Paired t-test and repeated measures analysis of variance ANOVA test were used for comparison of scores within groups. The center was chosen by simple random selection from nine eligible centers in this city. The exclusion criteria were as follows: For having similar populations with regard to socio-demographic factors, accessing the health care services, and receiving the health care services by the control and intervention groups, we selected one health center for the study. Improvement of knowledge and skills in general practice are the suggested solutions for better management of sexual dysfunctions. This study was conducted to evaluate the efficacy and feasibility of the first two steps of PLISSIT Permission, Limited Information, Specific Suggestions, Intensive Treatment model for handling of women sexual problems in a primary health care setting. It seems that in the context of absence of any sex education and counseling, applying the first two steps can improve sexual function in a large number of women, as myths, lack of knowledge, and misunderstandings easily make them candidates for sexual problems and dysfunctions. Evidence has shown that most clients would benefit from counseling based on the first two levels of PLISSIT model and fewer clients require steps 3 and 4. In step 3, specific information should have been obtained and specific suggestions are provided.
The absence of formal system of sex education in Iran leads to misinformation and misunderstandings about sexuality and sexual relationship in Iranian couples, which in turn contributes to sexual problems and dissatisfaction with sexual relationships. The intervention group received consultation based on PLISSIT model by a trained midwife and the control group received routine services. In this new conceptualization, the neglect and denial of sexual and reproductive health was cited as a root of many health-related problems around the world. Being pregnant during the study, having severe conflict with the husband, and suffering from psychiatric disorders including depression, and gynecologic and chronic systemic diseases self-reported that may affect sexual function. In this study, we evaluate the efficacy of applying the first two steps of PLISSIT model in decreasing women's sexual problems and dysfunction. Improvement of knowledge and skills in general practice are the suggested solutions for better management of sexual dysfunctions. Evidence has shown that most clients would benefit from counseling based on the first two levels of PLISSIT model and fewer clients require steps 3 and 4. This article has been cited by other articles in PMC. The exclusion criteria were as follows: The last step involves referring to a specialist. Women were included if they a were married in the past 5 years and had been living with their husbands, b had self-reported sexual problem, c completed secondary education level, and d had willingness to participate in the study. According to this report, growing recognition of the public health importance of concerns such as gender-related violence and sexual dysfunction has highlighted the need to focus more explicitly on issues related to sexuality and their implications for health and well-being. Before consultation and 2 and 4 weeks after consultation. Paired t-test and repeated measures analysis of variance ANOVA test were used for comparison of scores within groups. In step 3, specific information should have been obtained and specific suggestions are provided. Participants were married women who were attending in the health center for primary health care services. The World Health Organization emphasizes on integration of sexual health into primary health care services, educating people and health care workers about sexuality, and promoting optimal sexual health. This model allows primary care providers to start a discussion regarding sexual issues with individuals and during the next steps of model, useful information and suggestions to be incorporated in the care plan. Data were collected at three points: This study showed that PLISSIT model can meet the sexual health needs of clients in a primary health care setting and it can be used easily by health workers in this setting for addressing sexual complaints and dysfunctions. The center was chosen by simple random selection from nine eligible centers in this city. It seems that in the context of absence of any sex education and counseling, applying the first two steps can improve sexual function in a large number of women, as myths, lack of knowledge, and misunderstandings easily make them candidates for sexual problems and dysfunctions. Eighty women who had got married in the past 5 years and had sexual problem were randomly assigned to control and intervention groups. In the randomly selected health center, participants were randomly allocated to control or intervention groups using Balanced Blocked Randomization method [ Figure 1 ]. We hypothesize that this model with regard to its construct can be effective, acceptable, and feasible in primary health care setting in a developing country. They found significant improvement in the mean scores of Golombok Rust Inventory of Sexual Satisfaction and sub-groups.
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