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Hwang NK, Park JS, Shim SH. Occupational therapists views on addressing the sexuality of adult clients in rehabilitation settings: A qualitative focus group study. Medicine (Baltimore) 2023; 102:e34760. [PMID: 37565848 PMCID: PMC10419709 DOI: 10.1097/md.0000000000034760] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/06/2023] [Accepted: 07/24/2023] [Indexed: 08/12/2023] Open
Abstract
Sexuality is a common concern among people with disabilities or chronic conditions, and failure to address sexuality can lead to poorer rehabilitation outcomes. To explore the factors affecting addressing the sexuality of adult clients in clinical practice as perceived by Korean Occupational Therapists (OTs) and the perspective on what needs to be established to address sexuality in occupational therapy practice. This descriptive qualitative study using focus group interviews was conducted with 15 OTs providing rehabilitation services for adult clients in the post-onset maintenance phase or for outpatients in Seoul, South Korea. Data collected through focus groups were analyzed using the constant comparative method. The main factors influencing addressing clients sexuality in clinical practice were identified: "absence of institutional system for addressing sexuality in rehabilitation setting" for environmental factors; "lack of professional competency" for therapist-related factors; and "repressed sexuality" for client-related factors. Moreover, recognizing that "sexual health is one of the goals of rehabilitation" and prioritizing it in rehabilitation settings are essential. OTs must be "experts with knowledge and skills" to access the client's sexuality, and "education and publicity" should be actively conducted to raise awareness of sexual health for clients. To deal with clients sexuality, institutional preparation should be prioritized under the recognition that sexual health is one of the goals of rehabilitation. In addition, it is necessary to prepare a relevant curriculum for OTs and create awareness so that clients can recognize improving sexual activity as a role of OTs.
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Affiliation(s)
- Na-Kyoung Hwang
- Department of Occupational Therapy, Seoul North Municipal Hospital, Seoul, Republic of Korea
| | - Ji-Su Park
- Research Institute for Korean Medicine, Pusan National University, Yangsan, Republic of Korea
| | - Sun-Hwa Shim
- Department of Occupational Therapy, College of Medical Science, Jeonju University, Jeonju, Republic of Korea
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Lanza T, Levand MA. Ignored Components of Sexuality: The Need for Competent Clinical Practice with Child Survivors of Sexual Abuse. JOURNAL OF CHILD SEXUAL ABUSE 2023; 32:164-183. [PMID: 36650672 DOI: 10.1080/10538712.2023.2166886] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/12/2022] [Revised: 08/04/2022] [Accepted: 10/07/2022] [Indexed: 06/17/2023]
Abstract
Child sexual abuse (CSA) is a complex and often traumatic experience that can impact youth's emotional and psychological well-being. Many clinicians do not feel adequately prepared to work with youth around topics of sexuality. In this qualitative study, we examine how licensed therapists treat youth between ages 5 and 16 who have experienced CSA. We asked participants how they incorporate sexuality into trauma work with this population. Although all participants discussed themes commonly reported in clinical work with survivors (i.e., working on trust, self-image challenges, the brain-body connection, confusion around touch and boundaries) additional themes arose that could impede the provision of sexually-competent treatment for the survivor including: considerations for gender identity and sexual orientation, youth being sexually invisible until puberty, and an inaccurate/narrow use of the term "sexuality." We discuss the need for further training on youth sexual development and the ways youth experience the many topics within the concept of sexuality in their therapeutic treatment.
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Affiliation(s)
- Tiffini Lanza
- Maverique Therapeutic Services, Collegeville, Pennsylvania, USA
| | - Mark A Levand
- Center for Human Sexuality Studies, Widener University, Chester, Pennsylvania, USA
- University of North Carolina Wilmington, Wilmington, North Carolina, USA
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Leite JD, Lopes RE. Dissident Genders and Sexualities in the Occupational Therapy Peer-Reviewed Literature: A Scoping Review. Am J Occup Ther 2022; 76:23908. [PMID: 36107763 DOI: 10.5014/ajot.2022.049322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
IMPORTANCE The lesbian, gay, bisexual, transgender, queer, intersex, asexual, and other dissident gender and sexuality (LGBTQIA+) population is prone to experiencing violence and social deprivation. Although occupational therapy research and practice has addressed populations experiencing various forms of discrimination, few studies have focused on the LGBTQIA+ population as an area of concern. OBJECTIVE To map, characterize, and analyze peer-reviewed journal articles related to the LGBTQIA+ population in the occupational therapy literature. DATA SOURCES We searched for journal articles published up to December 2021 indexed in the Virtual Health Library, CINAHL, SciELO Citation Index, SCOPUS, and Web of Science. STUDY SELECTION AND DATA COLLECTION We used Arksey and O'Malley's methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) extension for scoping reviews. Included articles articulated occupational therapy practice, education, research, and theoretical analysis in relation to LGBTQIA+. FINDINGS Forty-three articles published from 1987 to 2021 met the inclusion criteria. They included 28 research articles, 9 reflection articles, 3 experience reports, and 3 literature reviews. CONCLUSIONS AND RELEVANCE Articles primarily offered general recommendations and possible professional contributions. More studies that seek to ascertain the effectiveness and limitations of occupational therapy practice with the LGBTQIA+ population are needed. With its diverse theoretical and methodological assumptions, occupational therapy can offer support so that professionals can alleviate these people's suffering in oppressive conditions and contribute to a more just society. What This Article Adds: This scoping review provides an overview of academic publications in occupational therapy on the LGBTQIA+ population, identifies dominant topics and gaps in this context, and points to ways to advance occupational therapy's contributions and actions that consider the needs and demands of people of dissident genders and sexualities.
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Affiliation(s)
- Jaime Daniel Leite
- Jaime Daniel Leite, Jr., OT, is Occupational Therapist and PhD Candidate, Postgraduate Program in Occupational Therapy, Metuia Network-Social Occupational Therapy, Metuia Laboratory, Federal University of São Carlos, São Carlos, Brazil;
| | - Roseli Esquerdo Lopes
- Roseli Esquerdo Lopes, PhD, MSc, OT, is Full Professor, Department of Occupational Therapy, Postgraduate Program in Occupational Therapy and Postgraduate Program in Education, Metuia Network-Social Occupational Therapy, Metuia Laboratory, Federal University of São Carlos, São Carlos, Brazil
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Abstract
AbstractSexuality and intimacy are important aspects of life that are frequently compromised after severe injury or illness, yet these aspects are often overlooked by medical and rehabilitation professionals. This case series describes the Occupational Therapy Sexuality and Intimacy program at a Military Treatment Facility (MTF). Three diverse clients with a range of physical, cognitive and emotional impairments were chosen to illustrate complexities of the Occupational Therapy Sexuality and Intimacy Program at this MTF, and unique skills employed by Occupational Therapists. Consistent themes discovered include: perceived value of the program; appreciation of safe spaces to discuss personal topics; and enhanced awareness of role identity, body image, and emotional regulation. These cases illustrate that sexuality and intimacy interventions may have profound effects on injured service members, improving social reintegration, and quality of life.
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Roberts M, Hooper B, Molineux M. Occupational therapy entry-level education scholarship in Australia from 2000 to 2019: A systematic mapping review. Aust Occup Ther J 2020; 67:373-395. [DOI: 10.1111/1440-1630.12661] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2019] [Revised: 02/17/2020] [Accepted: 03/03/2020] [Indexed: 11/26/2022]
Affiliation(s)
- Melanie Roberts
- Discipline of Occupational Therapy; School of Allied Health Sciences; Griffith University; Southport Qld Australia
| | - Barbara Hooper
- Occupational Therapy Doctorate Division; Duke University School of Medicine; Durham NC USA
| | - Matthew Molineux
- Discipline of Occupational Therapy; School of Allied Health Sciences; Griffith University; Southport Qld Australia
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Lepage C, Auger LP, Rochette A. Sexuality in the context of physical rehabilitation as perceived by occupational therapists. Disabil Rehabil 2020; 43:2739-2749. [DOI: 10.1080/09638288.2020.1715494] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Catherine Lepage
- Occupational Therapy Program, School of Rehabilitation, University of Montreal, Montreal, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, Canada
| | - Louis-Pierre Auger
- Occupational Therapy Program, School of Rehabilitation, University of Montreal, Montreal, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, Canada
| | - Annie Rochette
- Occupational Therapy Program, School of Rehabilitation, University of Montreal, Montreal, Canada
- Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Montreal, Canada
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Young K, Dodington A, Smith C, Heck CS. Addressing clients' sexual health in occupational therapy practice. The Canadian Journal of Occupational Therapy 2019; 87:52-62. [PMID: 31220932 DOI: 10.1177/0008417419855237] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND. Sexuality is an important dimension of one's health and well-being. Studies show that occupational therapists regard clients' sexual health as a legitimate domain of practice but do not adequately address it in their clinical work. PURPOSE. This study aims to describe occupational therapists' perspectives regarding clients' sexual health. METHOD. This exploratory study surveyed Canadian occupational therapists using an online questionnaire that collected information on beliefs, knowledge, comfort, barriers, and facilitators with regard to addressing sexuality. Descriptive analysis was conducted on questionnaire data, and content analysis was used to organize respondents' comments. FINDINGS. While most respondents believed that addressing sexuality was within their scope, few actually did so in practice. Participants reported comfort with sexuality but identified lack of knowledge as a barrier to addressing clients' sexual health. IMPLICATIONS. This study provided a greater understanding of factors that require consideration for occupational therapists to effectively meet clients' sexual health needs.
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Romli MH, Wan Yunus F, Mackenzie L. Overview of reviews of standardised occupation-based instruments for use in occupational therapy practice. Aust Occup Ther J 2019; 66:428-445. [PMID: 30821362 DOI: 10.1111/1440-1630.12572] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/29/2019] [Indexed: 02/06/2023]
Abstract
INTRODUCTION Using standardised instruments is one approach to support evidence-based practice. Referring to systematic reviews is an option to identify suitable instruments. However, with an abundance of systematic reviews available, therapists are challenged to identify an appropriate instrument to use. Therefore, this overview of reviews aimed to summarise relevant systematic review findings about standardised occupation-based instruments relevant for occupational therapy practice. METHODS An overview of reviews was conducted. A systematic search was performed on four databases up to March 2018. Included systematic reviews were analysed for quality using A MeaSurement Tool to Assess systematic Reviews (AMSTAR). RESULTS A total of 2187 articles were identified after removing duplicates. Ultimately, 58 systematic reviews were identified that yielded 641 instruments. From those, 45 instruments were selected for appraisal as they met the inclusion criteria of being developed mainly by occupational therapists and were recommended in the summarised findings from the systematic reviews. The instruments were classified according to the following occupation domains: (i) multidimensional, (ii) activities of daily living, (iii) productivity, (iv) social, (v) sleep/rest, (vi) sexuality and (vii) spirituality. No systematic review was identified that specifically focussed on occupations related to school/education, leisure and play. DISCUSSION Certain occupation domains such as activities of daily living, social and sleep/rest received high attention amongst researchers. There is a need for systematic reviews of instruments to measure education/school, play and leisure. Limited numbers of instruments were developed by occupational therapists outside the occupation domain of activities of daily living, and in areas of practice other than children and older people. Nevertheless, this overview can give some guidance for occupational therapists in selecting a suitable occupational therapy instrument for practice.
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Affiliation(s)
- Muhammad Hibatullah Romli
- Department of Nursing and Rehabilitation, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.,Malaysian Research Institute on Ageing (MyAgeing), Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Farahiyah Wan Yunus
- Occupational Therapy Programme, Faculty of Health Sciences, Centre for Rehabilitation and Special Needs, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
| | - Lynette Mackenzie
- Discipline of Occupational Therapy, Faculty of Health Sciences, Cumberland Campus, University of Sydney, Lidcombe, New South Wales, Australia
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Rose N, Hughes C. Addressing Sex in Occupational Therapy: A Coconstructed Autoethnography. Am J Occup Ther 2018; 72:7203205070p1-7203205070p6. [DOI: 10.5014/ajot.2018.026005] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Abstract
Occupational therapy practitioners generally agree that sex is a meaningful occupation and should be part of the rehabilitation process; however, there has been reluctance to include clients’ sexual concerns in practice. To explore how occupational therapy is addressing clients’ sexual concerns, we (one author with a professional background in occupational therapy and the other who is a consumer of occupational therapy services) used a coconstructed autoethnographic approach that involved shared reflection between us. We discuss insights discovered through the coconstructed process, including the potential health risks involved in sexual activity, the importance of sexuality as a core aspect of identity, the ways that rehabilitation currently excludes sexuality, and the potential role of occupational therapy in addressing sexuality.
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Affiliation(s)
- Natalie Rose
- Natalie Rose, MSc(OT), BA, is PhD Candidate, Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada;
| | - Claire Hughes
- Claire Hughes is Undergraduate Student, York University, Toronto, Ontario, Canada
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Areskoug-Josefsson K, Fristedt S. Occupational therapy students' views on addressing sexual health. Scand J Occup Ther 2017; 26:306-314. [PMID: 29272981 DOI: 10.1080/11038128.2017.1418021] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
BACKGROUND Sexual health is an important issue in daily life, but little is known about occupational therapy (OT) students' views on these matters. AIM To explore occupational therapy students' views on addressing sexual health in their future professional role. MATERIAL AND METHODS A descriptive qualitative study involving 37 OT students in 5 focus groups was performed and analyzed using content analysis. RESULTS Three categories: 'Sexual health is part of occupational therapy and but not of the OT educational program'; 'Need for knowledge to identify and intervene related to sexual health problems'; and finally, 'Communication about sexual health-unknown, untried, but necessary', formed the theme, 'Willing to try, wanting to know more, and recognizing not only the difficulties and challenges but also the importance of sexual health in OT practice'. CONCLUSIONS OT-students consider sexual health as part of OT-practice, but experience lack of knowledge of sexual health related to disease/disability, cultural diversity, and age and sexual orientation. Educational programs need to cover these matters, including how to address sexual health in OT-practice, to enhance OT's future competence related to promotion of sexual health for clients. SIGNIFICANCE Knowledge on students' views are vital to guide education on this important, rather neglected, area.
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Affiliation(s)
- Kristina Areskoug-Josefsson
- a School of Health and Welfare , Jönköping Academy for Improvement of Health and Welfare, Jönköping University , Jönköping , Sweden
| | - Sofi Fristedt
- b School of Health and Welfare , Jönköping University , Jönköping , Sweden
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Zamboni BD, Zaid SJ. Human Sexuality Education in Marriage and Family Therapy Graduate Programs. JOURNAL OF MARITAL AND FAMILY THERAPY 2017; 43:605-616. [PMID: 28217837 DOI: 10.1111/jmft.12214] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Given the likelihood that marriage and family therapists will encounter clients with sexual concerns, it is important to know how graduate training programs are preparing future clinicians to work with this domain of life. Sixty-nine marriage and family therapy (MFT) program directors completed an online survey to examine how sexual health education is integrated into graduate training programs. Findings indicate that while the majority of program directors value sexuality curriculum, and most programs require at least one course in this area, there are barriers to privileging sex topics in MFT graduate programs. Barriers include few MFT faculties with expertise in human sexuality and marginalized sexual health topics. Implications for training MFT graduate students and their work with future clients are discussed.
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Wittkopf PG, Cardoso FL, Sperandio FF. Development and validation of the scale of knowledge, comfort and attitudes of physiotherapy students towards human sexuality (SKCAPS). FISIOTERAPIA EM MOVIMENTO 2015. [DOI: 10.1590/0103-5150.028.002.ao14] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Introduction Recent studies with Physiotherapy students pointed out for attitudes and conflicting perceptions on their learning process during the phase that precedes the clinical practice. One of those aspects is the human sexuality that appears in the close physical contact that demands Physiotherapists professional practices. Objective To build up the first educational/research instrument that evaluates the knowledge, the comfort and the attitudes of Physiotherapy undergraduate students (SKCAPS). Materials and methods From the literature we extracted three dimensions: knowledge, comfort and attitudes. Initially 50 items were created distributed in the three dimensions that went under the content evaluation, 47 items survived from this process and integrate the first version of SKCAPS. In empiric terms the intern coherence and the reliability of the instrument were tested in 248 students. Results The exploratory factorial analysis carried 37 items in 4 factors that explain 68% of the total variance of the answers of the subjects and that confirmed the proposed dimensions. The dimension comfort became separated in comfort and discomfort. The SKCAPS presented good reliability in terms of intern consistence alpha 0.861. Finally, the instrument was administered to 30 Physiotherapy students for evaluation of clarity following the exclusion of two items that resulted in averages below 8.5. Conclusions With the aim of improve the teaching/learning process, we propose the SKCAPS as the first worth and reliable instrument to evaluate the knowledge, the comfort, the discomfort and the attitudes regard of human sexuality among Physiotherapy students.
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Posters. Br J Occup Ther 2014. [DOI: 10.1177/03080226140770s804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Pillai-Friedman S, Ashline J. Women, breast cancer survivorship, sexual losses, and disenfranchised grief – a treatment model for clinicians. SEXUAL AND RELATIONSHIP THERAPY 2014. [DOI: 10.1080/14681994.2014.934340] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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Silveira GFD, Wittkopf PG, Sperandio FF, Pivetta HMF. Produção científica da área da saúde sobre a sexualidade humana. SAUDE E SOCIEDADE 2014. [DOI: 10.1590/s0104-12902014000100024] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Embasamento: A sexualidade humana é frequentemente tratada de forma limitada na formação acadêmica, prejudicando a construção do conhecimento. A análise da produção científica facilita a compreensão da identidade da área de pesquisa e aponta perspectivas futuras. Objetivo: analisar a produção científica da área da saúde sobre sexualidade humana e discutir focos de atenção e lacunas de conhecimento. Método: três bases de dados eletrônicas foram consultadas: LILACS, SCIELO e PUBMED, utilizando-se os descritores “conhecimento/knowledge”, “atitude/attitude”, “conforto/confort” e “formação acadêmica/curriculum”. Todos esses foram combinados com o termo “sexualidade humana”. Incluíram-se artigos científicos publicados em inglês e português no período entre 2000 e 2010. Resultados : Selecionaram-se 20 artigos dos 2.022 analisados. Do total, 50% foram escritos na área da enfermagem, 45% eram da área de medicina e 5% da Terapia Ocupacional. Dentre os artigos analisados, 65% foram publicados em inglês e 35% em português. Conclusão : Enfermagem e medicina produzem maior número de artigos relacionados à sexualidade humana. Apesar de maior parte dos artigos analisados terem sido produzidos fora do Brasil, o País vem aumentando sua produção, demonstrando crescente preocupação por uma área que cada vez mais evidencia sua importância na prática clínica do profissional da área da saúde.
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Sexual professional boundaries perceived by undergraduate and graduate physiotherapists: A cross sectional survey. Physiotherapy 2013; 99:298-304. [DOI: 10.1016/j.physio.2012.12.005] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2012] [Accepted: 12/17/2012] [Indexed: 11/22/2022]
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Abstracts. Br J Occup Ther 2013. [DOI: 10.1177/03080226130767s101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Hyland A, Mc Grath M. Sexuality and occupational therapy in Ireland – a case of ambivalence? Disabil Rehabil 2012; 35:73-80. [DOI: 10.3109/09638288.2012.688920] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Huang CY, Tsai LY, Liao WC, Lee S. Nursing interventions on sexual health: validation of the NISH Scale in baccalaureate nursing students in Taiwan. J Sex Med 2012; 9:2600-8. [PMID: 22616685 DOI: 10.1111/j.1743-6109.2012.02784.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
INTRODUCTION No widely accepted tool is available to assess nursing interventions on patient's sexual health among nursing students. Consequently, nursing school faculty cannot determine the sexual healthcare-related skills of nursing students. AIM The aim of this article was to develop and test a scale to assess nursing interventions on sexual health. METHODS A 19-item instrument Nursing Interventions on Sexual Health (NISH) was developed using 10 semi-structured interviews of senior nursing students, expert review, and comparative analysis of text and field notes. A total of 198 senior nursing students were recruited from two nursing schools in central Taiwan to test the instrument. Exploratory factor analysis (EFA) was used to measure construct validity and Cronbach's alpha to measure internal consistency. MAIN OUTCOME MEASURES Validity and reliability of the NISH scale based on the Permission, Limited Information, Specific Suggestion, and Intensive Therapy (PLISSIT) model. RESULTS Three factors (permission, limited information, and specific suggestion) were retained after EFA of the 19 items of NISH. Cronbach's alpha for the subscales increased from 0.71-0.93 to 0.74-0.94 and from 0.93 to 0.95 for the total scale, with 72.42% of the cumulative variance explained by these three factors. Nursing students' age (P=0.019) correlated positively with total score. CONCLUSIONS NISH is a useful and reliable scale for assessing the frequency of PLISSIT-related behaviors used by nursing students to address patient's sexual health concerns. Nursing faculties can use this scale to assess students' performance and find their omitted behaviors in clinical practice regarding sexual health care.
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Affiliation(s)
- Cheng-Yi Huang
- Institute of Medicine, School of Nursing, Chung Shan Medical University, Chung Shan Medical University Hospital, Taichung, Taiwan
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Stubbs B. Displays of inappropriate sexual behaviour by patients with progressive cognitive impairment: the forgotten form of challenging behaviour? J Psychiatr Ment Health Nurs 2011; 18:602-7. [PMID: 21848594 DOI: 10.1111/j.1365-2850.2011.01709.x] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Persons with progressive cognitive impairment such as dementia or Alzheimer's disease may display an array of challenging behaviours. For instance, levels of agitation and aggression have been reported as high as 33% in home-dwelling individuals and 80% in those residing in institutions. One form of challenging behaviour that may be displayed by this group is inappropriate sexual behaviour (ISB), but it is often overshadowed by other behaviours such as aggression. Inappropriate sexual behaviour involves any verbal of physical action of a sexual nature which is displayed in an inappropriate social context. Examples of ISB include: exposure of genitals in public/ward environments, 'groping' of nurses and masturbation in public areas. It has been estimated that the prevalence of ISB ranges from 2% to 17% of individuals with progressive cognitive impairment. Although it is less frequent than other challenging behaviours, it still may have significant deleterious effects on the victim's health. This paper is a review of the available literature on the nature, effects and management of ISB in persons with progressive cognitive impairment. Possible avenues for future research are also explored.
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Affiliation(s)
- B Stubbs
- Mental Health Research Network Midlands Branch, Northampton, UK.
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Wiwanitkit V. Occupational Therapy, Gay Men and Lesbians. Hong Kong J Occup Ther 2011. [DOI: 10.1016/j.hkjot.2011.05.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
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Sexuality and health care: are we training physical therapy professionals to address their clients' sexuality needs? Phys Ther 2009; 89:101-2. [PMID: 19119145 DOI: 10.2522/ptj.2009.89.1.101] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
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Letters to the Editor. Br J Occup Ther 2008. [DOI: 10.1177/030802260807101215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Sengupta S, Davis S, Stubbs B. Let's talk about sexuality: Whose responsibility is it? INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION 2008. [DOI: 10.12968/ijtr.2008.15.7.30406] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Subhajit Sengupta
- Oxford Brookes University; Specialist Occupational Therapist, The Royal Orthopaedic Hospital, Birmingham
| | - Sally Davis
- Primary Care and Rehabilitation, Oxford Brookes University, Oxford
| | - Brendon Stubbs
- Oxford Brookes University, Clinical Specialist and Lead Physiotherapist, St Andrews Healthcare, Billing Road, Northampton, United Kingdom
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Harris SM, Hays KW. Family therapist comfort with and willingness to discuss client sexuality. JOURNAL OF MARITAL AND FAMILY THERAPY 2008; 34:239-250. [PMID: 18412829 DOI: 10.1111/j.1752-0606.2008.00066.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
Limited empirical information exists on whether or not marriage and family therapists are having sexuality-related discussions with their clients. When helping professionals ignore client sexuality, the potential for unintended negative outcomes increases. The researchers surveyed 175 clinical members of the American Association for Marriage and Family Therapy to assess how their clinical training and education, their perceived sexual knowledge, and their comfort with sexual material influenced their willingness to engage in sexuality-related discussions with their clients. The results indicate that sexuality education and supervision experiences are the cornerstone for a therapist's base level of comfort. It is through sexuality education and supervision that sex knowledge is acquired and comfort levels are increased. Once comfort with sexual discussions increases, then therapists are more likely to engage in sexuality discussions with their clients.
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Affiliation(s)
- Steven M Harris
- College of Human Sciences, Texas Tech University, Lubbock, TX 79409-1210, USA.
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