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  4. Sexual health counselling in patients with spinal cord injury: Health care professionals’ perspectives

Sexual health counselling in patients with spinal cord injury: Health care professionals’ perspectives

The Journal of Spinal Cord Medicine, 2022 · DOI: 10.1080/10790268.2020.1786322 · Published: April 1, 2022

Spinal Cord InjuryUrologyEducation

Simple Explanation

This study explored the challenges health professionals face when discussing sexual health with patients who have spinal cord injuries (SCI). It looked at barriers, interest in further education, and the need for a specialized Sexual Health Team. The study found that many health professionals lack confidence and training in this area. An educational session improved their confidence and knowledge, suggesting that training can make a difference. Most participants felt a Sexual Health Team was needed and some were interested in joining. The study highlights the importance of addressing sexual health as part of overall rehabilitation for SCI patients.

Study Duration
5 Months
Participants
86 allied health care professionals
Evidence Level
Not specified

Key Findings

  • 1
    Significant differences were observed between pre- and post-session participant responses regarding their confidence levels (P < 0.001).
  • 2
    The main perceived barrier to lack of sexual health counselling was insufficient training; the preferred learning method was via in-person workshops.
  • 3
    The majority (80%) of participants indicated a Sexual Health Team should be created and 39.4% of participants expressed interest in becoming a member of this team.

Research Summary

The study aimed to explore barriers to discussing sexual health with spinal cord injured (SCI) patients, determine interest in further education, and assess the need for an inpatient Sexual Health Team. An educational session improved confidence, knowledge, and perceptions around delivery of sexual health education of SCI patients. Results suggest a perceived need for a Sexual Health Team. The study identified lack of knowledge and training as main barriers to sexual health counselling, highlighting the need for targeted training and resources for healthcare providers.

Practical Implications

Educational Programs

Implementing educational sessions for healthcare professionals can improve their confidence and knowledge in addressing sexual health concerns of SCI patients.

Formation of Sexual Health Teams

Creating dedicated Sexual Health Teams in rehabilitation centers can provide specialized care and support for SCI patients' sexual health needs.

Resource Development

Developing and providing accessible teaching materials and resources can help overcome barriers to sexual health counselling.

Study Limitations

  • 1
    Attendees may have had a pre-existing motivation or interest in the subject matter leading to selection bias.
  • 2
    One fifth (20.7%) of responses were missing post survey responses and so these data were not included.
  • 3
    Individualized sexual health values, attitudes, and beliefs of the various health care providers were not assessed.

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