Expectations, experiences and effects for couples participating in a digital sexual rehabilitation programme after radical prostatectomy: a feasibility study in Sweden

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Abstract
Introduction: Prostate cancer treatment commonly affects sexual function. However, how effective rehabilitation programmes should be constructed is yet to be determined. The aim of this study was to describe the expectations, experiences and preliminary effects of a digital sexual rehabilitation programme among couples after radical prostatectomy and to determine its feasibility. Research design and methods: 19 couples were included in the study, of which 15 completed the programme. Data were collected through semi-structured interviews at baseline and after programme completion using an interview guide developed for this study. Reflexive thematic analysis was used to interpret qualitative data, and descriptive statistics summarised quantitative outcomes from questionnaires. Results: Participants found the programme meaningful and helpful. The digital format was valued for its flexibility and accessibility. Participants desired more tailored content and interactive elements. The programme positively impacted communication about sexual issues within couples. Participants also highlighted the need for peer support and more structured guidance on physical and pharmaceutical strategies. Some joined the programme to support others rather than for personal need, which may have influenced perceived effects. Questionnaire data showed changes in sexual function among patients and stable relationship satisfaction, though interpretation is limited. Conclusion: The digital programme was feasible and well-received, with positive effects on communication and perceived support. Findings highlight the importance of clear inclusion criteria, timing of intervention delivery and tailoring content to individual needs. These insights can inform future development of digital psychosocial interventions for sexual rehabilitation in cancer care.
Funding Information
  • Prostatacancerförbundet (2019/3710-5.1.1)
  • FORSS (2019/3710-5.1.1, FORSS-758001, FORSS-969322)

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