Female Genital Mutilation, Sexual Abuse of Adult (If Focus of Attention is on Victim), Sexual Dysfunction Female
Conditions
Keywords
sexual violence, female genital mutilation, therapeutic education, physiotherapy
Brief summary
Violence against women is a problem that affects women all over the planet, causing physical, emotional, and other repercussions for its survivors. Pelvic floor dysfunctions, especially female sexual dysfunctions, are among the most common physical consequences for women who have suffered sexual violence or female genital mutilation. Pelvic floor physiotherapy is the first-line treatment for these dysfunctions, with therapeutic education being one of its main strategies due to its importance in the cognitive approach and for promoting patient adherence to the proposed treatments. Women who are survivors of sexual violence and female genital mutilation, being at risk for these disorders, express the need to receive information about these dysfunctions and their possible treatments. However, it has been shown that their knowledge in this regard is limited. Therefore, a project is proposed with the objective of determining the effectiveness of an intervention based on therapeutic education in the prevention and management of sexual dysfunctions secondary to sexual violence or female genital mutilation. A group educational program is proposed, which allows survivor women to address these dysfunctions in a non-invasive way. Six sessions are planned to promote the development of various competencies: communicating their needs, integrating knowledge about their health problem, identifying and analyzing, decision-making and know-how, problem-solving, using healthcare resources and asserting their rights. This will provide these women a safe space to share their experiences, learn to manage them, acquire knowledge about the pelvic floor, related dysfunctions and their treatment, as well as self-efficacy tools for dealing with sexual dysfunctions.
Interventions
BEHAVIORALTHERAPEUTIC EDUCATION IN PHYSIOTHERAPY
Educational program of physiotherapy for women survivors of sexual violence and female genital mutilation.
BEHAVIORALPsychotherapy and legal advice
Usual psychological and legal advice therapy for this population
Sponsors
University of Alcala
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Caregiver, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Women who have suffered sexual assault: * Aged 18 and older * No severe psychiatric disorders or any other condition that prevents them from answering questions and questionnaires * Emotionally prepared to address the affected physical and sexual sphere Women who have undergone Female Genital Mutilation: * Aged 18 and older * No severe psychiatric disorders or inability to answer questions and questionnaires * Emotionally prepared to address the affected physical and sexual sphere
Exclusion criteria
* Women who have suffered sexual assaults in the context of trafficking of women and girls for sexual exploitation. * Women who have difficulty understanding the Spanish language. * Women who are not psychologically prepared to address their sexuality.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Female Sexual Function Index | Before intervention (A0); immediately after completing the intervention (A1), and at 3 months (A2), 6 months (A3), and 12 months (A4) following A1. | Assessed using the Spanish version of the FSFI. The FSFI is a 19-item questionnaire that evaluates sexual function across six domains: desire, arousal, lubrication, orgasm, satis-faction, and pain. Each domain is scored from 0 to 5, with higher scores indicating better sexual function. The total FSFI score ranges from 2 to 36, with higher scores reflecting improved sexual function. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Treatment Satisfaction | After completing the intervention (A1), and at 3 months (A2), 6 months (A3), and 12 months (A4) following A1 | Satisfaction with the treatment will be assessed using a numerical verbal scale ranging from 0 to 10, where 0 represents no satisfaction and 10 indicates ex-cellent satisfaction. This evaluation will begin with assessment A1. |
Contacts
Primary ContactSilvia Muñoz-Pastor, MSc and PhD Candidate
Backup ContactMaría Torres-Lacomba, PhD and Full professor
Outcome results
None listed