xml: <clinical_study>
    <!-- This xml conforms to an XML Schema at:
      https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
    <required_header>
      <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
      <link_text>Link to the current ClinicalTrials.gov record.</link_text>
      <url>https://clinicaltrials.gov/ct2/show/NCT06017128</url>
    </required_header>
    <id_info>
      <org_study_id>IstanbulMU18</org_study_id>
      <nct_id>NCT06017128</nct_id>
    </id_info>
    <brief_title>Sexual Counseling's Impact on Hip Replacement Patients' Sexual Function and Quality of Life: A PLISSIT Model Study</brief_title>
    <official_title>The Effect of Sexual Counseling Based on the PLISSIT Model on Sexual Function, Quality of Life, and Comfort in Patients Undergoing Hip Replacement</official_title>
    <sponsors>
      <lead_sponsor>
        <agency>Istanbul Medeniyet University</agency>
        <agency_class>Other</agency_class>
      </lead_sponsor>
      <collaborator>
        <agency>Istanbul University</agency>
        <agency_class>Other</agency_class>
      </collaborator>
    </sponsors>
    <source>Istanbul Medeniyet University</source>
    <oversight_info>
      <has_dmc>No</has_dmc>
      <is_fda_regulated_drug>No</is_fda_regulated_drug>
      <is_fda_regulated_device>No</is_fda_regulated_device>
    </oversight_info>
    <brief_summary>
      <textblock>
        This study investigates the influence of sexual counseling using the PLISSIT model on various&#xD;
        aspects of patients undergoing hip replacement. The PLISSIT model is employed to guide the&#xD;
        counseling process. The research aims to assess how this counseling intervention affects&#xD;
        sexual function, quality of life, and overall comfort for these patients. By addressing these&#xD;
        factors, the study seeks to shed light on potential improvements in the well-being and&#xD;
        experiences of individuals who have undergone hip replacement surgery.&#xD;
      </textblock>
    </brief_summary>
    <detailed_description>
      <textblock>
        To ensure the proper functioning of the body's systems and the fulfillment of an individual's&#xD;
        needs, sufficient movement function is necessary. Decreased movement function, which is&#xD;
        crucial for numerous physiological processes, negatively affects overall health status and&#xD;
        vital functions. The hip joint is subjected to stress from activities such as walking,&#xD;
        running, climbing stairs, lifting weights, and squatting throughout the day. Additionally,&#xD;
        conditions like osteoarthritis and rheumatoid arthritis, which emerge with aging, lead to&#xD;
        structural and functional abnormalities in the hip joint.&#xD;
  &#xD;
        The severe pain and limited movement resulting from issues in the hip joint adversely impact&#xD;
        daily life activities, diminishing quality of life. To alleviate pain, improve movement&#xD;
        restrictions, and enhance quality of life, Total Hip Arthroplasty (THA) is one of the&#xD;
        treatment options. Presently, due to advancements in surgical techniques and materials, THA&#xD;
        has become a widely employed method. Literature also indicates increased comfort levels and&#xD;
        improved quality of life for individuals after surgery.&#xD;
  &#xD;
        One significant component of overall quality of life and general health is a healthy sexual&#xD;
        function. Pain and movement limitations in the hip joint also negatively influence&#xD;
        individuals' sexual lives. Stiffness, restricted movement, and severe pain in the hip joint&#xD;
        lead individuals to be concerned about initiating sexual activity. Studies have shown that&#xD;
        after Total Hip Arthroplasty, most patients experience an increase in sexual activity. With&#xD;
        the elimination of pain and movement restrictions, individuals engage more comfortably in&#xD;
        sexual activities.&#xD;
  &#xD;
        However, despite the positive effects of total hip replacement, patients tend to avoid sexual&#xD;
        activity due to factors like delayed wound healing, dislocation, joint noises, and&#xD;
        uncertainty about resuming sexual relations. Individuals who cannot perform their sexual&#xD;
        functions in a healthy manner are negatively affected both physically and psychologically.&#xD;
        Moreover, the inability to experience a healthy sexual life, an integral part of marriage and&#xD;
        intimate relationships, disrupts the connection between partners. Engaging in sexual activity&#xD;
        at the wrong time or in inappropriate positions after surgery can increase the risk of&#xD;
        dislocation and reoperation.&#xD;
  &#xD;
        Due to all these reasons, the post-operative recovery process and patient comfort are&#xD;
        adversely affected. Therefore, in the nursing care provided during the rehabilitation process&#xD;
        after total hip replacement, individuals' sexual functions should not be overlooked.&#xD;
        Collecting data on patients' sexual functions post-surgery and offering sexual counseling&#xD;
        based on their needs are necessary. Detecting and resolving sexual issues are crucial for an&#xD;
        effective and expedited post-operative rehabilitation and recovery process. This approach&#xD;
        will contribute to the improvement of individuals' physical, social, and psychological&#xD;
        health, leading to increased quality of life and comfort levels.&#xD;
  &#xD;
        The use of models is highly important in evaluating and resolving individuals' sexual health.&#xD;
        The utilization of the PLISSIT model is recommended in providing sexual counseling to&#xD;
        healthcare professionals due to its ease of use and systematic approach. The PLISSIT model,&#xD;
        developed by Annon in 1976 to guide the resolution of sexual issues, was revised by Taylor&#xD;
        and Davis in 2006. The model consists of four stages: P-Permission, LI-Limited Information,&#xD;
        SS-Specific Suggestions, and IT-Intensive Therapy.&#xD;
  &#xD;
        P (Permission) - Permission: Boundaries for what individuals can and cannot discuss regarding&#xD;
        sexuality should be established. In cases where these boundaries are not defined, individuals&#xD;
        may not know what they should discuss. In this stage, nurses should allow patients to express&#xD;
        their concerns about sexuality and sexual health and encourage them to do so.&#xD;
  &#xD;
        LI (Limited Information) - Limited Information: The interventions in this stage aim to inform&#xD;
        individuals about sexual matters. This stage involves reviewing the individual's knowledge&#xD;
        about sexuality, discussing the effects of the disease and treatments on sexual function,&#xD;
        providing information about these effects, and addressing concerns. Providing accurate&#xD;
        information helps individuals cope more easily with their concerns about sexuality.&#xD;
  &#xD;
        SS (Specific Suggestions) - Specific Suggestions: This stage includes providing&#xD;
        individuals/spouses with specific information and recommendations for a more fulfilling&#xD;
        sexual life. It is particularly effective for arousal and orgasm disorders and dyspareunia.&#xD;
        The recommendations to be made depend on the sexual problem information obtained from the&#xD;
        individual. Detailed recommendations such as different positions, interventions, and&#xD;
        lubricants can be suggested to individuals with sexual problems.&#xD;
  &#xD;
        IT (Intensive Therapy) - Intensive Therapy: This stage is the final stage of the PLISSIT&#xD;
        model. If the first three stages of the model are unsuccessful, the intensive therapy stage&#xD;
        is employed. The counselor needs to be an expert who has received additional training or&#xD;
        should refer the individual to an appropriate unit to provide intensive therapy.&#xD;
  &#xD;
        In the literature, it is generally observed that sexual counseling based on the PLISSIT model&#xD;
        is provided to women experiencing sexual dysfunction due to reasons such as pregnancy,&#xD;
        postpartum, hysterectomy, and mastectomy. Although studies have been conducted worldwide and&#xD;
        in our country regarding sexual function after total hip replacement surgery, no study has&#xD;
        been found that specifically provides sexual counseling based on the PLISSIT model.&#xD;
      </textblock>
    </detailed_description>
    <overall_status>Not yet recruiting</overall_status>
    <start_date type="Anticipated">September 1, 2023</start_date>
    <completion_date type="Anticipated">July 1, 2024</completion_date>
    <primary_completion_date type="Anticipated">April 1, 2024</primary_completion_date>
    <phase>N/A</phase>
    <study_type>Interventional</study_type>
    <has_expanded_access>No</has_expanded_access>
    <study_design_info>
      <allocation>Randomized</allocation>
      <intervention_model>Parallel Assignment</intervention_model>
      <intervention_model_description>This randomized controlled, pre-test-post-test measurement experimental study was designed to determine the impact of sexual counseling based on the PLISSIT model on sexual function, quality of life, and comfort levels in individuals who have undergone total hip replacement surgery.</intervention_model_description>
      <primary_purpose>Supportive Care</primary_purpose>
      <masking>None (Open Label)</masking>
      <masking_description>Individuals will be included in the groups using the randomization method. The randomization of the groups was conducted using the simple-random technique through the use of the website www.random.org.</masking_description>
    </study_design_info>
    <primary_outcome>
      <measure>Female Sexual Function Index</measure>
      <time_frame>8 months</time_frame>
      <description>The highest score that can be obtained from the scale is 36 and the lowest score is 2. The cut-off score of the scale is 26.55. Those with a score of 26.55 or less are considered to have female sexual dysfunction. Female Sexual Function Index scores will increase after education according to PLISSIT Model.</description>
    </primary_outcome>
    <primary_outcome>
      <measure>International Index of Erectile Function</measure>
      <time_frame>8 months</time_frame>
      <description>The severity of erectile function in this area with a maximum score of 30; severe (6-10 points), moderate (11-16 points), mild (17-25 points) and no dysfunction (26 30 points). International Index of Erectile scores will increase after education according to PLISSIT Model.</description>
    </primary_outcome>
    <number_of_arms>2</number_of_arms>
    <enrollment type="Anticipated">70</enrollment>
    <condition>Hip Arthropathy</condition>
    <condition>Sexual Function Disturbances</condition>
    <condition>Quality of Life</condition>
    <arm_group>
      <arm_group_label>Intervention</arm_group_label>
      <arm_group_type>Experimental</arm_group_type>
      <description>The experimental group will consist of individuals who will undergo total hip replacement surgery and receive sexual counseling along with an educational booklet.</description>
    </arm_group>
    <arm_group>
      <arm_group_label>Control</arm_group_label>
      <arm_group_type>No Intervention</arm_group_type>
      <description>The control group will be comprised of individuals undergoing total hip replacement surgery without receiving sexual counseling.</description>
    </arm_group>
    <intervention>
      <intervention_type>Other</intervention_type>
      <intervention_name>sexual counseling based on the PLISSIT model</intervention_name>
      <description>In the initial follow-up, the experimental group will receive information about total hip replacement surgery and its impact on sexual life based on the PLISSIT model. An educational booklet containing information about total hip replacement surgery, the rehabilitation process, and post-operative sexual life will also be prepared and distributed. In the second follow-up (5-7 days after surgery), the experimental group will be provided with information about home care before discharge and returning to sexual life.</description>
      <arm_group_label>Intervention</arm_group_label>
    </intervention>
    <eligibility>
      <criteria>
        <textblock>
          Inclusion Criteria:&#xD;
  &#xD;
            -  Being between the ages of 18 to 70.&#xD;
  &#xD;
            -  Willingness to participate in the study.&#xD;
  &#xD;
            -  Scheduled to undergo hip replacement surgery.&#xD;
  &#xD;
            -  Being sexually active.&#xD;
  &#xD;
            -  Ability to engage in verbal communication and being literate.&#xD;
  &#xD;
          Exclusion Criteria:&#xD;
  &#xD;
            -  Having a diagnosed history of a sexual disease in oneself or in one's partner&#xD;
               (information about the participant's previous diagnoses will be obtained from the&#xD;
               medical team involved in the study).&#xD;
  &#xD;
            -  Having diagnosed neurological and psychiatric disorders (information about the&#xD;
               participant's previous diagnoses will be obtained from the medical team involved in&#xD;
               the study).&#xD;
        </textblock>
      </criteria>
      <gender>All</gender>
      <minimum_age>18 Years</minimum_age>
      <maximum_age>70 Years</maximum_age>
      <healthy_volunteers>No</healthy_volunteers>
    </eligibility>
    <overall_official>
      <last_name>Merve Tuncer, PhD</last_name>
      <role>Principal Investigator</role>
      <affiliation>Istanbul University</affiliation>
    </overall_official>
    <overall_contact>
      <last_name>Merve Tuncer, PhD</last_name>
      <phone>+905375048017</phone>
      <email>mervecaglar90@hotmail.com</email>
    </overall_contact>
    <overall_contact_backup>
      <last_name>Eda Polat, MSc</last_name>
      <phone>+905415660731</phone>
      <email>edda_akyol@hotmail.com</email>
    </overall_contact_backup>
    <reference>
      <citation>Faghani S, Ghaffari F. Effects of Sexual Rehabilitation Using the PLISSIT Model on Quality of Sexual Life and Sexual Functioning in Post-Mastectomy Breast Cancer Survivors. Asian Pac J Cancer Prev. 2016 Nov 1;17(11):4845-4851. doi: 10.22034/APJCP.2016.17.11.4845.</citation>
      <PMID>28030909</PMID>
    </reference>
    <reference>
      <citation>Issa K, Pierce TP, Brothers A, Festa A, Scillia AJ, Mont MA. Sexual Activity After Total Hip Arthroplasty: A Systematic Review of the Outcomes. J Arthroplasty. 2017 Jan;32(1):336-340. doi: 10.1016/j.arth.2016.07.052. Epub 2016 Aug 11.</citation>
      <PMID>27612606</PMID>
    </reference>
    <reference>
      <citation>Ibrahimoglu O, Gezer N, Ogutlu O, Polat E. The Relationship Between Perioperative Care Quality and Postoperative Comfort Level in Patients With Hip Replacement Surgery. J Perianesth Nurs. 2023 Feb;38(1):69-75. doi: 10.1016/j.jopan.2022.05.068. Epub 2022 Aug 3.</citation>
      <PMID>35931599</PMID>
    </reference>
    <reference>
      <citation>Miettinen HJA, Makirinne-Kallio N, Kroger H, Miettinen SSA. Health-Related Quality of Life after Hip and Knee Arthroplasty Operations. Scand J Surg. 2021 Sep;110(3):427-433. doi: 10.1177/1457496920952232. Epub 2020 Aug 31.</citation>
      <PMID>32862793</PMID>
    </reference>
    <reference>
      <citation>Saray Kilic H, Tastan S. Development of post hip replacement comfort scale. Appl Nurs Res. 2017 Dec;38:169-174. doi: 10.1016/j.apnr.2017.10.004. Epub 2017 Oct 16.</citation>
      <PMID>29241512</PMID>
    </reference>
    <reference>
      <citation>Tuncer M, Oskay UY. Sexual Counseling with the PLISSIT Model: A Systematic Review. J Sex Marital Ther. 2022;48(3):309-318. doi: 10.1080/0092623X.2021.1998270. Epub 2021 Nov 17.</citation>
      <PMID>34789082</PMID>
    </reference>
    <verification_date>August 2023</verification_date>
    <study_first_submitted>August 22, 2023</study_first_submitted>
    <study_first_submitted_qc>August 26, 2023</study_first_submitted_qc>
    <study_first_posted type="Actual">August 30, 2023</study_first_posted>
    <last_update_submitted>August 26, 2023</last_update_submitted>
    <last_update_submitted_qc>August 26, 2023</last_update_submitted_qc>
    <last_update_posted type="Actual">August 30, 2023</last_update_posted>
    <responsible_party>
      <responsible_party_type>Principal Investigator</responsible_party_type>
      <investigator_affiliation>Istanbul Medeniyet University</investigator_affiliation>
      <investigator_full_name>Eda Polat</investigator_full_name>
      <investigator_title>Research Assisstant</investigator_title>
    </responsible_party>
    <keyword>Hip Arthropaty</keyword>
    <keyword>Sexual Function</keyword>
    <patient_data>
      <sharing_ipd>No</sharing_ipd>
      <ipd_description>The researchers will make decisions based on the study outcomes.</ipd_description>
    </patient_data>
    <!-- Results have not yet been posted for this study                                          -->
  </clinical_study>
  
  
text: download date: ClinicalTrials.gov processed this data on September 20, 2023
  link text: Link to the current ClinicalTrials.gov record.
  url: https://clinicaltrials.gov/ct2/show/NCT06017128
  org study id: IstanbulMU18
  nct id: NCT06017128
  lead sponsor: 
  collaborator: 
  has dmc: No
  is fda regulated drug: No
  is fda regulated device: No
  This study investigates the influence of sexual counseling using the PLISSIT model on various
        aspects of patients undergoing hip replacement. The PLISSIT model is employed to guide the
        counseling process. The research aims to assess how this counseling intervention affects
        sexual function, quality of life, and overall comfort for these patients. By addressing these
        factors, the study seeks to shed light on potential improvements in the well-being and
        experiences of individuals who have undergone hip replacement surgery.
  To ensure the proper functioning of the body's systems and the fulfillment of an individual's
        needs, sufficient movement function is necessary. Decreased movement function, which is
        crucial for numerous physiological processes, negatively affects overall health status and
        vital functions. The hip joint is subjected to stress from activities such as walking,
        running, climbing stairs, lifting weights, and squatting throughout the day. Additionally,
        conditions like osteoarthritis and rheumatoid arthritis, which emerge with aging, lead to
        structural and functional abnormalities in the hip joint.
  
        The severe pain and limited movement resulting from issues in the hip joint adversely impact
        daily life activities, diminishing quality of life. To alleviate pain, improve movement
        restrictions, and enhance quality of life, Total Hip Arthroplasty (THA) is one of the
        treatment options. Presently, due to advancements in surgical techniques and materials, THA
        has become a widely employed method. Literature also indicates increased comfort levels and
        improved quality of life for individuals after surgery.
  
        One significant component of overall quality of life and general health is a healthy sexual
        function. Pain and movement limitations in the hip joint also negatively influence
        individuals' sexual lives. Stiffness, restricted movement, and severe pain in the hip joint
        lead individuals to be concerned about initiating sexual activity. Studies have shown that
        after Total Hip Arthroplasty, most patients experience an increase in sexual activity. With
        the elimination of pain and movement restrictions, individuals engage more comfortably in
        sexual activities.
  
        However, despite the positive effects of total hip replacement, patients tend to avoid sexual
        activity due to factors like delayed wound healing, dislocation, joint noises, and
        uncertainty about resuming sexual relations. Individuals who cannot perform their sexual
        functions in a healthy manner are negatively affected both physically and psychologically.
        Moreover, the inability to experience a healthy sexual life, an integral part of marriage and
        intimate relationships, disrupts the connection between partners. Engaging in sexual activity
        at the wrong time or in inappropriate positions after surgery can increase the risk of
        dislocation and reoperation.
  
        Due to all these reasons, the post-operative recovery process and patient comfort are
        adversely affected. Therefore, in the nursing care provided during the rehabilitation process
        after total hip replacement, individuals' sexual functions should not be overlooked.
        Collecting data on patients' sexual functions post-surgery and offering sexual counseling
        based on their needs are necessary. Detecting and resolving sexual issues are crucial for an
        effective and expedited post-operative rehabilitation and recovery process. This approach
        will contribute to the improvement of individuals' physical, social, and psychological
        health, leading to increased quality of life and comfort levels.
  
        The use of models is highly important in evaluating and resolving individuals' sexual health.
        The utilization of the PLISSIT model is recommended in providing sexual counseling to
        healthcare professionals due to its ease of use and systematic approach. The PLISSIT model,
        developed by Annon in 1976 to guide the resolution of sexual issues, was revised by Taylor
        and Davis in 2006. The model consists of four stages: P-Permission, LI-Limited Information,
        SS-Specific Suggestions, and IT-Intensive Therapy.
  
        P (Permission) - Permission: Boundaries for what individuals can and cannot discuss regarding
        sexuality should be established. In cases where these boundaries are not defined, individuals
        may not know what they should discuss. In this stage, nurses should allow patients to express
        their concerns about sexuality and sexual health and encourage them to do so.
  
        LI (Limited Information) - Limited Information: The interventions in this stage aim to inform
        individuals about sexual matters. This stage involves reviewing the individual's knowledge
        about sexuality, discussing the effects of the disease and treatments on sexual function,
        providing information about these effects, and addressing concerns. Providing accurate
        information helps individuals cope more easily with their concerns about sexuality.
  
        SS (Specific Suggestions) - Specific Suggestions: This stage includes providing
        individuals/spouses with specific information and recommendations for a more fulfilling
        sexual life. It is particularly effective for arousal and orgasm disorders and dyspareunia.
        The recommendations to be made depend on the sexual problem information obtained from the
        individual. Detailed recommendations such as different positions, interventions, and
        lubricants can be suggested to individuals with sexual problems.
  
        IT (Intensive Therapy) - Intensive Therapy: This stage is the final stage of the PLISSIT
        model. If the first three stages of the model are unsuccessful, the intensive therapy stage
        is employed. The counselor needs to be an expert who has received additional training or
        should refer the individual to an appropriate unit to provide intensive therapy.
  
        In the literature, it is generally observed that sexual counseling based on the PLISSIT model
        is provided to women experiencing sexual dysfunction due to reasons such as pregnancy,
        postpartum, hysterectomy, and mastectomy. Although studies have been conducted worldwide and
        in our country regarding sexual function after total hip replacement surgery, no study has
        been found that specifically provides sexual counseling based on the PLISSIT model.
  allocation: Randomized
  intervention model: Parallel Assignment
  intervention model description: This randomized controlled, pre-test-post-test measurement experimental study was designed to determine the impact of sexual counseling based on the PLISSIT model on sexual function, quality of life, and comfort levels in individuals who have undergone total hip replacement surgery.
  primary purpose: Supportive Care
  masking: None (Open Label)
  masking description: Individuals will be included in the groups using the randomization method. The randomization of the groups was conducted using the simple-random technique through the use of the website www.random.org.
  measure: Female Sexual Function Index
  time frame: 8 months
  description: The highest score that can be obtained from the scale is 36 and the lowest score is 2. The cut-off score of the scale is 26.55. Those with a score of 26.55 or less are considered to have female sexual dysfunction. Female Sexual Function Index scores will increase after education according to PLISSIT Model.
  measure: International Index of Erectile Function
  time frame: 8 months
  description: The severity of erectile function in this area with a maximum score of 30; severe (6-10 points), moderate (11-16 points), mild (17-25 points) and no dysfunction (26 30 points). International Index of Erectile scores will increase after education according to PLISSIT Model.
  arm group label: Intervention
  arm group type: Experimental
  description: The experimental group will consist of individuals who will undergo total hip replacement surgery and receive sexual counseling along with an educational booklet.
  arm group label: Control
  arm group type: No Intervention
  description: The control group will be comprised of individuals undergoing total hip replacement surgery without receiving sexual counseling.
  intervention type: Other
  intervention name: sexual counseling based on the PLISSIT model
  description: In the initial follow-up, the experimental group will receive information about total hip replacement surgery and its impact on sexual life based on the PLISSIT model. An educational booklet containing information about total hip replacement surgery, the rehabilitation process, and post-operative sexual life will also be prepared and distributed. In the second follow-up (5-7 days after surgery), the experimental group will be provided with information about home care before discharge and returning to sexual life.
  arm group label: Intervention
  criteria: 
  gender: All
  minimum age: 18 Years
  maximum age: 70 Years
  healthy volunteers: No
  last name: Merve Tuncer, PhD
  role: Principal Investigator
  affiliation: Istanbul University
  last name: Merve Tuncer, PhD
  phone: +905375048017
  email: mervecaglar90@hotmail.com
  last name: Eda Polat, MSc
  phone: +905415660731
  email: edda_akyol@hotmail.com
  citation: Faghani S, Ghaffari F. Effects of Sexual Rehabilitation Using the PLISSIT Model on Quality of Sexual Life and Sexual Functioning in Post-Mastectomy Breast Cancer Survivors. Asian Pac J Cancer Prev. 2016 Nov 1;17(11):4845-4851. doi: 10.22034/APJCP.2016.17.11.4845.
  PMID: 28030909
  citation: Issa K, Pierce TP, Brothers A, Festa A, Scillia AJ, Mont MA. Sexual Activity After Total Hip Arthroplasty: A Systematic Review of the Outcomes. J Arthroplasty. 2017 Jan;32(1):336-340. doi: 10.1016/j.arth.2016.07.052. Epub 2016 Aug 11.
  PMID: 27612606
  citation: Ibrahimoglu O, Gezer N, Ogutlu O, Polat E. The Relationship Between Perioperative Care Quality and Postoperative Comfort Level in Patients With Hip Replacement Surgery. J Perianesth Nurs. 2023 Feb;38(1):69-75. doi: 10.1016/j.jopan.2022.05.068. Epub 2022 Aug 3.
  PMID: 35931599
  citation: Miettinen HJA, Makirinne-Kallio N, Kroger H, Miettinen SSA. Health-Related Quality of Life after Hip and Knee Arthroplasty Operations. Scand J Surg. 2021 Sep;110(3):427-433. doi: 10.1177/1457496920952232. Epub 2020 Aug 31.
  PMID: 32862793
  citation: Saray Kilic H, Tastan S. Development of post hip replacement comfort scale. Appl Nurs Res. 2017 Dec;38:169-174. doi: 10.1016/j.apnr.2017.10.004. Epub 2017 Oct 16.
  PMID: 29241512
  citation: Tuncer M, Oskay UY. Sexual Counseling with the PLISSIT Model: A Systematic Review. J Sex Marital Ther. 2022;48(3):309-318. doi: 10.1080/0092623X.2021.1998270. Epub 2021 Nov 17.
  PMID: 34789082
  responsible party type: Principal Investigator
  investigator affiliation: Istanbul Medeniyet University
  investigator full name: Eda Polat
  investigator title: Research Assisstant
  sharing ipd: No
  ipd description: The researchers will make decisions based on the study outcomes.