(020) Implementing a Virtual Mindfulness-based Group Therapy to Improve Male Sexual Dysfunction
Notice bibliographique
Résumé
Abstract Introduction Erectile dysfunction (ED) is almost always multi-factorial. Simultaneous performance anxiety and psychogenic inhibition can impair erectile function even when underlying organic aetiologies are present. Sex therapy should be considered first-line treatment for ED. Mindfulness is a technique to focus on being aware of what you're sensing and feeling in the moment, without interpretation or judgment. Mindfulness-based therapy programs have been successful at improving female sexual dysfunction and prostate cancer survivors quality of life (QOL). Objective To design and evaluate the feasibility of a virtual, mindfulness-based group therapy (vMBGT) program for patients experiencing mild-to-moderate ED. We secondarily assess relationship satisfaction, QOL, and changes in erectile function after intervention. Methods A mixed-methods approach was taken for this feasibility pilot study. A total of 18 participants (mean age: 42; range 22-69 years) with ED were recruited to participate in a 4-week virtual mindfulness-based group therapy program. Three groups were led by trained facilitators on a weekly basis via Webex platform and ran 1.5-2 hours in length, followed by daily home-practice and sex education between sessions. Participants completed questionnaires (International Index of Erectile Functioning, Erection hardness scale, Relationship Assessment Scale, Five Facets of Mindfulness Questionnaire) as a baseline and 3 months after treatment. Qualitative exit interviews and program feedback was requested from all participants. Results The dropout rate for this study was 11%. Two of the eighteen men missed 2 of the 4 sessions; one participant dropped out and one had unanticipated work commitments. There was a statistically significant improvement in the mean IIEF scores from baseline 41 to 49 after vMBGT intervention (p < 0.05). There was a clinically significant improvement in SHIM score by 4 points. There was an improvement in EHS at 3 months compared to baseline (p=0.08) Overall, feedback was positive, and all participants responded that they would recommend this program to others. Some participants felt that the material could be lengthened to 6 weeks and/or that an in-person setting would have been more interactive, whereas others appreciate the convenience and comfort of the virtual platform. Conclusions This is the first published vMGBT program for patients experiencing mild to moderate ED. This program is feasible, the content was well received, and patients had improvement in their erectile function and QOL. Our pilot study has provoked a change to the treatments we can offer patients with ED and we have modified the program based on feedback. Further studies are needed to compare this to medical management and other psychotherapy interventions. Disclosure No
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Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
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