Efficacy of a web-based psychoeducational intervention, Fex-can sex, for young adult childhood cancer survivors with sexual dysfunction: A randomized controlled trial

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Fagerkvist, KristinaKarolinska Institutet,Uppsala universitet,Centrum för klinisk forskning i Sörmland (CKFD),Karolinska Inst, Dept Womens & Childrens Hlth, Tomtebodavagen 18A, SE-17177 Stockholm, Sweden.,Department of Women's and Children's Health, Karolinska Institutet, Tomtebodavägen 18A, Stockholm, Sweden; Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna, Sweden (author)

Efficacy of a web-based psychoeducational intervention, Fex-can sex, for young adult childhood cancer survivors with sexual dysfunction : A randomized controlled trial

Article/chapterEnglish2024

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Elsevier,2024
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LIBRIS-ID:oai:DiVA.org:uu-530587
https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-530587URI
https://doi.org/10.1016/j.invent.2024.100739DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:238623084URI
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-223500URI

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Language:English
Summary in:English

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Background:No web-based interventions addressing sexual problems are available for young adult survivors of childhood cancer.Aim:This study aimed to test the efficacy of a web-based psychoeducational intervention, Fex-Can Sex, to alleviate sexual problems in young adults treated for cancer during childhood.Method:This randomized controlled trial tested the effects of a 12-week, self-help, web-based intervention. Young adults (aged 19-40) reporting sexual dysfunction were drawn from a population-based national cohort of childhood cancer survivors and randomized to either an intervention group (IG, n = 142) or a wait-list control group (CG, n = 136). The primary outcome was 'Satisfaction with sex life' assessed by the PROMIS (R) SexFS v 2.0. Secondary outcomes included other SexFS domains, body image (BIS), emotional distress (HADS), health-related quality of life (EORTC QLQ-C30), and sex-related self-efficacy. Surveys were completed at baseline (T0), directly after the intervention (T1), and three months later (T2). The effects of the intervention were tested using t-test and linear mixed models, including intention-to-treat (ITT) and subgroups analysis. Adherence was based on log data extracted from the website system. The intervention included an open-ended question about perceived sexual problems.Results:No effect of the intervention was found in the primary outcome. Regarding secondary outcomes, the IG reported less vaginal dryness (Lubrication subscale) than the CG at T1 (p = 0.048) and T2 (p = 0.023). Furthermore, at T1, the IG reported less emotional distress than the CG (p = 0.047). Subgroup analyses showed that those with greater sexual problems at T0 improved over time (T1 and T2), regardless of group allocation. Overall, adherence to the intervention was low and participants' activity levels did not change the results. Additionally, some members of the IG reported increased understanding and acceptance of their sexual problems.Conclusion:The Fex-Can Sex intervention shows potential to improve sexual function, especially among those with greater dysfunction. To increase adherence and effect, we recommend the intervention to be further developed including more tailored content.Clinical trial registration: ISRCTN Registry, trial number: 33081791 (registered on November 27, 2019).

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Cancer och onkologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cancer and Oncology hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Psykiatri hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Psychiatry hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Reproduktionsmedicin och gynekologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Obstetrics, Gynaecology and Reproductive Medicine hsv//eng
SAMHÄLLSVETENSKAP Psykologi Tillämpad psykologi hsv//swe
SOCIAL SCIENCES Psychology Applied Psychology hsv//eng
Childhood cancer survivors
Psychoeducation
Randomized controlled trial
Sexual dysfunction
Web -based intervention
Young adults

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Jahnukainen, KirsiUniv Helsinki, Helsinki Univ Cent Hosp, Childrens Hosp, Div Haematol Oncol & Stem Cell Transplantat, Helsinki, Finland.;Karolinska Inst, Nordfertil Res Lab Stockholm, Childhood Canc Res Unit, Dept Womens & Childrens Hlth, S-17177 Stockholm, Sweden.;Karolinska Inst, Univ Hosp, Stockholm, Sweden.,Division of Haematology-Oncology and Stem Cell Transplantation, Children's Hospital, University of Helsinki, Helsinki University Central Hospital, Helsinki, Finland; NORDFERTIL Research Lab Stockholm, Childhood Cancer Research Unit, Department of Women's and Children's Health, Karolinska Institute and University Hospital Karolinska Institute, Stockholm, Sweden (author)
Ljungman, Lisa,1981-Uppsala universitet,Reproduktiv hälsa,Department of Women's and Children's Health, Uppsala University, Akademiska sjukhuset, Uppsala, Sweden(Swepub:uu)lislj156 (author)
Lampic, Claudia,1964-Umeå universitet,Karolinska Institutet,Uppsala universitet,Vårdvetenskap,Karolinska Inst, Dept Womens & Childrens Hlth, Tomtebodavagen 18A, SE-17177 Stockholm, Sweden.;Umeå Univ, Dept Psychol, SE-90187 Umeå, Sweden.,Institutionen för psykologi,Department of Women's and Children's Health, Karolinska Institutet, Tomtebodavägen 18A, Stockholm, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Box 564, Uppsala, Sweden(Swepub:umu)clla0025 (author)
Wettergren, LenaUppsala universitet,Vårdvetenskap,Karolinska Inst, Dept Womens & Childrens Hlth, Tomtebodavagen 18A, SE-17177 Stockholm, Sweden.,Department of Women's and Children's Health, Karolinska Institutet, Tomtebodavägen 18A, Stockholm, Sweden; Department of Public Health and Caring Sciences, Uppsala University, Box 564, Uppsala, Sweden(Swepub:uu)lewet534 (author)
Uppsala universitetCentrum för klinisk forskning i Sörmland (CKFD) (creator_code:org_t)

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