title: Application of the PRECEDE model to improve sexual function among women with hysterectomy.
abstract: OBJECTIVE
  To determine the effect of an educational program based on the PRECEDE model to improve sexual function among women with hysterectomy.
  
  
  METHODS
  The present randomized trial, conducted in Iran during 2014, included 48 women with hysterectomy who were selected through convenience sampling and randomly divided into two equal groups. Women in the experimental group received an educational program based on constructs of the PRECEDE model. The control group received only routine interventions. Before the interventions, the women completed two questionnaires: one that measured the PRECEDE model constructs and the Rosen Female Sexual Function Index. The questionnaires were repeated 4 weeks after the intervention and the results were compared within and between groups.
  
  
  RESULTS
  In each group, a significant improvement in sexual function was demonstrated after the intervention (P<0.001). The mean sexual function score increased to a greater extent in the experimental group (difference 16.95±6.33) than in the control group (difference 4.35±1.94; P<0.001).
  
  
  CONCLUSIONS
  The findings confirm the effectiveness of an educational program based on the PRECEDE model in terms of improving sexual function among women with hysterectomy. Iranian Registry of Clinical Trials: IRCT2014122220401N1.
authors.affiliation: Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran.
authors.forename: Nazafarin
authors.initials: N
authors.lastname: Hosseini
authors.affiliation: Student Research Committee, School of Nursing and Midwifery, Yasuj University of Medical Sciences, Yasuj, Iran. Electronic address: arezo.amini21@yahoo.com.
authors.forename: Akram
authors.initials: A
authors.lastname: Amini
authors.affiliation: Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran.
authors.forename: AliKaram
authors.initials: A
authors.lastname: Alamdari
authors.affiliation: Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran.
authors.forename: Mohsen
authors.initials: M
authors.lastname: Shams
authors.affiliation: Department of Dental Public Health, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.
authors.forename: Mehrdad
authors.initials: M
authors.lastname: Vossoughi
authors.affiliation: Mother and Child Welfare Research Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
authors.forename: Fatemeh
authors.initials: F
authors.lastname: Bazarganipour
mesh_terms: D005260:Female; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D007044:Hysterectomy / Q000523:psychology*; D007492:Iran; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D011184:Postoperative Period; D015397:Program Evaluation; D012725:Sexual Behavior / Q000523:psychology*; D011795:Surveys and Questionnaires
keywords: Education; Hysterectomy; PRECEDE model; Sexual function