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Sexual counselling for patients with cardiovascular disease: protocol for a pilot study of the CHARMS sexual counselling intervention.

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dc.contributor.author Murphy, Patrick J.
dc.contributor.author McSharry, Jenny
dc.contributor.author Casey, Dympna
dc.contributor.author Doherty, Sally
dc.contributor.author Gillespie, Paddy
dc.contributor.author Jaarsma, Tiny
dc.contributor.author Murphy, Andrew W.
dc.contributor.author Newell, John
dc.contributor.author O'Donnell, Martin
dc.contributor.author Steinke, Elaine E.
dc.contributor.author Toomey, Elaine C.
dc.contributor.author Byrne, Molly
dc.date.accessioned 2020-11-13T14:27:49Z
dc.date.available 2020-11-13T14:27:49Z
dc.date.issued 2016
dc.identifier.uri http://hdl.handle.net/10344/9456
dc.description peer-reviewed en_US
dc.description.abstract Introduction Sexual problems are common with cardiovascular disease, and can negatively impact quality of life. To address sexual problems, guidelines have identified the importance of sexual counselling during cardiac rehabilitation, yet this is rarely provided. The Cardiac Health and Relationship Management and Sexuality (CHARMS) intervention aims to improve the provision of sexual counselling in cardiac rehabilitation in Ireland.Methods and analysis This is a multicentre pilot study for the CHARMS intervention, a complex, multilevel intervention delivered within hospital-based cardiac rehabilitation programmes. The intervention includes (1) training in sexual counselling for staff, (2) a staff-led patient education and support intervention embedded within the cardiac rehabilitation programme, (3) a patient information booklet and (4) an awareness raising poster. The intervention will be delivered in two randomly selected cardiac rehabilitation centres. In each centre 30 patients will be recruited, and partners will also be invited to participate. Data will be collected from staff and patients/partners at T1 (study entry), T2 (3-month follow-up) and T3 (6-month follow-up). The primary outcome for patients/partners will be scores on the Sexual Self-Perception and Adjustment Questionnaire. Secondary outcomes for patients/partners will include relationship satisfaction; satisfaction with and barriers to sexual counselling in services; sexual activity, functioning and knowledge; physical and psychological well-being. Secondary outcomes for staff will include sexuality-related practice; barriers to sexual counselling; self-ratings of capability, opportunity and motivation; sexual attitudes and beliefs; knowledge of cardiovascular disease and sex. Fidelity of intervention delivery will be assessed using trainer self-reports, researcher-coded audio recordings and exit interviews. Longitudinal feasibility data will be gathered from patients/partners and staff via questionnaires and interviews.Ethics and dissemination This study is approved by the Research Ethics Committee (REC) of the National University of Ireland, Galway. Findings will be disseminated to cardiac rehabilitation staff, patients/partners and relevant policymakers via appropriate publications and presentations. en_US
dc.language.iso eng en_US
dc.publisher BMJ Publishing Group en_US
dc.relation.ispartofseries BMJ Open;6, e011219
dc.subject cardiac rehabilitation en_US
dc.subject complex intervention en_US
dc.subject sexual counselling en_US
dc.title Sexual counselling for patients with cardiovascular disease: protocol for a pilot study of the CHARMS sexual counselling intervention. 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 2020-11-13T14:19:52Z
dc.description.version PUBLISHED
dc.identifier.doi 10.1136/bmjopen-2016-011219
dc.contributor.sponsor HRB en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US
dc.internal.rssid 2966571
dc.internal.copyrightchecked Yes
dc.identifier.journaltitle BMJ Open
dc.description.status peer-reviewed


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