Ex-Plissit Model Based Counseling on Sexual Function and Sexual Satisfaction
Condition: MS (Multiple Sclerosis); Sexual Dysfunctions; Counseling
MeSH terms: Multiple Sclerosis; Sclerosis
Study type: Interventional

Summary: 
      Aimed to determine the effect of sexual education based on the EX-PLISSIT model on sexual
      function and sexual satisfaction in women with multiple sclerosis.

      The present study was a pretest-posttest randomized controlled study. Conducted between June
      and August 2023 in Turkey. The participants were MS patients who were women 18-49 years old.
      The intervention (n = 20) and a control group (n = 20). The intervention group received
      sexual counseling based on the EX-PLISSIT model. The model consists of four levels. The
      levels are permission, limited information, specific suggestions and intensive therapy.
      Counseling was presented in six to eight sessions according to the women's sexual problems.
      The Female Sexual Function Index (FSFI) and the New Sexual Satisfaction Scale were used to
      measure the sexual function and sexual satisfaction of the participants.

      Data were analyzed using the Statistical Package for the Social Sciences (SPSS) version 21. P
      values below 0.05 were considered statistically significant.
    

Detailed description: 
      Within the scope of this research, sexual counseling, based on the extended (EX-PLISSIT)
      model was offered to women for 6-10 weeks (until a solution was achieved). The EX-PLISSIT
      model is based on the core concepts of the PLISSIT model. The PLISSIT model is an effective,
      convenient and cost effective counseling method. This model was designed by Annon (1976) and
      includes the stages permission, limited ınformation, specific recommendations and intensive
      therapy. It is known that the PLISSIT model is effective for SD. The PLISSIT Model has been
      updated and expanded because it offers one-way, passive interaction. While counseling is
      linear in the PLISSIT model, it is feedback-oriented in the EX-PLISSIT model. This is one of
      the reasons why the EX-PLISSIT model is superior to the PLISSIT model. Unlike PLISSIT's
      linear mode; The EX-PLISSIT model is done in a cyclical manner. In other words, it is an
      interactive and repetitive model. All interventions must begin with "Permission." Each stage
      of "Limited Information", "Special Recommendation" and "Intensive Therapy" is supported by
      "Allowing". Thus, the interaction between counselors and clients is improved. While in the
      PLISSIT model, a direct transition can be made from one step to another, in the EX-PLISSIT
      model, the permission stage is at the center of the other stages and techniques such as
      review, and examination are used to increase the client's self-awareness. The EX-PLISSIT
      model is a practical guide for nursing research and practice.
    

Intervention name(s): Sexual counseling, based on the extended (EX-PLISSIT)
Intervention type(s): Other
Intervention description(s): The EX-PLISSIT model is done in a cyclical manner. In other words, it is an interactive and repetitive model. All interventions must begin with "Permission." Each stage of "Limited Information", "Special Recommendation" and "Intensive Therapy" is supported by "Allowing". Thus, the interaction between counselors and clients is improved (Taylor and Davis 2006; Punjani and Papathanasoglu, 2019).
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Supportive Care