Elahinia M, Alimoradi Z, Mozhdehipanah H, Bahrami N. Comparison of the effect of counseling based on Leventhal's self-regulation model and the BETTER model on sexual function and satisfaction in women with multiple sclerosis: A randomized controlled trial. Journal of Hayat 2025; 31 (2) :181-196
URL:
http://hayat.tums.ac.ir/article-1-5574-en.html
1- Student Research Committee, Qazvin University of Medical Sciences, Qazvin, Iran
2- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
3- Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran , nbahrami@gmail.com
Abstract: (1972 Views)
Background & Aim: Multiple sclerosis (MS) is a common autoimmune disorder of the central nervous system that can adversely affect patients’ sexual lives. This study aimed to compare the effects of counseling based on Leventhal’s self-regulation model and the BETTER model on sexual function and satisfaction in women with MS.
Methods & Materials: This randomized controlled trial with three parallel groups was conducted from April to September 2024 at the Neurology Clinic of Bu Ali Hospital in Qazvin, Iran. A convenience sample of 100 women with MS were randomly assigned to the study groups using a balanced block randomization method with a block size of six. Participants in the intervention groups received three weekly counseling sessions. The control group received educational materials on sexual health after study completion. Data were collected at baseline, and at one and three months post-intervention using the demographic questionnaire, the Female Sexual Satisfaction Scale, and the short form of the Female Sexual Function Index (FSFI). Data were analyzed with repeated-measures ANOVA using SPSS version 26.
Results: There were no significant differences in demographic or clinical characteristics between the groups at baseline (P>0.05). The analysis showed significant effects of time and group, as well as a significant time-by-group interaction for sexual satisfaction and function (P<0.05). Both the BETTER-model and Leventhal-based interventions produced significant improvements in mean scores on sexual satisfaction and function compared to the control group (P<0.05). However, no statistically significant difference was found between the BETTER and Leventhal interventions in improving sexual satisfaction and function (P>0.05).
Conclusion: Counseling grounded in either the BETTER model or Leventhal’s self-regulation model appears to be effective for enhancing sexual satisfaction and function in women with MS.
Clinical trial registry: IRCT20221120056555N1
Type of Study:
Research |
Subject:
Nursing Care