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CC BY 4.0 · Rev Bras Ginecol Obstet 2023; 45(08): e447-e455
DOI: 10.1055/s-0043-1772487
Original Article
Contraception/Sexuality

Comparison Between the Effect of the Information–Motivation–Behavioral (IMB) Model and Psychoeducational Counseling on Sexual Satisfaction and Contraception Method Used Under the Coercion of the Spouse in Iranian Women: A Randomized, Clinical Trial

Comparação entre o efeito do modelo Informação-Motivação-Comportamental (IMB) e o aconselhamento psicoeducacional sobre a satisfação sexual e o método contraceptivo usado sob coerção do cônjuge em mulheres iranianas: um ensaio clínico randomizado
Alieh Zarbaf 
1   Kerman University of Medical Sciences, Kerman, Iran
,
Atefeh Ahmadi 
1   Kerman University of Medical Sciences, Kerman, Iran
,
Elahe Rafati 
1   Kerman University of Medical Sciences, Kerman, Iran
,
Faezeh Ghorbani 
1   Kerman University of Medical Sciences, Kerman, Iran
,
Masumeh Ghazanfar Pour 
1   Kerman University of Medical Sciences, Kerman, Iran
,
Katayoun Alidousti 
1   Kerman University of Medical Sciences, Kerman, Iran
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Abstract

Objective Women play an essential role in maintaining the family's health, and family planning is part of women's and families' health. The couple's mutual understanding of family planning methods is essential in selecting contraception. Acceptance of and satisfaction with different contraception methods can impact sexual satisfaction. The present study aimed to compare the effect of the information-motivation-behavioral (IMB) model and psychoeducational counseling on sexual satisfaction and contraception methods of women referring to health centers in Kerman.

Methods This trial was conducted on 81 women aged 18 to 45, in Kerman health centers, from 2021 to 2022. Participants were randomly divided into 3 groups of 27 people (control, psychoeducational counseling, and IMB method). Three online counseling sessions were held for the psychoeducational group, and four were held for the IMB group. The control group received routine care. The IBM SPSS Statistics for Windows, version 22 (IBM Corp. Armonk, NY, USA) was used for data analysis using nonparametric Friedman and Kruskal-Wallis tests.

Results The mean age of participants was 32.59 ± 7.04, and the majority of them had university degrees and were homemakers. The mean sexual satisfaction score significantly increased immediately after the intervention and 1 month later in the 2 interventional groups (p < 0.0). Changes in contraception methods after intervention were significant in the psychoeducational group (p = 0.0)

Conclusion The results indicate the positive impact of psychological counseling on women's sexual satisfaction and contraception method. The IMB method also impacted men's sexual satisfaction but did not lead to any changes in the contraceptive method.

Resumo

Objetivo A mulher desempenha um papel essencial na manutenção da saúde da família, e o planejamento familiar faz parte da saúde da mulher e da família. A compreensão mútua do casal sobre os métodos de planejamento familiar é essencial na seleção da contracepção. A aceitação e a satisfação com os diferentes métodos contraceptivos podem afetar a satisfação sexual. O presente estudo teve como objetivo comparar o efeito do modelo informação-motivação-comportamental (IMB) e aconselhamento psicoeducacional sobre a satisfação sexual e métodos contraceptivos de mulheres encaminhadas para centros de saúde em Kerman.

Métodos Este estudo foi realizado em 81 mulheres de 18 a 45 anos, nos centros de saúde de Kerman, de 2021 a 2022. As participantes foram divididas aleatoriamente em 3 grupos de 27 pessoas (controle, aconselhamento psicoeducacional e método IMB). Foram realizadas três sessões de aconselhamento online para o grupo psicoeducativo e quatro para o grupo IMB. O grupo de controle recebeu cuidados de rotina. O IBM SPSS Statistics for Windows, versão 22 (IBM Corp. Armonk, NY, EUA) foi utilizado para a análise dos dados por meio dos testes não paramétricos de Friedman e Kruskal-Wallis.

Resultados A média de idade das participantes foi de 32,59 ± 7,04, sendo que a maioria delas possuía nível superior e eram donas de casa. A pontuação média de satisfação sexual aumentou significativamente imediatamente após a intervenção e 1 mês depois nos 2 grupos de intervenção (p <0,0). As mudanças nos métodos contraceptivos após a intervenção foram significativas no grupo psicoeducativo (p = 0,0)

Conclusão Os resultados indicam o impacto positivo do acompanhamento psicológico na satisfação sexual das mulheres e no método contraceptivo. O método IMB também impactou a satisfação sexual dos homens, mas não levou a nenhuma mudança no método contraceptivo.

Keywords

psychoeducational counseling - information–motivation–behavioral model - sexual satisfaction - contraception violence

Palavras-chave

aconselhamento psicoeducativo - modelo de informação-motivação-comportamental - satisfação sexual - violência contraceptiva

Contributions

AZ and KA designed the work and drafted the manuscript. AA and ER had prepared a counseling package. FGH had full access to all the data and took responsibility for its integrity. MGH was responsible for the accuracy of the data analysis. KA contributed equally to writing and revising the manuscript and approved its final version. All authors have read and approved the manuscript.




Publication History

Received: 20 June 2022

Accepted: 21 June 2023

Article published online:
08 September 2023

© 2023. Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Khani S, Hamzeh Gardeshi Z, Bozorgi N. A Review on Various Aspects of Male Involvement in Women's Sexual and Reproductive Health. J Mazandaran Univ Med Sci 2017; 27 (152) 99-116 http://jmums.mazums.ac.ir/article-1-9430-en.html
    PubMedSearch in Google Scholar
  • 2 Abedi G, Takbiri F, Akberi S, Rostami F. Phenomenology of Perception and Behavior of Women in Safe Methods of Family Planning: A Qualitative Study. Majallah-i Zanan, Mamai va Nazai-i Iran 2012; 15 (33) 1-9
    CrossrefPubMedSearch in Google Scholar
  • 3 Duru CB, Andibanbang FA, Duru CA, Ogelle OM. Contraceptive Prevalence, Pattern and Socio-demographic Determinants among In- Union Women of Reproductive Age (15–49 years) in Semi-urban Communities of Orlu town, Imo state, Nigeria. JDDT [Internet]. 15 Aug. 2022 [cited 30Apr.2023];12(4-S):68–2. Available from: https://jddtonline.info/index.php/jddt/article/view/5511
    PubMed
  • 4 KHalajabadi FF, Heidari J. Male participation in family planning in Zanjan, 2011: a qualitative study. Hakim Research Journal 2013; 16: 2383-3742 https://www.sid.ir/en/journal/ViewPaper.aspx?ID=339356
    PubMedSearch in Google Scholar
  • 5 Grace KT, Anderson JC. Reproductive Coercion: A Systematic Review. Trauma Violence Abuse 2018; 19 (04) 371-390
    CrossrefPubMedSearch in Google Scholar
  • 6 Shindel AW, Baazeem A, Eardley I, Coleman E. Sexual Health in Undergraduate Medical Education: Existing and Future Needs and Platforms. J Sex Med 2016; 13 (07) 1013-1026
    CrossrefPubMedSearch in Google Scholar
  • 7 Setoudeh S, Motaghi M, Mousavi M. Survey of sexual satisfaction in women referred to public health centers of Mashhad. Journal of Sabzevar University of Medical Sciences. 2017; 26 (01) 73-80
    PubMedSearch in Google Scholar
  • 8 Maxwell L, Brahmbhatt H, Ndyanabo A, Wagman J, Nakigozi G, Kaufman JS. et al. The impact of intimate partner violence on women's contraceptive use: Evidence from the Rakai Community Cohort Study in Rakai, Uganda. Soc Sci Med 2018; 209: 25-32
    CrossrefPubMedSearch in Google Scholar
  • 9 https://apps.who.int/violence-info/intimate-partner-violence/
    PubMed
  • 10 Nia ASN, Dolatian M, Hasan Pour Azghadi B, Ebadi A, Akbarzadeh Baghban A. Domestic violence and its association with domains of reproductive health in women: A systematic review. J Mazandaran Univ Med Sci 2018; 27 (158) 205-217
    PubMedSearch in Google Scholar
  • 11 Sarichloo ME GS KZ MBM, Jahani-Hashemi H. Effectiveness of health education interventions to prevent domestic violence against women. J Soc Welfare 11: 237-257
    PubMed
  • 12 Osborn CY, Rivet Amico K, Fisher WA, Egede LE, Fisher JD. An information-motivation-behavioral skills analysis of diet and exercise behavior in Puerto Ricans with diabetes. J Health Psychol 2010; 15 (08) 1201-1213
    CrossrefPubMedSearch in Google Scholar
  • 13 Mittal M, Thevenet-Morrison K, Landau J, Cai X, Gibson L, Schroeder A. et al. An integrated HIV risk reduction intervention for women with a history of intimate partner violence: Pilot test results. AIDS Behav 2017; 21 (08) 2219-2232
    CrossrefPubMedSearch in Google Scholar
  • 14 Akbarinejad Z, Alidoosti K, Ghorashi Z, Asadollahi Z. The effect of psychoeducational group counseling on postnatal sexual intimacy of lactating women referring to urban health centers in Rafsanjan City: An educational trial. JRUMS 2020; 18 (10) 969-984 http://journal.rums.ac.ir/article-1-4715-en.html
    PubMedSearch in Google Scholar
  • 15 Saisto T, Toivanen R, Salmela-Aro K, Halmesmäki E, Aoeg S. Therapeutic group psychoeducation and relaxation in treating fear of childbirth. Acta Obstet Gynecol Scand 2006; 85 (11) 1315-1319
    CrossrefPubMedSearch in Google Scholar
  • 16 World Health Organization. 2014. Health care for women subjected to intimate partner violence or sexual violence: a clinical handbook. World Health Organization; https://apps.who.int/iris/handle/10665/136101
    Search in Google Scholar
  • 17 Nabavi SJ, Sanai Zaker B, Kiyamanesh A. Evaluation of efficacy of relationship enhancement and McMaster approach on adjustment of couples. Medical Sciences 2018; 28 (04) 319-324 http://tmuj.iautmu.ac.ir/article-1-1493-en.html
    CrossrefPubMedSearch in Google Scholar
  • 18 Rabieepur S, Ebrahimi M, Sadeghi E. Relationship between Sexual Health and Contraception Methods in Women. J Mazandaran Univ Med Sci 2015; 25 (130) 30-39 http://jmums.mazums.ac.ir/article-1-6390-en.html
    PubMedSearch in Google Scholar
  • 19 Higgins JA, Smith NK. The Sexual Acceptability of Contraception: Reviewing the Literature and Building a New Concept. J Sex Res 2016; 53 (4-5): 417-456
    CrossrefPubMedSearch in Google Scholar
  • 20 Bahrami N, Soleimani MA, Shraifnia H, Masoodi R, Shaigan H, Zh Mrezaei. Female Sexual Satisfaction with Different Contraceptive Methods. IJN 2012; 25 (76) 55-63 http://ijn.iums.ac.ir/article-1-1284-en.html
    PubMedSearch in Google Scholar
  • 21 Banai M, Beheshti M, Shah Rahmani H. Sexual and Reproductive Health Pregnancy and Postpartum. First, editor: Artin Teb; 1397. 196 p. Pardell-Dominguez L., Palmieri P.A. Dominguez-Cancino, K.A. et al. The meaning of postpartum sexual health for women living in Spain: a phenomenological inquiry. BMC Pregnancy Childbirth 2021; 21 (92)
    CrossrefPubMedSearch in Google Scholar
  • 22 Alirezaei S, Taghipour A, Latifnejad Roudsari R. The effect of infertility counseling interventions on marital and sexual satisfaction of infertile couples: A systematic review and meta-analysis. Int J Reprod Biomed (Yazd) 2022; 20 (10) 795-806 . Published 2022 Nov 2
    CrossrefPubMedSearch in Google Scholar
  • 23 Tahan M, Saleem T, Moshtagh M, Fattahi P, Rahimi R. Psychoeducational Group Therapy for sexual function and marital satisfaction in Iranian couples with sexual dysfunction disorder. Heliyon 2020; 6 (07) e04586
    CrossrefPubMedSearch in Google Scholar
  • 24 Bober SL, Recklitis CJ, Bakan J, Garber JE, Patenaude AF, Tjosm J. Addressing sexual dysfunction after risk-reducing salpingo-oophorectomy: effects of a brief, psychosexual intervention. J Sex Med 2015; 12 (01) 189-197
    CrossrefPubMedSearch in Google Scholar
  • 25 Alimohammadi L, Mirghafourvand M, Zarei F, Pirzeh R. The effectiveness of group counseling based on Bandura's self-efficacy theory on sexual function and sexual satisfaction in Iranian newlywed women: A randomized controlled trial. Appl Nurs Res 2018; 42: 62-69
    CrossrefPubMedSearch in Google Scholar
  • 26 Cavallaro FL, Benova L, Owolabi OO, Ali M. A systematic review of the effectiveness of counselling strategies for modern contraceptive methods: what works and what doesn't?. BMJ Sex Reprod Health 2020; 46 (04) 254-269
    CrossrefPubMedSearch in Google Scholar
  • 27 Jiang H, Chen X, Li J, Tan Z, Cheng W, Yang Y. Predictors of condom use behavior among men who have sex with men in China using a modified information-motivation-behavioral skills (IMB) model. BMC Public Health 2019; 19 (01) 261
    CrossrefPubMedSearch in Google Scholar
  • 28 Fullerton T, Rye B, Meaney GJ, Loomis C. Condom and hormonal contraceptive use by young women: An information-motivation-behavioral skills assessment. Canadian Journal of Behavioural Science 2013; 45 (03) 196
    CrossrefPubMedSearch in Google Scholar
  • 29 Lantiere AE, Rojas MA, Bisson C, Fitch E, Woodward A, Stevenson EL. Men's Involvement in Sexual and Reproductive Health Care and Decision Making in the Philippines: A Systematic Review of the Literature. Am J Men Health 2022; 16 (04) :15579883221106052
    CrossrefPubMedSearch in Google Scholar