Journal of Education and Health Promotion

Abstract BACKGROUND: Women undergoing breast cancer treatment, especially those of reproductive age,
experience sexual health challenges. The aim of this study is to design an interventional program
for promoting the sexual health of women undergoing breast cancer treatment.
MATERIALS AND METHODS: This is a mixed qualitative‑quantitative exploratory study consisting
of four phases. In the first phase, the needs and strategies for promoting sexual health of Iranian
women with breast cancer in Isfahan city will be identified through a qualitative study. The patients will
be selected using purposive sampling method and the data will be collected through semi‑structured
interviews. In the second phase of the study, the relevant literature will be reviewed. In the third phase,
the initial version of the program will be designed based on the results of qualitative study and review
of literature, the appropriate strategies are prioritized by the members of the panel of experts, and
then, the final interventional program is prepared. In the fourth phase, the designed interventional
program will be conducted as a quasi‑experimental study in two groups of intervention and control
and the effectiveness of the program on sexual quality of life, sexual satisfaction, and sexual function
of women undergoing breast cancer treatment will be evaluated. The type of the intervention will be
selected based on the results of the previous phases and the opinion of the expert panel.
CONCLUSIONS: The results of this study are expected to contribute to the design of an interventional
program based on the needs of women undergoing breast cancer treatment and promote health and
meet the sexual health needs of breast cancer patients.

Abstract Background: The role of spousal response in woman’s experience of pain during the vaginal
penetration attempts believed to be an important factor; however, studies are rather limited in
this area. The aim of this study was to develop and investigate the psychometric indexes of the
partner version of a multidimensional vaginal penetration disorder questionnaire (PV‑MVPDQ);
hence, the clinical assessment of spousal psychosexual reactions to vaginismus by specialists
will be easier. Materials and Methods: A mixed‑methods sequential exploratory design was
used, through that, the findings from a thematic qualitative research with 20 unconsummated
couples, which followed by an extensive literature review used for development of PV‑MVPDQ.
A consecutive sample of 214 men who their wives’ suffered from lifelong vaginismus (LLV) based
on Diagnostic and Statistical Manual of Mental Disorders 4th version (DSM)‑IVTR criteria during
a cross‑sectional design, completed the questionnaire and additional questions regarding
their demographic and sexual history. Validation measures and reliability were conducted by
exploratory factor analysis (EFA) and Cronbach’s alpha coefficient through SPSS version 16
manufactured by SPSS Inc. (IBM corporation, Armonk, USA). Results: After conducting EFA
PV‑MVPDQ emerged as having 40 items and 7 dimensions: Helplessness, sexual information,
vicious cycle of penetration, hypervigilance and solicitous, catastrophic cognitions, sexual
and marital adjustment and optimism. Subscales of PV‑MVPDQ showed a significant
reliability (0.71‑0.85) and results of test‑retest were satisfactory. Conclusion: The present
study shows PV‑MVPDQ is a multi‑dimensional valid and reliable self‑report questionnaire for
assessment of cognitions, sexual and marital relations related to vaginal penetrations in spouses
of women with LLV. It may assist specialists to base on which clinical judgment and appropriate
planning for clinical management.

Abstract Context: Addiction, as a social problem, is a phenomenon that causes structural changes in
cultural, social, political, and economic system in society. Prevention of this problem means
decrease of risk factors and increase of protective factors; and recognition of these factors is
possible with the help of update, accurate, and complete information in information systems.
Aims: The aim of this study was to compare substance dependence treatment information
system (SDTIS) in America, England, and Iran. Materials and Methods: This research was an
applied and comparison-descriptive study, in which SDTIS was compared in America, England,
and Iran. These countries were chosen based on available information on the Internet and also
on the development of these countries in the health information management field. Information
resources included library resources, electronic resources, and expert people (Health Information
Management, Medical Records Education, Psychologist, Psychiatrist, and Medical Informatics).
The data collection tool was the data raw form, whose reliability was proved by expert people.
Statistical Analysis Used: Findings were analyzed by theory and descriptive method. Results:
America and England had the SDTIS. Their systems had special characteristics such as goals,
scope, special method for collecting, processing, reporting, quality and validity control, and
confidentiality principles. However, there was no such system in Iran and the present situation in
Iran has many differences with similar situations in the studied countries. Conclusion: Presence
of an information system in the substance dependence treatment field helps to prevent, control,
and treat addicted people. Hence, we try to submit a suitable model for implementing this system.