Effect of Sexual Counseling Training in Gynecological Cancers According to the PLISSIT Model on Midwifery Students’ Awareness and Attitude - A Randomized Clinical Trial

Q: What was the purpose of the study?

To determine the effect of sexual counseling training in gynecological cancers, using the PLISSIT model, on midwifery students’ awareness and attitude.

Q: How were the students assigned to groups and what intervention was used?

The study used block randomization, assigning 36 students to the control group and 38 to the intervention group. The intervention group received three training sessions based on the PLISSIT model, while the control group received no training.

Q: What were the key findings after the training?

The intervention group showed significant within-group improvements in both GCAS and SABS scores, while the control group did not. Between-group differences favored the intervention group one month after training (GCAS: P=0.004; SABS: P<0.001).

Sep 21, 2026

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Sexual counseling and sexuality-related education are essential for improving awareness and fostering positive attitudes toward sexuality in women with gynecological cancer. This randomized clinical trial assessed the effect of sexual counseling training based on the PLISSIT model on midwifery students’ awareness and attitudes. Thirty-six students were allocated to a control group and thirty-eight to an intervention group receiving three training sessions, with outcomes measured before training and one month later using GCAS and SABS, then analyzed in SPSS.

LanguageEnglish

CategoryResearch & Report

FormatPDF

Pages10

Reading Time25 min

AccessFree to download

Abstract

Background

Methods

Results

Conclusion

Introduction

Original Article Effect of Sexual Counseling Training in Gynecological Cancers According to the PLISSIT Model on Midwifery Students’Awareness and Attitude: A Randomized Clinical Trial Ahsen Demirhan Kayacik1, MS; Yasemin Hamlaci Başkaya2 , PhD; Kevser İlçioğlu1, PhD 1Department of Nursing, Faculty of Health Sciences, Sakarya University, Sakarya, Turkey; 2Department of Midwifery, Faculty of Health Sciences, Sakarya University, Sakarya, Turkey Corresponding Author: Ahsen Demirhan Kayacik, MS; Department of Nursing, Faculty of Health Sciences, Sakarya University, Postal code: 54050, Sakarya, Turkey Tel/Fax: +90 472 2956628; Email: [ahsendemirhan@sakarya.edu.tr](ahsendemirhan@sakarya.edu.tr) Received: 02 January 2024 Revised: 05 May 2024 Accepted: 07 May 2024 Abstract Background: It is very important to show health professionals and students that sexuality is important in women with gynecological cancer, to increase their awareness in this area and to ensure the formation of positive attitudes towards sexuality. This study aimed to determine the effect of sexual counseling training in gynecological cancers according to the PLISSIT Model on Midwifery students’Awareness and Attitude. Methods: This randomized controlled study was conducted between May and November 2022 by midwifery students studying at Sakarya University in Turkey. 36 students were allocated to the control group and 38 to the intervention group using block randomization. The intervention group was given 3 sessions training based on the PLISSIT model, whilethe control group underwent no training. Data were collected before the training and one month after completing the intervention using the Gynecological Cancer Awareness Scale (GCAS) and Sexual Attitudes and Beliefs Scale (SABS). Data analysis was done using SPSS software version 22 with Chi square test, independent and paired t-test. A significance level of P<0.05 was used. Results: In the intervention group, a significant difference was found within the group in terms of the GCAS (P<0.001), and SABS (P<0.001) scores after the study. In the control group, there was no significant difference within the group in terms of the GCAS (P=0.16) and SABS (P=0.26) scores. There was a significant difference between the intervention and control groups in terms of GCAS (P=0.004) and SABS (P<0.001) scores one month after training. Conclusion: It was found that sexual counseling training in gynecological cancers according to the PLISSIT Model was effective in creating awareness and positive attitudes in mMidwifery students. Trial Registration Number: NCT05967104 . Keywords: Gynecologic neoplasms, Model, Sex education, Sexual behaviour, Sexual health Please cite this article as: Demirhan Kayacik A, Hamlaci Başkaya Y, İlçioğlu K. Effect of Sexual Counseling Training in Gynecological Cancers According to the PLISSIT Model on Midwifery Students’ Awareness and Attitude: A Randomized Clinical Trial. IJCBNM. 2024;12(3):140-149. doi: 10.30476/IJCBNM.2024.100377.2355. Copyright: ©International Journal of Community Based Nursing and Midwifery. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International The effect of sexual counseling training on awareness and attitud Introduction Gynecological cancers are malignant diseases of the ovaries, cervix, endometrium, vulva, vagina and fallopian tubes that make up the female reproductive system.1 Global Cancer Observatory 2022 data show that gynecological cancers rank fourth among the most common types of cancer among women in the world.2 Gynecological cancers account for more than 100,000 incidences and 32,000 deaths per year.3 As a result of complications caused by gynecological cancer diagnosis and treatment, various aspects of women’s life are adversely affected.4 Significant changes are taking place, especially in the area of sexuality.3, 5 It is known that sexually active

FAQs

What was the purpose of the study?

To determine the effect of sexual counseling training in gynecological cancers, using the PLISSIT model, on midwifery students’ awareness and attitude.

How were the students assigned to groups and what intervention was used?

The study used block randomization, assigning 36 students to the control group and 38 to the intervention group. The intervention group received three training sessions based on the PLISSIT model, while the control group received no training.

Which instruments and timeline were used to measure outcomes?

Data were collected before the training and one month after completing the intervention using the Gynecological Cancer Awareness Scale (GCAS) and the Sexual Attitudes and Beliefs Scale (SABS).

What were the key findings after the training?

The intervention group showed significant within-group improvements in both GCAS and SABS scores, while the control group did not. Between-group differences favored the intervention group one month after training (GCAS: P=0.004; SABS: P<0.001).

Sep 21, 2026

Uploaded by Ezra