Developing an Intervention to Improve Sexual Health Assessment and Care in Men With Inflammatory Bowel Disease

IF 3.4 3区 医学 Q1 NURSING
Sara Ma, Greg Forshaw, Mona Kanaan, Peter Knapp, Wayne Robinson, Christian Selinger, Paul Galdas
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Abstract

AimTo co‐produce a prototype intervention to help nurses improve the assessment and care of the sexual health needs of men with inflammatory bowel disease.BackgroundInflammatory bowel disease can have a significant impact on the sexual health and well‐being of men, but has largely been neglected in research and clinical guidelines. Men with the disease report that sexual health is not discussed during consultations, while healthcare practitioners describe a lack of confidence to initiate sexual health assessments. At present, no evidence‐based tool exists to support nurses in detecting, assessing, and providing care for the sexual health of men with the disease.DesignA mixed‐methods study shaped by phase 1 of the Medical Research Council's framework for the development of complex interventions.Methods(1) Cross‐sectional surveys of (i) men with inflammatory bowel disease, (ii) nurses, and (iii) inflammatory bowel disease services to determine the current state of sexual health provision across the UK National Health Service. (2) Semi‐structured interviews with men and the partners of men with IBD and asynchronous focus groups with health professionals to explore appropriate and acceptable ways to provide sexual healthcare. (3) Three consecutive co‐production workshops inclusive of men with the disease, healthcare professionals, and stakeholders to formulate a prototype intervention.Implications for the Profession and/or Patient CareThis study will create an evidence‐based prototype intervention that will provide nurses with the knowledge and skills required to effectively assess the sexual health needs of men with inflammatory bowel disease and provide appropriate, patient‐centred care.Patient ContributionThe study design was supported by a patient group. The study delivery will be supported by a patient co‐investigator and stakeholder group inclusive of men with lived experience of the disease.Reporting MethodThis report adheres to the SPIRIT 2013 checklist for standard protocol items for clinical trials.Trial Registrationclinicaltrials.gov ID: NCT06562751
发展一种干预措施,以改善男性炎症性肠病的性健康评估和护理
目的共同制作一种原型干预措施,以帮助护士改善对患有炎症性肠病的男性性健康需求的评估和护理。背景:炎症性肠病可能对男性的性健康和幸福感产生重大影响,但在研究和临床指南中很大程度上被忽视。患有这种疾病的男子报告说,在咨询期间没有讨论性健康问题,而保健从业人员则说,他们对开展性健康评估缺乏信心。目前,还没有基于证据的工具来支持护士检测、评估和提供患有该病的男性性健康护理。设计一项混合方法研究,根据医学研究委员会制定的复杂干预措施开发框架的第一阶段进行。方法(1)对(i)患有炎症性肠病的男性、(ii)护士和(iii)炎症性肠病服务人员进行横断面调查,以确定整个英国国家卫生服务体系性健康提供的现状。(2)对男性和IBD患者的伴侣进行半结构化访谈,并与卫生专业人员进行非同步焦点小组访谈,以探索提供性保健的适当和可接受的方法。(3)三次连续的合作生产研讨会,包括男性患者、医疗保健专业人员和利益相关者,以制定原型干预措施。本研究将创建一个以证据为基础的干预原型,为护士提供有效评估患有炎症性肠病的男性性健康需求所需的知识和技能,并提供适当的、以患者为中心的护理。患者贡献研究设计得到了患者组的支持。研究交付将由患者共同研究者和包括有该病生活经验的男性在内的利益相关者小组提供支持。报告方法本报告遵循SPIRIT 2013临床试验标准方案项目清单。临床试验注册。gov ID: NCT06562751
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来源期刊
CiteScore
6.40
自引率
7.90%
发文量
369
审稿时长
3 months
期刊介绍: The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.
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