title: Improving the rehabilitative management of client sexual health concerns after neurological disability: evaluation of a staff sexuality training programme in New Zealand.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  A prospective controlled pre- and posttest evaluation design with six-month follow-up.
  
  
  METHODS
  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.
  
  
  METHODS
  Two workshops were held at major rehabilitation centres in the North and South Islands of New Zealand respectively.
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Brain Injury Rehabilitation Unit, Liverpool Health Service, Sydney, Australia. grahame.simpson@swsahs.nsw.gov.au
authors.forename: Grahame
authors.initials: G
authors.lastname: Simpson
authors.forename: Samir
authors.initials: S
authors.lastname: Anwar
authors.forename: Joan
authors.initials: J
authors.lastname: Wilson
authors.forename: Tanya
authors.initials: T
authors.lastname: Bertapelle
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D005260:Female; D006801:Humans; D007318:Inservice Training; D008297:Male; D008875:Middle Aged; D009520:New Zealand; D011446:Prospective Studies; D019529:Sexuality; D011795:Surveys and Questionnaires