What factors influence individuals and couples to seek help for sexual and/or relationship difficulties from primary care professionals: an exploratory qualitative study

Abstract

This study aims to gain information about what factors influence individuals and couples to discuss sexual and/or relationship difficulties with a primary healthcare professional. Although there is evidence that sexual and relationship difficulties are quite prevalent, there is little empirical evidence as to the factors that influence help seeking behaviour. In particular why some people choose to seek help from a primary care professional. Five participants (three women and two men) took part in qualitative in-depth semi-structured interviews, which were recorded and transcribed. Data analysis involved a Thematic Analysis approach that identified six themes influencing help seeking behaviour, which were named: Relationship characteristics; Context; Perception of problem; Professional approachability; Awareness of services; and Client openness. The Information Processing Model offers the best theory with which to interpret and understand the findings of this study and enables health professionals to understand that help seeking behaviour relies on a number of steps that could be amenable to intervention. The study concludes that education and training programmes should be improved for primary healthcare staff and initiatives to raise awareness of sexual and relationship difficulties with both professionals and the public be developed and maintained.

Keywords:

• sexual difficulties
• sexual problems
• relationship difficulties
• relationship problems
• seeking help
• help seeking behaviour
• accessing services
• parents

Acknowledgements

The authors would like to thank clinic staff for their help and support during the project and also the clients who participated in the study.