The Effect of Sexual Counseling Based on the BETTER Model on Sexual Function and Quality of Sexual Life in Postmenopausal Women

NCT07261943 | Completed

• 1 other identifier: Karamanoğlu Mehmetbey Universi
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

Sexual life, an integral part of overall health, remains one of the most neglected, undervalued, and problematic areas within today's healthcare system Various management strategies exist for managing sexual dysfunction, including behavioral, psychological, and pharmacological strategies, and researchers have used education and counseling interventions for this purpose. One such intervention is the BETTER model, which aims to collaborate with individuals experiencing sexual difficulties to address their problems. Discussing sexuality with individuals experiencing sexual difficulties and providing counseling services will significantly benefit healthcare professionals in promoting safe sexual practices, identifying existing or potential sexual problems, and addressing these issues

Conditions

Sexual Behavior; Climactericum; Sexuality Education

Keywords

BETTER model; sexuality; sexual education

Outcome Measures

Primary Outcomes (1)

• Measuring the impact of sexual counseling based on the BETTER model

  After sexual counseling based on the BETTER model, the Female Sexual Function Index (FSFI) scale were administered to women in the experimental and control groups via face-to-face interviews. The administration time for each scale varied between 15 and 20 minutes. Changes in the Female Sexual Function Index (FSFI) scale were measured two months after sexual counseling based on the BETTER model. Female Sexual Function Index (FSFI) It was developed by Rosen et al. as a multidimensional scale comprising 19 items to evaluate female sexual function. The scale includes six subheadings, desire, arousal, lubrication, orgasm, satisfaction, and pain. Each title was scored between 0 or 1 and six. The lowest and highest scores are 2 and 36, respectively. Higher scores indicated better sexual function. The cut-off value of the scale was 26.55. A total FSFI score of ≤26.55, it indicates sexual dysfunction

  two months

Secondary Outcomes (1)

• Measuring the impact of sexual counseling based on the BETTER model

  two months

Study Arms (2)

control group

NO INTERVENTION

experimental group

EXPERIMENTAL

The group that received sexual education based on the BETTER model

Other: The group that received sexual education based on the BETTER model

Interventions

The group that received sexual education based on the BETTER model OTHER

The women in the experimental group will be trained in groups of 5-6, in a designated classroom in the Department of Obstetrics and Gynecology at the relevant hospital, in four sessions, each lasting 45-60 minutes, with a one-week break. The training will utilize warm-up exercises, PowerPoint presentations, question-and-answer sessions, and discussions. All women in the training group will be given the opportunity to ask questions and express themselves. Evaluation of the training will be conducted through Q\&A and verbal feedback from the women, and further training will be provided on the requested topics based on their questions.No intervention will be made to the women in the control group after the pre-tests.

experimental group

Eligibility Criteria

• Age: 41 Years - 64 Years
• Gender Eligibility Details: women
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Women who are married, sexually active, and have a regular sexual life
• Who are literate
• Who are postmenopausal (the time period between one year after menopause and old age within the WHO's definition of postmenopause)
• Who are more than one year postmenopause
• Who are not over 65 years of age, which is considered the age limit by the WHO -Who agree to participate in the study
• Who have entered menopause naturally-Who have scored ≤26.55 on the FSFI scale

You may not qualify if:

• Being on Hormone Replacement Therapy (HRT) and not having stopped at least six months before the study
• Having entered early menopause (before the age of 40)
• Having a chronic systemic disease and/or a psychiatric health problem
• Having a disability that makes communication difficult, such as hearing or language impairment
• Having received any sexual education before or during the study

Sponsors & Collaborators

• Karamanoğlu Mehmetbey University: lead

Study Sites (1)

Karamanoglu Mehmetbey University

Karaman, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Sexual Behavior; Sexuality

Condition Hierarchy (Ancestors)

Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer

Study Record Dates

• First Submitted: September 22, 2025
• First Posted: December 3, 2025
• Study Start: February 12, 2024
• Primary Completion: May 15, 2025
• Study Completion: September 12, 2025
• Last Updated: December 3, 2025

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)