Improving care for sexual problems in persons with type 2 diabetes (WC2013-083)


Starting date: 01/09/2013

Men as well as women with diabetes have an elevated risk to be confronted with sexual problems. Sexual problems can have an important impact on interpersonal relationships and quality of life. Despite the high prevalence of sexual problems in diabetic patients and its high impact on daily life, sexual problems are the most frequently neglected complication in diabetes care and diabetes research. Recently, a sexual health care management program, named the PLISSIT model, was developed for caregivers. The PLISSIT model contains four different stages that refer to different stages in complexity of care: 

  • Permission
  • Limited Information
  • Specific Suggestions
  • Intensive Therapy

The caregiver should use these stages according to the patient’s needs. Even though the PLISSIT model seems to be a helpful model to improve sexual health care management, limited studies have been performed to examine its effectiveness. 

Providing a counseling tool to general practitioners (GPs) might improve their skills in discussing and treating sexual problems in patients with diabetes. We therefore aim to assess the effectiveness of introducing the PLISSIT model in general practice in improving sexual function, satisfaction with sexual function, and quality of life in patients with type 2 diabetes who are confronted with a sexual problem.