correlated with GSI at baseline, immediate, and 2‐month follow‐up assessments. The impact of the intervention on the promotion of GSI will be evaluated. Discussion This study provides a counseling program for promoting GSI. If this interventional program is successful, it has practical potential to be generalized for Iranian Women with poor GSI.https://doi.org/10.1002/hsr2.1720genital self‐imageIranrandomized controlled trialsexual healthwomen |
| spellingShingle | Mina Malary Zeinab Hamzehgardeshi Afsaneh Keramat Masoud Yunesian Maryam Farjamfar Psychosexual counseling intervention to improve women's genital self‐image: Study protocol for a randomized controlled trial based on a multistage mixed method design Health Science Reports genital self‐image Iran randomized controlled trial sexual health women |
| title | Psychosexual counseling intervention to improve women's genital self‐image: Study protocol for a randomized controlled trial based on a multistage mixed method design |
| title_full | Psychosexual counseling intervention to improve women's genital self‐image: Study protocol for a randomized controlled trial based on a multistage mixed method design |
| title_fullStr | Psychosexual counseling intervention to improve women's genital self‐image: Study protocol for a randomized controlled trial based on a multistage mixed method design |
| title_full_unstemmed | Psychosexual counseling intervention to improve women's genital self‐image: Study protocol for a randomized controlled trial based on a multistage mixed method design |
| title_short | Psychosexual counseling intervention to improve women's genital self‐image: Study protocol for a randomized controlled trial based on a multistage mixed method design |
| title_sort | psychosexual counseling intervention to improve women s genital self image study protocol for a randomized controlled trial based on a multistage mixed method design |
| topic | genital self‐image Iran randomized controlled trial sexual health women |
| url | https://doi.org/10.1002/hsr2.1720 |
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