Distance Education Course about Sexuality for Obstetrics and Gynecology ResidentsCurso de educação a distância sobre sexualidade para residentes em Obstetrícia e Ginecologia
18 July 2016
28 June 2017
27 November 2017 (eFirst)
Purpose To describe the experience of a distance education course on sexual issues during pregnancy and after birth for residents.
Methods This prospective educational intervention study was conducted by investigators from the Universidade Federal de São Paulo, Brazil, between April and September 2014. The participants were 219 physicians (residents from the 1st to the 6th years). The duration of the course was of 24 hours (10 video lectures and online chats). At baseline, the participants answered questions about their training, attitude and experience regarding sexual issues during pregnancy and after birth; before and after the course, they answered questions to assess their knowledge about the topic; at the end of the course, they answered questions on the quality of the course. The Student t-test was used to compare the before and after scores of the knowledge tests; values of p < 0.05 were considered statistically significant.
Results A total of 143 residents concluded the course; most were in their 1st (27.2%) or 3rd (29.4%) years of residency. There was a significant increase in the mean scores of the questionnaires that assessed the knowledge of the topic: 4.4 (±1.6) versus 6.0 (±1.3; maximum score: 10), before and after the course respectively (p < 0.0001). Most of the participants (74.1%) declared that the quality of the course as a whole reached their expectations, and 81.1% would recommend the course to a friend.
Conclusions The online Sexology course for Obstetrics and Gynecology residents increased their knowledge about the sexual issues during pregnancy and after birth, and fulfilled the participants' expectations. The experience described here may serve as a model for other sexuality courses targeting similar audiences.
Objetivos Relatar a experiência de um curso de educação a distância sobre questões sexuais na gestação e puerpério para médicos residentes.
Métodos Estudo prospectivo de intervenção educacional, realizado entre abril e setembro de 2014, por investigadores da Universidade Federal de São Paulo. Os participantes foram 219 médicos (R1 a R6). O curso teve carga horária de 24 horas (10 videoaulas e discussões online). No início do curso, os participantes responderam perguntas sobre treinamento, atitude e prática relativas a questões sexuais na gestação; antes e após o curso, responderam perguntas de conhecimento sobre o tema; ao final, preencheram questionário sobre a qualidade do curso. O teste t de Student foi utilizado para comparar os testes de conhecimento, antes e após o curso; valores de p < 0,05 foram considerados estatisticamente significantes.
Resultados Um total de 143 residentes concluiu o curso; a maioria estava no 1° (27,2%) ou 3° (29,4%) anos de residência. Houve aumento significativo nas notas médias dos questionários que avaliavam o conhecimento sobre o tema: 4,4 (±1,6) versus 6,0 (±1,3; nota máxima: 10), no início e final do curso, respectivamente (p < 0,0001). A maioria dos participantes (74,1%) declarou que a qualidade geral do curso atingiu suas expectativas, e 81,1% recomendariam o curso a um amigo.
Conclusões O curso de Sexologia online para residentes de Ginecologia e Obstetrícia promoveu o aumento do conhecimento sobre questões sexuais no ciclo gravídico puerperal, e atendeu às expectativas dos participantes. Essa experiência pode servir de modelo para outros cursos de sexualidade voltados para esse público.
Keywordspregnancy - sexology - medical education - resident training - distance education - obstetrics
- 1 World Health Organization [Internet]. Sexual health: concept and scope. In: WHO. Developing sexual health programmes: a framework for action. Geneva: WHO; 2010. [cited 2017 Jun 24]. p. 3–6. Available from: http://apps.who.int/iris/bitstream/10665/70501/1/WHO_RHR_HRP_10.22_eng.pdf
- 2 Pan American Health Organization. World Health Organization. World Association for Sexology [Internet]. Promotion of sexual health: recommendations for action. Proceedings of a Regional Consultation; 2000 May 19–22; Antigua Guatemala, Guatemala. Washington (DC): Pan American Health Organization; 2000. [cited 2017 Jun 24]. Available from: http://www1.paho.org/hq/dmdocuments/2008/PromotionSexualHealth.pdf
- 3 Basson R. The female sexual response: a different model. J Sex Marital Ther 2000; 26 (01) 51-65
- 4 Pauleta JR, Pereira NM, Graça LM. Sexuality during pregnancy. J Sex Med 2010; 7 (1 Pt 1): 136-142
- 5 Johnson CE. Sexual health during pregnancy and the postpartum. J Sex Med 2011; 8 (05) 1267-1284 , quiz 1285–1286
- 6 Ribeiro MC, Nakamura MU, Torloni MR, Scanavino MdeT, Scomparini FB, Mattar R. Female sexual function of overweight women with gestational diabetes mellitus - a cross-sectional study. PLoS One 2014; 9 (04) e95094
- 7 Babazadeh R, Najmabadi KM, Masomi Z. Changes in sexual desire and activity during pregnancy among women in Shahroud, Iran. Int J Gynaecol Obstet 2013; 120 (01) 82-84
- 8 Pancholy AB, Goldenhar L, Fellner AN, Crisp C, Kleeman S, Pauls R. Resident education and training in female sexuality: results of a national survey. J Sex Med 2011; 8 (02) 361-366
- 9 Vieira TC, de Souza E, da Silva I, Torloni MR, Ribeiro MC, Nakamura MU. Dealing with female sexuality: training, attitude, and practice of obstetrics and gynecology residents from a developing country. J Sex Med 2015; 12 (05) 1154-1157
- 10 Vieira TC, de Souza E, Abdo CH. , et al. Brazilian residents' attitude and practice toward sexual health issues in pregnant patients. J Sex Med 2012; 9 (10) 2516-2524
- 11 Dyer K, das Nair R. Why don't healthcare professionals talk about sex? A systematic review of recent qualitative studies conducted in the United kingdom. J Sex Med 2013; 10 (11) 2658-2670
- 12 Fok WY, Chan LY, Yuen PM. Sexual behavior and activity in Chinese pregnant women. Acta Obstet Gynecol Scand 2005; 84 (10) 934-938
- 13 Shojaa M, Jouybari L, Sanagoo A. The sexual activity during pregnancy among a group of Iranian women. Arch Gynecol Obstet 2009; 279 (03) 353-356
- 14 Trutnovsky G, Haas J, Lang U, Petru E. Women's perception of sexuality during pregnancy and after birth. Aust N Z J Obstet Gynaecol 2006; 46 (04) 282-287
- 15 Rosen R, Kountz D, Post-Zwicker T, Leiblum S, Wiegel M. Sexual communication skills in residency training: the Robert Wood Johnson model. J Sex Med 2006; 3 (01) 37-46
- 16 Yolsal N, Karabey S, Bulut A. , et al. Courses for medical residents and trainers in Turkey for promotion of quality of reproductive health services: a pilot study. Reprod Health Matters 2004; 12 (24) 189-199
- 17 Parish SJ, Clayton AH. Sexual medicine education: review and commentary. J Sex Med 2007; 4 (02) 259-267 , quiz 268
- 18 de Medeiros RD, de Azevedo GD, Maranhão TM. , et al. [Impact of sexual and reproductive health theme insertion in the undergraduate medical]. Rev Bras Ginecol Obstet 2014; 36 (03) 107-112
- 19 Schons C. [Validation of criteria for asynchronous didactic material in distance education] [dissertation]. Florianópolis: Universidade Federal de Santa Catarina; 2009. . Portuguese
- 20 Abdo CH, Moreira ED, Santos Junior DB, Wroclawski E, Fitipaldi JAS. Perceptions and attitudes about erectile dysfunction among physicians in Brazil: results from Avaliar Project. Rev Bras Med 2004; 61 (09) 613-619
- 21 Parasuraman A, Zeithaml VA, Berry LL. SERVQUAL: a multiple-item scale for measuring consumer perceptions of service quality. J Retailing 2002; 64 (01) 12-40
- 22 Tureta C, Rosa AR, Silva e Oliveira VC. Critical evaluation of educational services: the use of SERVQUAL model. Rev Gest 2007; 14 (04) 33-45
- 23 Waineo E, Arfken CL, Morreale MK. Sexual health education: a psychiatric resident's perspective. Acad Psychiatry 2010; 34 (05) 357-360
- 24 Ribeiro MC, Nakamura MU, Torloni MR. , et al. Treatments of female sexual dysfunction symptoms during pregnancy: a systematic review of the literature. Sex Med Rev 2014; 2 (01) 1-9
- 25 Afshar M, Mohammad-Alizadeh-Charandabi S, Merghti-Khoei ES, Yavarikia P. The effect of sex education on the sexual function of women in the first half of pregnancy: a randomized controlled trial. J Caring Sci 2012; 1 (04) 173-181
- 26 Tolentino RSS, Gonçalves Filho C, Tolentino RJV, Monteiro PRR. Quality assessment in distance education under the student's perspective: proposing and testing of a model using structural equation. Rev Gest 2013; 20 (03) 347-366