Browsing by Author "Elham Joneidi"
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- ItemChallenges and Opportunities of Telemedicine for Women's Sexual Satisfaction: A Systematic Review(Brieflands, 2024-03-31) Elham Joneidi; Khadijeh Mirzaii Najmabadi; Shokoufeh AalaeiContext: Women’s sexual health is a vital component of reproductive health, and sexual satisfaction is considered a fundamental human right. Cell phone programs have emerged as tools to augment sexual knowledge, hygiene, health, and even sexually transmitted infection prevention. Objectives: This study aimed to determine the challenges and opportunities of telemedicine in improving women’s sexual satisfaction. Methods: This systematic review was conducted using the newest version of the PRISMA (2020) guideline. The search was comprehensive and included Scopus, Web of Science (WOS), and PubMed databases, with no time limit until January 1, 2023. Manual reference list searches were also performed. The search strategy followed the PICO framework and included all English RCTs and quasi-experimental studies published electronically in peer-reviewed journals, which focused on using telemedicine techniques to enhance sexual satisfaction. Results: Among the selected studies, seven focused on women with various types of cancers experiencing sexual issues post-treatment. Two studies centered on women with sexual dysfunction, while one study included women without specific health concerns. Cognitive-behavioral therapy and mindfulness therapy were predominant as intervention methods. These studies identified 38 opportunities and advantages of non-attendance methods, categorized into 14 themes. Additionally, nine challenges were classified, encompassing factors such as lack of spouse participation, inadequate patient behavior follow-up, technical skill requirements, internet access, device dependency, lengthy exercises, work interference, and exercise-related embarrassment. Conclusions: This systematic review found that telemedicine’s opportunity to increase access, affordability, and convenience, along with reducing stigma, has encouraged more couples to participate. However, there are challenges, including the need for digital skills and access to technology, along with potential user discomfort with recommended exercises. Eliminating barriers is effective in optimizing telemedicine methods to increase sexual health and satisfaction.
- ItemThe Effect of Telemedicine on Women's Sexual Dysfunction: A Systematic Review and Meta-Analysis(Brieflands, 2024-09-30) Elham Joneidi; Khadijeh Mirzaii Najmabadi; Ehsan Mousafarkhanei; Benyamin Hoseini; Shokoufeh AalaeiContext: Sexual satisfaction is crucial for women's overall well-being; however, traditional interventions often face challenges such as high costs, limited access, inadequate specialized care, and discomfort during counseling sessions. Telemedicine presents a promising solution to these issues. Objectives: This systematic review and meta-analysis evaluate the efficacy of telemedicine interventions in improving sexual function and satisfaction among women. Evidence Acquisition: We searched SCOPUS, Web of Science, and PubMed for relevant articles published up to January 2024. The search strategy and keywords were crafted using the PICO approach to align with the study's objectives and ensure a comprehensive and structured review. The quality of the included studies was assessed using the Jadad scale. The primary outcome measures were sexual desire, arousal, lubrication, orgasm, pain, satisfaction, and overall Female Sexual Function Index (FSFI) scores. A random-effects model was employed for the meta-analysis, and the I-square index was used to assess heterogeneity. Results: The systematic review identified six studies from an initial pool of 4,174 that demonstrated a positive effect of telemedicine interventions on all domains of the FSFI questionnaire, except for the pain domain and overall sexual function scores in women. The effects of telemedicine on sexual desire [standardized mean difference (SMD) = 0.92, 95% CI = 0.51, 1.32], sexual arousal (SMD = 0.97, 95% CI = 0.42, 1.53), vaginal lubrication (SMD = 0.41, 95% CI = 0.23, 0.59), orgasm (SMD = 0.40, 95% CI = 0.21, 0.58), sexual satisfaction (SMD = 0.74, 95% CI = 0.48, 1), and total FSFI (SMD = 1.03, 95% CI = 0.49, 1.58) were found to be significant. However, the effect on pain was not statistically significant (SMD = 0.15, 95% CI = -0.10, 0.40). Conclusions: This study supports the effectiveness of telemedicine in improving women's sexual satisfaction and function. However, due to limitations in the included studies, such as small sample sizes, lack of randomization, and lack of blinding in some cases, more comprehensive studies are recommended. Future research should address these methodological limitations to provide stronger evidence on the effectiveness of telemedicine interventions for women's sexual health.