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NCT Number: NCT06199219

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

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.

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Key information

Conditions

MS (Multiple Sclerosis) Autoimmune Diseases Autoimmune Diseases of the Nervous System Counseling Demyelinating Autoimmune Diseases, CNS Demyelinating Diseases Immune System Diseases Multiple Sclerosis Nervous System Diseases Sexual Dysfunctions

Age range

18 year–49 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Vesile KOÇAK

Konya, Turkey (Türkiye)

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Sexual counseling, based on the extended (EX-PLISSIT)

Other

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 (Taylor and Davis 2006; Punjani and Papathanasoglu, 2019).

Primary outcomes

  1. The Female Sexual Function Index (FSFI) Score

    Time frame: 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 outcomes

  1. New Sexual Satisfaction Scale (NSSS) Score

    Time frame: 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.

Sponsors and collaborators

Lead sponsor

Necmettin Erbakan University

Other

Registry information

Official study title

Ex-Plissit Model Based Counseling on Sexual Function and Sexual Satisfaction in Women With Multiple Sclerosis: A Randomized Controlled Study

Important dates

Study start
2023
Primary completion
2023
Study completion
2023
First posted
Jan 10, 2024
Registry last updated
Jan 10, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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