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Published in: Sexuality Research and Social Policy 1/2024

03-10-2023

The Effect of a Mobile App-Based Psychosexual Intervention on Promoting Help-Seeking Behaviors for Sexual Health Issues Among Iranian Newly Married Women: a Randomized Controlled Clinical Trial

Authors: Raziyeh Maasoumi, Shadi Sabetghadam, Afsaneh Keramat, Seyedeh Solmaz Talebi, Seyed Shahrokh Aghayan

Published in: Sexuality Research and Social Policy | Issue 1/2024

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Abstract

Introduction

Help-seeking regarding sexual health issues is low among women despite its high prevalence. The present study aims to investigate the effect of a mobile app-based psychosexual intervention on enhancing help-seeking behavior of newly married women in Iran, Rasht, regarding their sexual health issues.

Methods

This study was a parallel randomized controlled trial, performed during December 25, 2021, to January 12, 2022, on 140 newly married women in Iran, Rasht. Data collection tools included a demographic data questionnaire, General Help-Seeking Questionnaire (GHSQ), Actual Help-Seeking Questionnaire (AHSQ), and the female sexual function index-short form (FSFI-6). The intervention group received psychosexual intervention using a mobile app, the HISSS App, while the control group received an unrelated intervention regarding menstruation hygiene using the Easy Period App. The intervention lasted 6 weeks, and the outcomes were assessed at baseline, immediately after, and 8 weeks after the intervention.

Results

A total of 119 participants successfully completed the study. The mean differences between groups for GHSQ and formal AHSQ immediately after the intervention were significant (10.49 [95% CI (8.33 to 12.65)], P < .001; (.57 [95% CI (.23 to .69)], P < .001). They remained significant after 8 weeks as well (11 [95% CI (8.02 to 13.99)], P < .001); (.69 [95% CI (.23 to 1.15)], P = .003) when compared to baseline. However, the between groups mean that differences of informal AHSQ and FSFI-6 were only significant immediately after the intervention (.52, [95% CI (.14, .90)], P = .007); (2.93 [95% CI (2.04, 3.82)], P < .001) and not after 8 weeks.

Conclusions

Based on the results of the present study, a mobile app-based psychosexual intervention can enhance help-seeking behavior regarding sexual health issues among women in a short time.

Policy Implications

It is recommended that public health policies prioritize community-based interventions to boost the accessibility and effectiveness of both informal and formal help-seeking sources.

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Literature
go back to reference Cassidy, C., Steenbeek, A., Langille, D., Martin-Misener, R., & Curran, J. (2019). Designing an intervention to improve sexual health service use among university undergraduate students: A mixed methods study guided by the behaviour change wheel. BMC Public Health, 19(1). https://doi.org/10.1186/s12889-019-8059-4 Cassidy, C., Steenbeek, A., Langille, D., Martin-Misener, R., & Curran, J. (2019). Designing an intervention to improve sexual health service use among university undergraduate students: A mixed methods study guided by the behaviour change wheel. BMC Public Health, 19(1). https://​doi.​org/​10.​1186/​s12889-019-8059-4
go back to reference Fatehi, S., Maasoumi, R., Atashsokhan, G., Hamidzadeh, A., Janbabaei, G., & Mirrezaie, S. M. (2019). The effects of psychosexual counseling on sexual quality of life and function in Iranian breast cancer survivors: A randomized controlled trial. Breast Cancer Research and Treatment, 175(1), 171–179. https://doi.org/10.1007/s10549-019-05140-zCrossRefPubMed Fatehi, S., Maasoumi, R., Atashsokhan, G., Hamidzadeh, A., Janbabaei, G., & Mirrezaie, S. M. (2019). The effects of psychosexual counseling on sexual quality of life and function in Iranian breast cancer survivors: A randomized controlled trial. Breast Cancer Research and Treatment, 175(1), 171–179. https://​doi.​org/​10.​1007/​s10549-019-05140-zCrossRefPubMed
go back to reference Flynn, K. E., Lin, L., Bruner, D. W., Cyranowski, J. M., Hahn, E. A., Jeffery, D. D., Reese, J. B., Reeve, B. B., Shelby, R. A., & Weinfurt, K. P. (2016). Sexual satisfaction and the importance of sexual health to quality of life throughout the life course of U.S. adults. Journal of Sexual Medicine, 13(11), 1642–1650. https://doi.org/10.1016/j.jsxm.2016.08.011 Flynn, K. E., Lin, L., Bruner, D. W., Cyranowski, J. M., Hahn, E. A., Jeffery, D. D., Reese, J. B., Reeve, B. B., Shelby, R. A., & Weinfurt, K. P. (2016). Sexual satisfaction and the importance of sexual health to quality of life throughout the life course of U.S. adults. Journal of Sexual Medicine, 13(11), 1642–1650. https://​doi.​org/​10.​1016/​j.​jsxm.​2016.​08.​011
go back to reference Ghassami, M., Shairi, M. R., Asghari Moghadam, M. A., & Rahmati, N. (2014). The study of the psychometric properties of the 6-item version of the female sexual function index (FSFI-6) amongest Iranian women. In Nursing And Midwifery Journal, 12(7), 532–543. http://unmf.umsu.ac.ir/article-1-1619-fa.html Ghassami, M., Shairi, M. R., Asghari Moghadam, M. A., & Rahmati, N. (2014). The study of the psychometric properties of the 6-item version of the female sexual function index (FSFI-6) amongest Iranian women. In Nursing And Midwifery Journal, 12(7), 532–543. http://​unmf.​umsu.​ac.​ir/​article-1-1619-fa.​html
go back to reference Karim, H., Choobineh, H., Kheradbin, N., Ravandi, M. H., Naserpor, A., & Safdari, R. (2020). Mobile health applications for improving the sexual health outcomes among adults with chronic diseases: A systematic review. In Digital Health, 6, 2055207620906956. SAGE PublicationsSage UK: London, England. https://doi.org/10.1177/2055207620906956 Karim, H., Choobineh, H., Kheradbin, N., Ravandi, M. H., Naserpor, A., & Safdari, R. (2020). Mobile health applications for improving the sexual health outcomes among adults with chronic diseases: A systematic review. In Digital Health, 6, 2055207620906956. SAGE PublicationsSage UK: London, England. https://​doi.​org/​10.​1177/​2055207620906956​
go back to reference Khaki Rostami, Z., Mirghafourvand, M., Jamileh, M., Alizadeh Charandabi, S. M., Jafarabadi, M. A., & Ghanbari, S. (2015). Sexual dysfunction and help seeking behaviors in newly married women in Sari, Iran: A cross-sectional study. Payesh (Health Monitor), 14(6), 677–686. http://payeshjournal.ir/article-1-207-en.html Khaki Rostami, Z., Mirghafourvand, M., Jamileh, M., Alizadeh Charandabi, S. M., Jafarabadi, M. A., & Ghanbari, S. (2015). Sexual dysfunction and help seeking behaviors in newly married women in Sari, Iran: A cross-sectional study. Payesh (Health Monitor), 14(6), 677–686. http://​payeshjournal.​ir/​article-1-207-en.​html
go back to reference Maasoumi, R., Sabetghadam, S., Keramat, A., & Aghayan, S. S. (2023). Help-seeking challenges for female sexual concerns: A qualitative study from Iran. BMC Health Services Research, 23(1), 1–11.CrossRef Maasoumi, R., Sabetghadam, S., Keramat, A., & Aghayan, S. S. (2023). Help-seeking challenges for female sexual concerns: A qualitative study from Iran. BMC Health Services Research, 23(1), 1–11.CrossRef
go back to reference Miller, M. K., Catley, D., Adams, A., Staggs, V. S., Dowd, M. D., Stancil, S. L., Miller, E., Satterwhite, C. L., Bauermeister, J., & Goggin, K. (2021). Brief motivational intervention to improve adolescent sexual health service uptake: A pilot randomized controlled trial in the emergency department. The Journal of Pediatrics. https://doi.org/10.1016/J.JPEDS.2021.06.007 Miller, M. K., Catley, D., Adams, A., Staggs, V. S., Dowd, M. D., Stancil, S. L., Miller, E., Satterwhite, C. L., Bauermeister, J., & Goggin, K. (2021). Brief motivational intervention to improve adolescent sexual health service uptake: A pilot randomized controlled trial in the emergency department. The Journal of Pediatrics. https://​doi.​org/​10.​1016/​J.​JPEDS.​2021.​06.​007
go back to reference Mitchell, K. R., Lewis, R., O’Sullivan, L. F., & Fortenberry, J. D. (2021). What is sexual wellbeing and why does it matter for public health? The Lancet Public Health, 6(8), e608–e613.CrossRefPubMed Mitchell, K. R., Lewis, R., O’Sullivan, L. F., & Fortenberry, J. D. (2021). What is sexual wellbeing and why does it matter for public health? The Lancet Public Health, 6(8), e608–e613.CrossRefPubMed
go back to reference Motamedi, M., Shahbazi, M., Merghati-Khoei, E., Salehi, M., Hajebi, A., Rahimi-Naghani, S., Shah, S., Kamali, K., & Khalajabadi-Farahani, F. (2021). Perceived barriers to implementing sexual health programs from the viewpoint of health policymakers in Iran: A qualitative study. Sexuality Research and Social Policy, 1–13. https://doi.org/10.1007/s13178-021-00540-7 Motamedi, M., Shahbazi, M., Merghati-Khoei, E., Salehi, M., Hajebi, A., Rahimi-Naghani, S., Shah, S., Kamali, K., & Khalajabadi-Farahani, F. (2021). Perceived barriers to implementing sexual health programs from the viewpoint of health policymakers in Iran: A qualitative study. Sexuality Research and Social Policy, 1–13. https://​doi.​org/​10.​1007/​s13178-021-00540-7
go back to reference Naidu, S. (2006). E-learning: A guidebook of principles, procedures and practices. In E-learning. Naidu, S. (2006). E-learning: A guidebook of principles, procedures and practices. In E-learning.
go back to reference Reese, J. B., Sorice, K. A., Pollard, W., Handorf, E., Beach, M. C., Daly, M. B., ... & Lepore, S. J. (2020). Efficacy of a multimedia intervention in facilitating breast cancer patients' clinical communication about sexual health: Results of a randomized controlled trial. Psycho‐Oncology, 30(5), 681–690. https://doi.org/10.1002/pon.5613 Reese, J. B., Sorice, K. A., Pollard, W., Handorf, E., Beach, M. C., Daly, M. B., ... & Lepore, S. J. (2020). Efficacy of a multimedia intervention in facilitating breast cancer patients' clinical communication about sexual health: Results of a randomized controlled trial. Psycho‐Oncology, 30(5), 681–690. https://​doi.​org/​10.​1002/​pon.​5613
go back to reference Rickwood, D. J., & Braithwaite, V. A. (1994). Social-psychological factors affecting help-seeking for emotional problems. Social Science & Medicine, 39(4), 563–572.CrossRef Rickwood, D. J., & Braithwaite, V. A. (1994). Social-psychological factors affecting help-seeking for emotional problems. Social Science & Medicine, 39(4), 563–572.CrossRef
go back to reference Soroush, A., Komasi, S., Heydarpour, B., Ezzati, P., & Saeidi, M. (2018). The effectiveness of psychosexual education program on psychological dimensions of sexual function and its quality in cardiac rehabilitation patients. Research in Cardiovascular Medicine, 7(2), 82. https://doi.org/10.4103/rcm.rcm_5_17CrossRef Soroush, A., Komasi, S., Heydarpour, B., Ezzati, P., & Saeidi, M. (2018). The effectiveness of psychosexual education program on psychological dimensions of sexual function and its quality in cardiac rehabilitation patients. Research in Cardiovascular Medicine, 7(2), 82. https://​doi.​org/​10.​4103/​rcm.​rcm_​5_​17CrossRef
go back to reference Van Parys, A. S., Deschepper, E., Roelens, K., Temmerman, M., & Verstraelen, H. (2017). The impact of a referral card-based intervention on intimate partner violence, psychosocial health, help-seeking and safety behaviour during pregnancy and postpartum: A randomized controlled trial. BMC Pregnancy and Childbirth, 17(1), 1–16. https://doi.org/10.1186/S12884-017-1519-X/TABLES/3CrossRef Van Parys, A. S., Deschepper, E., Roelens, K., Temmerman, M., & Verstraelen, H. (2017). The impact of a referral card-based intervention on intimate partner violence, psychosocial health, help-seeking and safety behaviour during pregnancy and postpartum: A randomized controlled trial. BMC Pregnancy and Childbirth, 17(1), 1–16. https://​doi.​org/​10.​1186/​S12884-017-1519-X/​TABLES/​3CrossRef
go back to reference Wiljer, D., Shi, J., Lo, B., Sanches, M., Hollenberg, E., Johnson, A., Abi-Jaoudé, A., Chaim, G., Cleverley, K., Henderson, J., Isaranuwatchai, W., Levinson, A., Robb, J., Wong, H. W., & Voineskos, A. (2020). Effects of a mobile and web app (thought spot) on mental health help-seeking among college and university students: Randomized controlled trial. Journal of Medical Internet Research, 22(10), e20790. https://doi.org/10.2196/20790CrossRefPubMedPubMedCentral Wiljer, D., Shi, J., Lo, B., Sanches, M., Hollenberg, E., Johnson, A., Abi-Jaoudé, A., Chaim, G., Cleverley, K., Henderson, J., Isaranuwatchai, W., Levinson, A., Robb, J., Wong, H. W., & Voineskos, A. (2020). Effects of a mobile and web app (thought spot) on mental health help-seeking among college and university students: Randomized controlled trial. Journal of Medical Internet Research, 22(10), e20790. https://​doi.​org/​10.​2196/​20790CrossRefPubMedPubMedCentral
go back to reference Wilson, C. J., Deane, F. P., Ciarrochi, J. V., & Rickwood, D. (2005). Measuring help seeking intentions: properties of the general help seeking questionnaire. Wilson, C. J., Deane, F. P., Ciarrochi, J. V., & Rickwood, D. (2005). Measuring help seeking intentions: properties of the general help seeking questionnaire.
go back to reference Yaraei, N., Nazary, A., Zahrakar, K., & Sarami, Gh. (2018). Comparison between effectiveness of combined psychosexual intervention and medical treatment on the sexual satisfaction of breast cancer survivors. Journal of Psychological Science, 17(67), 391–397. Yaraei, N., Nazary, A., Zahrakar, K., & Sarami, Gh. (2018). Comparison between effectiveness of combined psychosexual intervention and medical treatment on the sexual satisfaction of breast cancer survivors. Journal of Psychological Science, 17(67), 391–397.
Metadata
Title
The Effect of a Mobile App-Based Psychosexual Intervention on Promoting Help-Seeking Behaviors for Sexual Health Issues Among Iranian Newly Married Women: a Randomized Controlled Clinical Trial
Authors
Raziyeh Maasoumi
Shadi Sabetghadam
Afsaneh Keramat
Seyedeh Solmaz Talebi
Seyed Shahrokh Aghayan
Publication date
03-10-2023
Publisher
Springer US
Published in
Sexuality Research and Social Policy / Issue 1/2024
Print ISSN: 1868-9884
Electronic ISSN: 1553-6610
DOI
https://doi.org/10.1007/s13178-023-00886-0

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