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Evaluation of Co-Designed Psychoeducation Practices and Guidelines for Addressing Sexuality After Traumatic Brain Injury

Assessing the Impact of Psychoeducation on Sexuality following Moderate-to-Severe Traumatic Brain Injury in Adults

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12622001033730
Enrollment
81
Registered
2022-07-25
Start date
2022-03-05
Completion date
2024-05-23
Last updated
2025-09-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

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.

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

Monash University
Lead SponsorUniversity

Study design

Allocation
Non-randomised trial
Intervention model
Other
Primary purpose
Prevention
Masking
Open (masking not used)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

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

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026