Reviewer’s report
Title: 
The effect of PLISSIT based counseling model on sexual function, quality
of life, and sexual distress in women surviving breast cancer: A single-group
pretest-posttest trial
Version: 
1 
Date: 
09 May 2021
Reviewer's report:
In this study authors evaluate the effect of PLISSIT based counseling model on
sexual function, quality of life, and sexual distress in women surviving breast
cancer. 65 women were referred to PLISSIT based counseling and evaluated in
the study. It is a well performed and interesting study.
There are some odditional information that would be required prior to
publishing. 
1. In similar studies, there are different timing intervals between intervention and
evaluation. In the present study, 2 and 4 weeks post intervention were selected.
Why is this timing interval important and how can different intervals affect the
outcomes?
2. Statistics methods seem to be appropriate, though it is all based on assuming
the normal distribution of data. Based on personal experience I can hardly
believe the group of 65 patients in such setting could present as a normally
distributed data. I would kindly ask for Q-Q normality plots to confirm this
distribution.
3. There are several similar studies with the same methodology and results as
you already quoted. There seems to be a lack of originality. I would ask for the
explanation, what can this study add to further improve the investigated field.
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Is the study design appropriate to answer the research question (including the use
of appropriate controls), and are the conclusions supported by the evidence
presented?
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from apparent manipulation?
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