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Sexuality and Disability

, Volume 34, Issue 3, pp 349–361 | Cite as

Using a Board Game About Sexual Health with Young People with Chronic Conditions in Daily Practice: A Research into Facilitating and Impeding Factors

  • Heleen A. van der StegeEmail author
  • Sander R. Hilberink
  • Ellen Bakker
  • AnneLoes van Staa
Original Paper

Abstract

The aim of the study was to gain insight into use of a new board game (SeCZ TaLK) to facilitate discussing sexual health with adolescents with chronic conditions in healthcare and special education, and to establish impeding and facilitating factors for using the game. In a cross-sectional mixed-methods study, the use of SeCZ TaLK in daily practice was evaluated through a web-based survey among 151 professionals in health care and education. Initially, 336 professionals had obtained the game 12–18 months earlier. In addition, twelve professionals were interviewed individually. Results showed that the actual use of SeCZ TaLK was associated with a positive attitude towards discussing sexuality, a high perceived feasibility of the game, own motivation and skills, and correspondence with work routines. The presence of preconditions (such as time to play and staffing capacity), participant’s recruitment for game sessions and the professional environment were non-significant factors. Professionals appreciated the board game SeCZ TaLK but actual use depended on own motivation and skills and correspondence with work routines. To enhance the use of the board game, management should prioritize discussing sexuality and support the professionals in developing relevant skills.

Keywords

Reproductive health Sex education Board games Adolescents Chronic diseases Disabilities Netherlands 

References

  1. 1.
    Verhoef, M., Barf, H.A., Vroege, J.A., Post, M.W., van Asbeck, F.W., Gooskens, R.H., et al.: Sex education, relationships, and sexuality in young adults with spina bifida. Arch. Phys. Med. Rehabil. 86, 979–987 (2005)CrossRefPubMedGoogle Scholar
  2. 2.
    Wiegerink, D.J., Roebroeck, M.E., Donkervoort, M., Cohen-Kettenis, P.T., Stam, H.J.: Social intimate and sexual relationships of adolescents with cerebral palsy compared with able-bodied age-mates. J. Rehabil. Med. 40, 112–118 (2008)CrossRefPubMedGoogle Scholar
  3. 3.
    Wiegerink, D.J., Roebroeck, M.E., van der Slot, W.M., Stam, H.J., Cohen-Kettenis, P.T.: Importance of peers and dating in the development of romantic relationships and sexual activity of young adults with cerebral palsy. Dev. Med. Child Neurol. 52, 576–582 (2010)CrossRefPubMedGoogle Scholar
  4. 4.
    Verhoof, E., Maurice-Stam, H., Heymans, H., Grootenhuis, M.: Growing into disability benefits? Psychosocial course of life of young adults with a chronic somatic disease or disability. Acta Paediatr. 101, e19–e26 (2011)CrossRefPubMedGoogle Scholar
  5. 5.
    Brunnberg, E., Boström, M.L., Berglund, M.: Sexual force at sexual debut. Swedish adolescents with disabilities at higher risk than adolescents without disabilities. Child Abuse Negl. 36, 285–295 (2012)CrossRefPubMedGoogle Scholar
  6. 6.
    Alriksson-Schmidt, A.I., Armour, B.S., Thibadeau, J.K.: Are adolescent girls with a physical disability at increased risk for sexual violence? J. Sch. Health 80, 361–367 (2010)CrossRefPubMedGoogle Scholar
  7. 7.
    Surís, J.C., Resnick, M.D., Cassuto, N., Blum, R.W.: Sexual behavior of adolescents with chronic disease and disability. J. Adolesc. Health 19, 124–131 (1996)CrossRefPubMedGoogle Scholar
  8. 8.
    Cheng, M.M., Udry, J.R.: Sexual behaviours of physically disabled adolescents in the United States. J. Adolesc. Health 31, 48–58 (2002)CrossRefPubMedGoogle Scholar
  9. 9.
    Murphy, N., Young, P.: Sexuality in children and adolescents with disabilities. Dev. Med. Child Neurol. 47, 640–644 (2005)CrossRefPubMedGoogle Scholar
  10. 10.
    East, L.J., Orchard, T.R.: Somebody Else’s job: experiences of sex education among health professionals, parents and adolescents with physical disabilities in Southwestern Ontario. Sex. Disabil. 32, 335–350 (2013)CrossRefGoogle Scholar
  11. 11.
    Wiegerink, D., Roebroeck, M., Bender, J., Stam, H., Cohen-Kettenis, P.: Transition research group south west Netherlands: sexuality of young adults with cerebral palsy: experienced limitations and needs. Sex. Disabil. 29, 119–128 (2011)CrossRefPubMedGoogle Scholar
  12. 12.
    Earle, S.: Disability, facilitated sex and the role of the nurse. J. Adv. Nurs. 36, 433–440 (2001)CrossRefPubMedGoogle Scholar
  13. 13.
    Treacy, V., Randle, J.: Breaking sexuality taboos. Paediatr. Nurs. 16, 19–22 (2004)CrossRefPubMedGoogle Scholar
  14. 14.
    Van der Stege, H.A., Hilberink, S.R., Visser, A.P., van Staa, A.L.: Motivational factors in discussing sexual health with adolescents with chronic conditions or disabilities. Sex Educ. 15, 635–651 (2014)CrossRefGoogle Scholar
  15. 15.
    Murphy, N.A., Elias, E.R.: Sexuality of children and adolescents with developmental disabilities. Pediatrics 118, 398–403 (2006)CrossRefPubMedGoogle Scholar
  16. 16.
    Greydanus, D.E., Rimsza, M.E., Newhouse, P.A.: Adolescent sexuality and physical disability. Adolesc. Med. 13, 223–246 (2002)PubMedGoogle Scholar
  17. 17.
    McCabe, J., Holmes, D.: Nursing, sexual health and youth with disabilities: a critical ethnography. J. Adv. Nurs. 70, 77–86 (2014)CrossRefPubMedGoogle Scholar
  18. 18.
    Hilberink, S.R., Kruijver, E., Wiegerink, D.J.H.G., Vliet Vlieland, T.P.M.: A pilot implementation of an intervention to promote sexual health in adolescents and young adults in rehabilitation. Sex. Disabil. 31, 373–392 (2013)CrossRefGoogle Scholar
  19. 19.
    Van der Stege, H.A., van Staa, A.L., Hilberink, S.R., Visser, A.P.: Using the new board game SeCZ TaLK to stimulate the communication on sexual health for adolescents with chronic conditions. Patient Educ. Couns. 81, 324–331 (2010)CrossRefPubMedGoogle Scholar
  20. 20.
    Blakely, G., Skirton, H., Cooper, S., Allum, P., Nelmes, P.: Use of educational games in the health professions: a mixed-method study of educators’ perspectives in the UK. Nurs. Health Sci. 12, 27–32 (2010)CrossRefPubMedGoogle Scholar
  21. 21.
    Fleuren, M., Wiefferink, K., Paulussen, T.: Determinants of innovations within health care organizations: literature review and delphi study. Int. J. Qual. Health Care 16, 107–123 (2004)CrossRefPubMedGoogle Scholar
  22. 22.
    Akre, C., Light, A., Sherman, L., Polvinen, J., Rich, M.: What young people with spina bifida want to know about sex and are not being told. Child Care Health Dev. 41, 963–969 (2015)CrossRefPubMedGoogle Scholar
  23. 23.
    Huis, A., Schoon, L., Grol, R., Borm, G., Adang, E., Hulcher, M., Achterberg, T.: Helping hands: a cluster randomised trial to evaluate the effectiveness of two different strategies for promoting hand hygiene in hospital nurses. Implement. Sci. 6, 101 (2011)CrossRefPubMedPubMedCentralGoogle Scholar
  24. 24.
    Last, B.F., Stam, H., Onland-van Nieuwenhuizen, A.M., Grootenhuis, M.A.: Positive effects of a psycho-educational group intervention for children with a chronic disease: first results. Patient Educ. Couns. 65, 101–112 (2007)CrossRefPubMedGoogle Scholar
  25. 25.
    Scholten, L., Willemen, A.L., Last, B.F., Maurice-Stam, H., van Dijk, E.M., Ensink, E., Zandbelt, N., van der Hoop-Mooij, A., Schuengel, C., Grootenhuis, M.A.: Efficacy of psychosocial group intervention for children with chronic illness and their parents. Pediatrics 131, E1196–E1203 (2013)CrossRefPubMedGoogle Scholar
  26. 26.
    Rijswijk, C., Zantinge, E., Seesing, F., Raats, I., Van Dulmen, S.: Shared and Individual medical appointments for children and adolescents with Type 1 diabetes: differences in topics discussed? Patient Educ. Couns. 79, 351–355 (2010)CrossRefPubMedGoogle Scholar
  27. 27.
    Grol, R., Wensing, M.: What drives change? Barriers to and incentives for achieving evidence-based practice. Med. J. Aust. 180, S57–S60 (2004)PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  • Heleen A. van der Stege
    • 1
    Email author
  • Sander R. Hilberink
    • 1
  • Ellen Bakker
    • 1
  • AnneLoes van Staa
    • 1
    • 2
  1. 1.Research Center Innovations in CareRotterdam University of Applied SciencesRotterdamThe Netherlands
  2. 2.Institute of Health Policy and ManagementErasmus University RotterdamRotterdamThe Netherlands

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