Effect of Sexual Counseling Training in Gynecological Cancers According to the PLISSIT Model on Midwifery Students’ Awareness and Attitude: A Randomized Clinical Trial

Document Type : Original Article

Authors

1 Department of Nursing, Faculty of Health Sciences, Sakarya University, Sakarya, Turkey;

2 Department of Midwifery, Faculty of Health Sciences, Sakarya University, Sakarya, Turkey

10.30476/ijcbnm.2024.100377.2355

Abstract

Background: It is very important to show health professionals and students that sexuality is important
in women with gynecological cancer, to increase their awareness in this area and to ensure the
formation of positive attitudes towards sexuality. This study aimed to determine the effect of sexual
counseling training in gynecological cancers according to the PLISSIT Model on Midwifery students’
Awareness and Attitude.
Methods: This randomized controlled study was conducted between May and November 2022 by
midwifery students studying at Sakarya University in Turkey. 36 students were allocated to the control
group and 38 to the intervention group using block randomization. The intervention group was given
3 sessions training based on the PLISSIT model, whilethe control group underwent no training.
Data were collected before the training and one month after completing the intervention using the
Gynecological Cancer Awareness Scale (GCAS) and Sexual Attitudes and Beliefs Scale (SABS). Data
analysis was done using SPSS software version 22 with Chi square test, independent and paired t-test.
A significance level of P<0.05 was used.
Results: In the intervention group, a significant difference was found within the group in terms of
the GCAS (P<0.001), and SABS (P<0.001) scores after the study. In the control group, there was no
significant difference within the group in terms of the GCAS (P=0.16) and SABS (P=0.26) scores.
There was a significant difference between the intervention and control groups in terms of GCAS
(P=0.004) and SABS (P<0.001) scores one month after training.
Conclusion: It was found that sexual counseling training in gynecological cancers according to the
PLISSIT Model was effective in creating awareness and positive attitudes in mMidwifery students.
Trial Registration Number: NCT05967104.

Keywords