An evaluation of sex education and information resources and their provision to adults with traumatic brain injury.

Brain Injury Rehabilitation Unit, Liverpool Hospital, Liverpool BC, New South Wales 1871, Australia.
Journal of Head Trauma Rehabilitation (Impact Factor: 3). 01/2004; 19(5):413-28. DOI: 10.1097/00001199-200409000-00006
Source: PubMed

ABSTRACT To evaluate sex education and information resources developed to address the sexual health concerns of persons with traumatic brain injury (TBI) and the means by which agencies have introduced this clinically sensitive program initiative.
A process evaluation methodology was used to assess program reach, participant satisfaction, program component usage, and quality of materials.
Two samples comprising multidisciplinary rehabilitation and disability staff (n = 37) from 36 brain injury agencies that had been utilizing the resources and 12 people with brain injury, respectively.
A diverse range of rehabilitation and community brain injury agencies.
Two purpose-designed evaluation protocols for staff and consumers, respectively, and a readability analysis to assess the comprehensibility of program materials (eg, information sheets) for people with TBI.
Agencies strongly endorsed their role in addressing consumer sexual health concerns. Agencies generally used a selective rather than a universal approach to sex education, with an average of 10% of consumers within agency caseloads receiving some intervention within the previous 12 months. The 4 issues most frequently addressed in education programs were sexual dysfunction, how to meet people, what is sexuality, and sexual adjustment in the context of established preinjury relationships. Finally, the average reading age needed to comprehend the resources was higher than the recommended levels for communicating health information.
The sex education program resources have been positively evaluated by both rehabilitation and community agencies as a means of providing education and information to address the sexual health concerns of people with TBI.

  • [Show abstract] [Hide abstract]
    ABSTRACT: Brain injury can directly and indirectly affect important aspects related to sexuality and sexual function. In this critical review of the literature, traumatic brain injury (TBI) and sexuality are examined. A general review of the concept of sexuality and the neurological correlates of sexual function are proposed as a framework to understand the cognitive, behavioral and physical effects of TBI on sexuality and sexual function. Studies are then classified according to the participants enrolled and findings are presented from the professional's, the survivor's, the patient/partner's, and the non-injured spouse's perspectives. Results are discussed taking into account methodological limitations and knowledge gaps. Next, implications for sexual rehabilitation for individuals with TBI are discussed. Finally, suggestions for future research and their pertinence for improving rehabilitation outcomes are considered.
    Neurorehabilitation 01/2013; 32(1):69-85. DOI:10.3233/NRE-130824 · 1.74 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: To evaluate the effectiveness of a staff sexuality training programme as a means of improving the rehabilitative management of client sexual health concerns after neurological disability. A prospective controlled pre- and posttest evaluation design with six-month follow-up. Seventy-four multidisciplinary rehabilitation and disability staff who attended a two-day workshop, and a control group of 25 staff members who did not receive the training. Two workshops were held at major rehabilitation centres in the North and South Islands of New Zealand respectively. The Sex Attitude Scale, as well as three purpose-designed measures including an objective knowledge test, a self-rating inventory of skills and clinical activity, and a single-item measure of the degree of staff comfort. Workshop participants showed significant increases in knowledge, skills and comfort comparing pre-to post-workshop scores. A number of these gains were maintained at the six-month follow-up. There was an associated increase in the level of reported staff activity in addressing patient/client sexual health concerns in the six months to follow-up, compared to a similar time period preceding the workshop. In contrast, the control group had similar pre-workshop scores to the workshop participants, but recorded no increase on the measures, or in their level of reported activity, at the six-month follow-up. The programme showed initial promise as an effective intervention in upgrading the capacity of staff working in rehabilitation and disability agencies to address the sexual health concerns of their patients/clients.
    Clinical Rehabilitation 11/2006; 20(10):847-59. DOI:10.1177/0269215506072180 · 2.18 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Although the earliest descriptions of brain injuries date back to the ancient Egyptians (1700 B.C.) where 27 cases of head trauma are recorded in The Edwin Smith Surgical Papyrus, the neuropsychiatric concept that behavioral sequelae can result from brain injury was not understood, as this culture believed that the heart was the seat of emotion and thinking (Finger, 2000).
    08/2007: pages 81-121;