Supporting sexuality after spinal cord injury: a scoping review of non-medical approaches

Abstract

Purpose

There has been a significant focus on medical interventions to improve sexual function and support other aspects of sexuality after spinal cord injury. However, it is not well understood what non-medical approaches are described within existing literature. This study sought to identify, summarise and describe existing literature on non-medical approaches to sexuality following spinal cord injury.

Method

This scoping review included studies identified by systematic searching of 10 databases. Findings were thematically analysed in order to summarise and report the results.

Results

Thirty articles met the inclusion criteria. Three themes were identified, including: the importance of individuality and timing, the health care professional role, and, provision of non-medical interventions and strategies. Analyses suggested the importance of providing individualised client-centred care and utilising a team approach. Many non-medical interventions and strategies were identified; however, most studies discussed that information provided and/or access to information is limited.

Conclusion

Although non-medical approaches may be used in practice, provision of support appears to be limited with no consistent approach. Practice implications include the importance of addressing individualised factors, broadening scope of practice, and increasing the resources available for clients and professionals.

Implications for rehabilitation

• Non-medical approaches to support sexuality after a spinal cord injury exist, however, there appears to be no consistent approach.

• Individualised person-centred care which addresses personal factors and includes intimate partners is essential when supporting sexuality.

• The health care professional team should seek to address the wider understanding of sexuality which extends beyond a purely medical focus.

• More sexuality resources and training should be available for both people with spinal cord injuries and health care professionals.

Keywords:

• Access to information
• delivery of health care
• individuality
• scope of practice
• sexuality
• spinal cord injuries

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

This work was supported under grant UQ Spinal Cord Injury Higher Degree by Research Top Up. Dr Setchell is supported by an NHMRC (Australia) Fellowship [#APP1157199].