Effectiveness of Low‐Cost, Virtual Sexual Health Education and Educational Leaflets on Reducing Anxiety and Enhancing Sexual Function Among Infertile Women: A Pilot Randomized Controlled Trial

ABSTRACT Background and Aims Anxiety is one of the common mental illnesses affecting sexual functions among infertile women. Information and education interventions might be effective in facilitating their coping with anxiety disorder which lead to improved sexual functions and psychological wellbei...

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Main Authors: Mahdiyeh Karimi, Fatemeh Heshmatnia, Sara Azima, Marzieh Akbarzadeh, Subash Thapa
Format: Article
Language:English
Published: Wiley 2025-03-01
Series:Health Science Reports
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Online Access:https://doi.org/10.1002/hsr2.70587
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author Mahdiyeh Karimi
Fatemeh Heshmatnia
Sara Azima
Marzieh Akbarzadeh
Subash Thapa
author_facet Mahdiyeh Karimi
Fatemeh Heshmatnia
Sara Azima
Marzieh Akbarzadeh
Subash Thapa
author_sort Mahdiyeh Karimi
collection DOAJ
description ABSTRACT Background and Aims Anxiety is one of the common mental illnesses affecting sexual functions among infertile women. Information and education interventions might be effective in facilitating their coping with anxiety disorder which lead to improved sexual functions and psychological wellbeing. This is the first trial to pilot‐test the effectiveness of sexual health education, delivered through virtual sessions and educational booklets, in improving both psychological (reduced anxiety scores) and physical (increased sexual function) outcomes among women with infertility in Iran. Methods In this triple‐blind pilot randomized controlled trial, 90 women seeking medical treatment for infertility were randomly divided into three groups: (a) control, (b) educational booklet, and (c) virtual education. Participants in the virtual education group received six sessions of sexual health education through educational video using the WhatsApp social network. The primary outcomes included anxiety and sexual function scores measured before and 6 weeks after the intervention. Results The results showed that, after the intervention, mean state anxiety scores were significantly lower in the booklet (29.27 ± 4.5, p < 0.001) and virtual education groups (13.77 ± 11.6, p < 0.001) compared with the control group (49.26 ± 6.86). Similarly, mean trait anxiety scores significantly decreased in the booklet (27.03 ± 6.29, p < 0.001) and virtual education groups (31.66 ± 11.63, p < 0.001) compared with the control group (45.93 ± 6.52). Post‐intervention, there were significant differences between the intervention and control groups in mean scores across four dimensions of sexual function: sexual desire, sexual stimulation, orgasm, and sexual satisfaction. The virtual education and booklet groups did not show a statistically significant difference in the mean scores of state and trait anxiety, and sexual function. Conclusion Psychoeducation interventions via virtual education sessions or educational booklets appear to reduce the level of anxiety and positively affect sexual functions associated with infertility. Women seeking treatment for infertility may benefit from psychoeducational interventions, though further studies with larger sample sizes are needed to confirm these findings. Clinical Trial Registration The protocol has been registered at the Iranian Registry of Clinical Trials (IRCT20240915063041N1).
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spelling doaj-art-7f156991efcf403ba66c0d0d8dd3d73b2025-08-20T03:42:22ZengWileyHealth Science Reports2398-88352025-03-0183n/an/a10.1002/hsr2.70587Effectiveness of Low‐Cost, Virtual Sexual Health Education and Educational Leaflets on Reducing Anxiety and Enhancing Sexual Function Among Infertile Women: A Pilot Randomized Controlled TrialMahdiyeh Karimi0Fatemeh Heshmatnia1Sara Azima2Marzieh Akbarzadeh3Subash Thapa4Department of Midwifery, School of Nursing and Midwifery Shiraz University of Medical Sciences Shiraz IranDepartment of Midwifery, School of Nursing and Midwifery Shiraz University of Medical Sciences Shiraz IranDepartment of Midwifery, School of Nursing and Midwifery Shiraz University of Medical Sciences Shiraz IranDepartment of Midwifery, School of Nursing and Midwifery Shiraz University of Medical Sciences Shiraz IranRural Health Research Institute Charles Sturt University Orange New South Wales AustraliaABSTRACT Background and Aims Anxiety is one of the common mental illnesses affecting sexual functions among infertile women. Information and education interventions might be effective in facilitating their coping with anxiety disorder which lead to improved sexual functions and psychological wellbeing. This is the first trial to pilot‐test the effectiveness of sexual health education, delivered through virtual sessions and educational booklets, in improving both psychological (reduced anxiety scores) and physical (increased sexual function) outcomes among women with infertility in Iran. Methods In this triple‐blind pilot randomized controlled trial, 90 women seeking medical treatment for infertility were randomly divided into three groups: (a) control, (b) educational booklet, and (c) virtual education. Participants in the virtual education group received six sessions of sexual health education through educational video using the WhatsApp social network. The primary outcomes included anxiety and sexual function scores measured before and 6 weeks after the intervention. Results The results showed that, after the intervention, mean state anxiety scores were significantly lower in the booklet (29.27 ± 4.5, p < 0.001) and virtual education groups (13.77 ± 11.6, p < 0.001) compared with the control group (49.26 ± 6.86). Similarly, mean trait anxiety scores significantly decreased in the booklet (27.03 ± 6.29, p < 0.001) and virtual education groups (31.66 ± 11.63, p < 0.001) compared with the control group (45.93 ± 6.52). Post‐intervention, there were significant differences between the intervention and control groups in mean scores across four dimensions of sexual function: sexual desire, sexual stimulation, orgasm, and sexual satisfaction. The virtual education and booklet groups did not show a statistically significant difference in the mean scores of state and trait anxiety, and sexual function. Conclusion Psychoeducation interventions via virtual education sessions or educational booklets appear to reduce the level of anxiety and positively affect sexual functions associated with infertility. Women seeking treatment for infertility may benefit from psychoeducational interventions, though further studies with larger sample sizes are needed to confirm these findings. Clinical Trial Registration The protocol has been registered at the Iranian Registry of Clinical Trials (IRCT20240915063041N1).https://doi.org/10.1002/hsr2.70587anxietyinfertilitypilot randomized controlled trialsexual dysfunctionsexual health educationvirtual education
spellingShingle Mahdiyeh Karimi
Fatemeh Heshmatnia
Sara Azima
Marzieh Akbarzadeh
Subash Thapa
Effectiveness of Low‐Cost, Virtual Sexual Health Education and Educational Leaflets on Reducing Anxiety and Enhancing Sexual Function Among Infertile Women: A Pilot Randomized Controlled Trial
Health Science Reports
anxiety
infertility
pilot randomized controlled trial
sexual dysfunction
sexual health education
virtual education
title Effectiveness of Low‐Cost, Virtual Sexual Health Education and Educational Leaflets on Reducing Anxiety and Enhancing Sexual Function Among Infertile Women: A Pilot Randomized Controlled Trial
title_full Effectiveness of Low‐Cost, Virtual Sexual Health Education and Educational Leaflets on Reducing Anxiety and Enhancing Sexual Function Among Infertile Women: A Pilot Randomized Controlled Trial
title_fullStr Effectiveness of Low‐Cost, Virtual Sexual Health Education and Educational Leaflets on Reducing Anxiety and Enhancing Sexual Function Among Infertile Women: A Pilot Randomized Controlled Trial
title_full_unstemmed Effectiveness of Low‐Cost, Virtual Sexual Health Education and Educational Leaflets on Reducing Anxiety and Enhancing Sexual Function Among Infertile Women: A Pilot Randomized Controlled Trial
title_short Effectiveness of Low‐Cost, Virtual Sexual Health Education and Educational Leaflets on Reducing Anxiety and Enhancing Sexual Function Among Infertile Women: A Pilot Randomized Controlled Trial
title_sort effectiveness of low cost virtual sexual health education and educational leaflets on reducing anxiety and enhancing sexual function among infertile women a pilot randomized controlled trial
topic anxiety
infertility
pilot randomized controlled trial
sexual dysfunction
sexual health education
virtual education
url https://doi.org/10.1002/hsr2.70587
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