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The CHARMS pilot study: a multi-method assessment of the feasibility of a sexual counselling implementation intervention in cardiac rehabilitation in Ireland

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dc.contributor.author Murphy, Patrick J.
dc.contributor.author Noone, Chris
dc.contributor.author D'Eath, Maureen
dc.contributor.author Casey, Dympna
dc.contributor.author Doherty, Sally
dc.contributor.author Jaarsma, Tiny
dc.contributor.author Murphy, Andrew W.
dc.contributor.author O'Donnell, Martin
dc.contributor.author Fallon, Noeleen
dc.contributor.author Gillespie, Paddy
dc.contributor.author Jalali, Amirhossein
dc.contributor.author McSharry, Jenny
dc.contributor.author Newell, John
dc.contributor.author Toomey, Elaine C.
dc.contributor.author Steinke, Elaine E.
dc.contributor.author Byrne, Molly
dc.date.accessioned 2020-11-13T10:20:16Z
dc.date.available 2020-11-13T10:20:16Z
dc.date.issued 2018
dc.identifier.uri http://hdl.handle.net/10344/9449
dc.description peer-reviewed en_US
dc.description.abstract Background: Many people living with cardiovascular disease (CVD) are affected by sexual problems associated with the condition. International guidelines recommend all patients with CVD should receive sexual counselling, yet this is rarely provided by health professionals. The current study piloted the Cardiac Health and Relationship Management and Sexuality (CHARMS) intervention, a complex multi-level intervention designed to increase the implementation of sexual counselling guidelines in hospital-based cardiac rehabilitation (CR) in Ireland. Methods: The CHARMS intervention, consisting of awareness training and skills development for staff, and education and support for patients, was implemented in two CR centres. Following a repeated measures design, quantitative and qualitative feasibility, fidelity, cost, and outcome data were collected from staff and patients at baseline (T1, pre-intervention), at 3 months post-baseline (T2, post-intervention), and at 6 months post-baseline (T3, postintervention). Data were organised according to a 14-point reporting framework of methodological issues that should be examined in pilot and feasibility studies. To inform a future definitive trial, potential solutions to identified feasibility issues were generated using the ADePT process for decision-making after pilot and feasibility trials. Results: Most elements of the study protocol were executed smoothly, and intervention implementation was successful. Patients’ (N = 42) responses to the intervention were positive. The reporting framework and the ADePT process facilitated the identification of two overarching feasibility problems, as well as solutions to be implemented in a definitive trial: (1) a high level of patient attrition in the pilot study, to be addressed through the use of financial incentives, reducing the length of the patient questionnaire, and providing a telephone survey option; and (2) negative staff perceptions, to be addressed through an augmented staff intervention, reframing ‘sexual counselling’ as ‘sexual education and support’ to fit with professional role perceptions, and reviewing all intervention terminology with a CR staff member to ensure acceptability. Conclusions: This article reports the successful piloting of a novel sexual counselling implementation intervention in cardiac rehabilitation. The utilisation of an extended reporting framework and the ADePT process facilitated the identification of adaptations necessary to ensure the feasibility of a definitive trial, thereby maximising methodological transparency. en_US
dc.language.iso eng en_US
dc.publisher BMJ Publishing Group en_US
dc.relation.ispartofseries BMJ Open;4:88
dc.subject behaviour change en_US
dc.subject implementation intervention en_US
dc.subject complex intervention en_US
dc.subject cardiac rehabilitation en_US
dc.subject cardiovascular disease en_US
dc.title The CHARMS pilot study: a multi-method assessment of the feasibility of a sexual counselling implementation intervention in cardiac rehabilitation in Ireland en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.date.updated 2020-11-13T10:10:43Z
dc.description.version PUBLISHED
dc.identifier.doi 10.1186/s40814-018-0278-4
dc.contributor.sponsor HRB en_US
dc.relation.projectid HRA-2014-HSR-519 en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 2966551
dc.internal.copyrightchecked Yes
dc.identifier.journaltitle Pilot and Feasibility Studies
dc.description.status peer-reviewed


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