Development of the sexuality education program for people with spina bifida

2023 Fiscal Year Final Research Report

• Project/Area Number: 20K19175
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58070:Lifelong developmental nursing-related
• Research Institution: Ibaraki Prefectural University of Health Science
• Principal Investigator: Kasai Kumi 茨城県立医療大学, 保健医療学部, 准教授 (10795339)
• Project Period (FY): 2020-04-01 – 2024-03-31
• Keywords: 二分脊椎症 / 性教育 / ニーズ / 性行為 / 評価

Outline of Final Research Achievements

The objective of this study was to assess the efficacy of educational interventions related to sexual activity, which is a significant unmet need in the realm of sexuality education for people with spina bifida. Video-based education and evaluation related to sexual activity were conducted for high school students and adults under the age of 45. The study investigated the impact of sexuality education on knowledge, confidence, self-efficacy, self-esteem, change in thoughts and behaviors related to sexuality. Data were collected before, immediately after, and one month after the education. The data from 20 males and 14 females indicated that the education resulted in positive changes in their knowledge and confidence to change their behavior regarding sexuality. However, the data did not increase in their self-efficacy or self-esteem. Moreover, it is evident that the quality of educational content varies according to specific attributes.

Free Research Field

生涯発達看護

Academic Significance and Societal Importance of the Research Achievements

先行研究では、二分脊椎症者は疾患や障害によって性への消極性や性に対する不安や満足度、パートナーとの関係の築きにくさにつながっていることが示されていた。本研究では、高校生以上の二分脊椎症者を対象に性教育のニーズを捉え、恋愛・結婚・挙児とも関連が強く、相手との親密な関係を築く上で重要となる性行為に関する内容に焦点を当てた教育を行い、評価を行った。全体的な自己効力感や自尊感情には効果がみられなかったが、教育内容に関する知識の向上や性に関する行動の自信の肯定的な変化には効果があり、相手と親密な関係を築くことへの前向きな気持ちや性的な満足といった主観的な性の健康の向上につながる可能性が示唆された。