None listed
Conditions
Brief summary
Sexuality is a fundamental aspect of the human experience and is widely considered to be a crucial component of holistic healthcare. While up to 50% of individuals with TBI will experience persistent changes in sexual functioning or wellbeing, post-TBI sexuality is rarely addressed in acute and rehabilitation treatment settings. Addressing TBI sexuality should be a priority healthcare concern alongside other rehabilitation outcomes such as return to work, driving and social participation. The aim of this study is to evaluate the efficacy of routine psychoeducation on post-TBI sexuality in improving patient sexuality outcomes and general satisfaction levels with sexuality-related rehabilitation experiences. With the severe lack of evidence-based interventions for sexuality issues after TBI, this study may potentially provide empirical evidence to support the practice of using simple psychoeducation to ameliorate sexual problems, which is relatively inexpensive and easily implementable across most healthcare settings.
Interventions
Basic psychoeducation on post-TBI sexuality rarely occurs in Traumatic Brain Injury (TBI) rehabilitation healthcare settings. Psychoeducation practices and guidelines will be produced through a series of co-design focus group sessions with rehabilitation health professionals who work with individuals with TBI at the Epworth Healthcare Acquired Brain Injury (ABI) Rehabilitation Unit. These focus group sessions and the co-designed outcomes are expected to create a system-level change at the unit. From which point, all patients admitted at the unit will receive basic psychoeducation on post-TBI sexuality as part of routine care. Clinician participants of the co-design focus group study attended two separate two-hour sessions. The commencement of the focus group sessions marked the commencement of the co-design and implementation process within the rehabilitation unit. Patient-related intervention deliverables that were produced by the end of the project included a patient brochure and changes in routine clinical practice in at least one member of the rehabilitation team will attempt to broach the topic of sexuality before discharge with every patient. Broaching the topic would include asking permission from the patient to speak about sexuality and handing them to brochure, and may include types of sexuality-related changes that can happen, what patients may experience sexually after returning home, and who to approach if there were issues. To monitor adherence to the intervention, patients are asked to complete a study-specific questionnaire requiring them to reflect on whether they were provided any sexuality support either verbally, in print, or in written format.
Sponsors
Study design
Eligibility
Inclusion criteria
- community dwelling individuals with traumatic brain injury aged 18 and above. - Adequate English and cognitive skills to complete questionnaires independently - Moderate to severe TBI as defined by a post-traumatic amnesia duration of more than 24 hours - Admission to the Epworth Healthcare ABI Rehabilitation Unit for TBI
Exclusion criteria
- Inadequate cognitive capacity to provide informed consent