Sexual health promotion intervention for people with severe mental illness Mental and Behavioural Disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Adults aged > = 16 years 2. Diagnosed with a SMI* 3. In receipt of care from any form of adult community mental health service in each NHS site (outpatient clinics, day care, on caseload of community mental health team including assertive outreach; forensic, early intervention for psychosis, recovery colleges, depot clinics) 4. Willing and able to give informed consent to participate *There is no agreed definition of SMI, so we will adopt a pragmatic and inclusive definition: a Psychiatrist assessed and documented (care record) primary diagnosis of schizophrenia schizoaffective disorder, or delusional/psychotic illness, or bipolar disorder, or major depression (with or without psychotic features), or severe anxiety, or personality disorder.
Exclusion criteria
Exclusion criteria: 1. Pose a current risk to others (e.g. research staff) including risks of sexual and/or physical violence 2. A learning disability or other significant cognitive impairment 3. Those known to be on the sex offenders register
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of unprotected sex acts (anal, vaginal, oral) are recorded using an adapted version (with permission) of the Sexual Risk Assessment Schedule (SERBAS) at baseline, 3, 6, 9 and 12 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Knowledge about human immunodeficiency virus (HIV) and sexually transmitted infections is recorded using an adapted version (with permission) of the HIV-Knowledge Questionnaire (HIV-KQ) at baseline, 3, 6, 9 and 12 months 2. Perception of the risk of infection with a sexually transmitted infection (STI) is recorded using an adapted version of the Motivation to Engage in Safer Sex measure at baseline, 3, 6, 9 and 12 months 3. Attitudes towards the use of condoms as well as questions on self-efficacy in the use and negotiation of use of condoms are recorded using an adapted version (with permission) of the Condom Use Self-Efficacy Scale at baseline, 3, 6, 9 and 12 months 4. Engagement in risky or protective sexual behaviours is recorded using an adapted version (with permission) of the Behavioural Intentions for Safer Sex measure at baseline, 3, 6, 9 and 12 months 5. General questions about sexual health are recoded using items adapted from the National Survey of Sexual Attitudes and Lifestyle (NATSAL) questionnaire at baseline, 3, 6, 9 and 12 months 6. Health-related quality of life is measured using the EQ-5D-5L standardised instrument at baseline, 3, 6, 9 and 12 months 7. Quality of life for people with different mental health conditions is measured using the Recovering Quality of Life (ReQoL) standardised instrument at baseline, 3, 6, 9 and 12 months 8. Heath care resource use, including medications, is captured using a bespoke resource use questionnaire at baseline, 3, 6, 9 and 12 months | — |
Countries
England, United Kingdom
Contacts
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