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Couple Sexuality After Treatment for Colerectal Cancer and Adaptation to an Ostomy: Bridging the Divide Between Needs, Recommendations, and Treatment

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dc.contributor.advisorFergus, Karen D.
dc.contributor.authorMcCarthy, Molly Clare
dc.date.accessioned2020-11-13T14:05:48Z
dc.date.available2020-11-13T14:05:48Z
dc.date.copyright2020-10
dc.date.issued2020-11-13
dc.date.updated2020-11-13T14:05:47Z
dc.degree.disciplinePsychology (Functional Area: Clinical Psychology)
dc.degree.levelDoctoral
dc.degree.namePhD - Doctor of Philosophy
dc.description.abstractObjective: Over the course of three sequential qualitative studies, this investigation aims to better understand and support couples sexual adjustment following ostomy surgery for colorectal cancer (CRC). Method: Study 1 consists of a grounded theory analysis of interviews with 11 couples about their sexual adjustment. Study 2 presents an embedded-case study of a novel online intervention to facilitate conversations within couples about the sexual changes they have experienced following the ostomy and CRC. The analysis uses post-treatment interview transcripts with two couples and facilitator observations as sources of data. Study 3 entails a thematic analysis of interviews with 11 healthcare providers (HCPs) about the barriers to engaging couples in a trial of the same online intervention, following challenges in recruitment. Results: In study 1, results point to a natural resiliency of couples to adjust to sexual changes imposed by the ostomy and CRC, at least to some degree, and yet the need for HCPs to offer support to couples around these concerns. Results of study 2 reveal several avenues for future development of the program and provide preliminary information about the interventions acceptability and feasibility. In study 3, results describe several barriers to recruitment at the level of the system, HCP, patient, and intervention. Discussion: As a collection these studies underscore the complexity of the sexual health needs of this relatively underserved cancer population and their partners, while simultaneously offering a brief approach to intervention that may support these couples sexual adjustment and shedding light on the barriers that need overcoming to conduct research in this area.
dc.identifier.urihttp://hdl.handle.net/10315/38009
dc.languageen
dc.rightsAuthor owns copyright, except where explicitly noted. Please contact the author directly with licensing requests.
dc.subjectHealth education
dc.subject.keywordsOncology
dc.subject.keywordsCancer
dc.subject.keywordsColorectal cancer
dc.subject.keywordsOstomy
dc.subject.keywordsColostomy
dc.subject.keywordsIleostomy
dc.subject.keywordsSex
dc.subject.keywordsSexual health
dc.subject.keywordsSexuality
dc.subject.keywordsSexual intervention
dc.subject.keywordsCouples
dc.subject.keywordsIntimacy
dc.subject.keywordsIntimate relationship
dc.subject.keywordsRelational adjustment
dc.subject.keywordsCouple adjustment
dc.subject.keywordsCouple adaptation
dc.subject.keywordsQualitative methods
dc.subject.keywordsCase study
dc.subject.keywordsGrounded theory
dc.subject.keywordsThematic analysis
dc.subject.keywordsOnline intervention
dc.subject.keywordsOnline therapy
dc.subject.keywordsVirtual therapy
dc.subject.keywordsSex education
dc.subject.keywordsCancer care
dc.subject.keywordsSupportive care
dc.titleCouple Sexuality After Treatment for Colerectal Cancer and Adaptation to an Ostomy: Bridging the Divide Between Needs, Recommendations, and Treatment
dc.typeElectronic Thesis or Dissertation

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