Effects of a Non-face-to-Face Sexuality Education Program on Sexual Knowledge, Disability Acceptance, and Body Image in Men with Spinal Cord Injury
Year: 2025
Type: article
Study designs: Randomized Controlled Trial, Clinical Trial
Abstract: This randomized controlled trial examined the effects of a remote sexuality education program tailored for single men with spinal cord injury (SCI) on sexual knowledge, disability acceptance, and body image-key but often neglected rehabilitation outcomes.Forty-eight community-dwelling participants were randomized to intervention or control groups.The six-session online program incorporated evidence-based lectures, interactive discussions, quizzes, skill-building, and peer counseling, delivered via telehealth to overcome barriers of mobility, stigma, privacy, and geographic disparity.Validated instruments assessed outcomes at baseline, immediately post-intervention, and two weeks later.Mixed-design repeated-measures ANOVA revealed significant group, time, and interaction effects for sexual knowledge (p < .001,ηp²=0.21),sustained at follow-up, and large effect sizes favoring the intervention for disability acceptance (d≈1.01).Body image showed a significant group effect (p=.006) with marginal temporal change, highlighting the need for longer-term interventions.No adverse events occurred; retention was high.This study addresses a critical gap in SCI rehabilitation by demonstrating the feasibility and effectiveness of telehealth for sexuality education.Findings advocate hybrid delivery models, extended follow-up, SCI-specific body image assessments, and tailored psychosocial support to enhance quality of life.These results inform clinical guidelines and policy for inclusive, scalable sexuality rehabilitation accessible across diverse populations.
Authors: Sun-Houng Kim, Seung-Young Lee
Institutions: Uiduk University, Kyungbok University
Language: English
Topic: Spinal Cord Injury Research
Subfield: Clinical Neurology
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4416763566