Bingham Sharon Linsey, Semple Cherith Jane, Flannagan Carrie, Dunwoody Lynn
Northern Health & Social Care Trust, Antrim, UK.
Ulster University, Newtownabbey, UK.
Psychooncology. 2022 Sep;31(9):1555-1563. doi: 10.1002/pon.5993. Epub 2022 Aug 11.
Barriers to healthcare professional (HP) (HP)-led sexual support in cancer care include lack of knowledge, skills and evidence-based educational interventions, to equip HPs to address sexual challenges faced by patients and partners. Consequently, sexual support is often avoided. This study examined HPs' acceptability and usability of the Maximising Sexual Wellbeing: Cancer Care (MSW|CC) eLearning resource for HPs and evaluated its impact on HPs' sexual attitudes and beliefs to providing sexual support in cancer care.
HPs (n = 87) completed pre and post-test surveys using the modified 12-item Sexual Attitudes and Beliefs Scale (SABS). Post-test, participants rated acceptability and usability of the MSW|CC, with optional free-text comments. A repeated measures t-test assessed changes in HPs' scores on the SABS. Descriptive statistics and reporting of free text comments were used to explore HPs' perspectives of the MSW|CC.
SABS scores increased significantly from Time 1 (M = 35.1, SD = 4.8) to Time 2 (M = 40.1, SD = 4.3), t (86) = -10.2, p < 0.001 (two-tailed) with a medium effect size (d = 0.55); indicating a decrease in HPs' attitudinal barriers to providing sexual support. The MSW|CC was deemed acceptable, user-friendly and easy to navigate. Healthcare professionals would recommend the use of this eLearning resource to others (3.78/4, SD = 0.5), considered it a good informational resource (3.78/4, SD = 0.5) and straightforward to use (3.8/4, SD 0.42).
DISCUSSION/CONCLUSION: The MSW|CC reduced HPs' attitudinal barriers towards the provision of HP-led sexual support in cancer care, whilst being acceptable and useable. The MSW|CC could support implementation of global clinical guidelines advocating for HP-led sexual support across the treatment trajectory.
在癌症护理中,医疗保健专业人员(HP)主导的性支持存在障碍,包括缺乏知识、技能以及循证教育干预措施,无法使医疗保健专业人员应对患者及其伴侣所面临的性方面的挑战。因此,性支持常常被回避。本研究调查了医疗保健专业人员对《最大化性健康:癌症护理》(MSW|CC)这一针对医疗保健专业人员的电子学习资源的可接受性和可用性,并评估了其对医疗保健专业人员在癌症护理中提供性支持的性态度和信念的影响。
87名医疗保健专业人员使用修订后的12项性态度和信念量表(SABS)完成了测试前和测试后的调查。测试后,参与者对MSW|CC的可接受性和可用性进行评分,并可选择提供自由文本评论。重复测量t检验评估了医疗保健专业人员在SABS上得分的变化。使用描述性统计和自由文本评论报告来探究医疗保健专业人员对MSW|CC的看法。
SABS得分从第1次(M = 35.1,SD = 4.8)到第2次(M = 40.1,SD = 4.3)显著增加,t(86)= -10.2,p < 0.001(双侧),效应量中等(d = 0.55);表明医疗保健专业人员在提供性支持方面的态度障碍有所减少。MSW|CC被认为是可接受的、用户友好的且易于操作。医疗保健专业人员会向其他人推荐使用这个电子学习资源(3.78/4,SD = 0.5),认为它是一个很好的信息资源(3.78/4,SD = 0.5)且使用起来很简单(3.8/4,SD = 0.42)。
讨论/结论:MSW|CC减少了医疗保健专业人员在癌症护理中提供由其主导的性支持方面的态度障碍,同时该资源是可接受且可用的。MSW|CC可以支持在整个治疗过程中倡导由医疗保健专业人员主导的性支持的全球临床指南的实施。