Auger Louis-Pierre, Allegue Dorra Rakia, Morales Ernesto, Thomas Aliki, Filiatrault Johanne, Vachon Brigitte, Rochette Annie
School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal, QC, Canada.
Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal, Montreal, QC, Canada.
Front Rehabil Sci. 2022 May 11;3:777897. doi: 10.3389/fresc.2022.777897. eCollection 2022.
Most people who sustain a stroke are likely to experience sexual difficulties during their recovery. However, few people get the opportunity to address sexuality during their rehabilitation because of factors related to the organization (e.g., culture), managers (e.g., lack of resources), clinicians (e.g., perceived lack of knowledge, skills, and comfort), and clients (e.g., taboo). A multifactorial program tailored to stakeholders' needs with various complementary interventions is needed to lead to a change of practice in post-stroke sexual rehabilitation.
To co-design with stakeholders (i.e., people with stroke, partners, clinicians, managers and researchers) a theory-driven multifactorial program to improve post-stroke sexual rehabilitation services.
This qualitative study will be conducted in four steps using an Intervention Mapping approach and a co-design methodology divided into four phases: (1) exploration; (2) co-design; (3) validation; and (4) development. Persons with stroke, partners, clinicians and managers from five distinct stroke rehabilitation centres in the province of Quebec (Canada), and researchers will be recruited to either participate in an advisory committee or working groups throughout the study. A combination of contributions from three different types of groups (advisory group, Lego® groups, work groups) will be used for data collection. Qualitative data analysis will first be realized by two independent reviewers using the Theoretical Domains Framework, and preliminary results of analysis will be validated with the advisory and working groups.
This study will lead to the co-design of the first theory-driven program intended to optimize post-stroke sexual rehabilitation services.
大多数中风患者在康复过程中可能会遇到性功能障碍问题。然而，由于组织相关因素（如文化）、管理人员因素（如资源匮乏）、临床医生因素（如知识、技能不足且缺乏自信）以及患者因素（如禁忌），很少有人在康复期间有机会解决性方面的问题。需要一个针对利益相关者需求并采用多种辅助干预措施的多因素项目，以促使中风后性康复实践发生改变。
与利益相关者（即中风患者、伴侣、临床医生、管理人员和研究人员）共同设计一个理论驱动的多因素项目，以改善中风后性康复服务。
本定性研究将采用干预映射方法和分为四个阶段的共同设计方法分四步进行：（1）探索；（2）共同设计；（3）验证；（4）开发。将招募来自加拿大魁北克省五个不同中风康复中心的中风患者、伴侣、临床医生和管理人员以及研究人员，让他们在整个研究过程中参与咨询委员会或工作组。将使用三种不同类型小组（咨询小组、乐高®小组、工作小组）的贡献组合进行数据收集。定性数据分析将首先由两名独立评审员使用理论领域框架进行，分析的初步结果将与咨询小组和工作小组进行验证。
本研究将促成首个旨在优化中风后性康复服务的理论驱动项目的共同设计。
