Abstract

Sexual difficulties are common, but there is limited access to specialist services. People concerned about their sexual functioning may not seek help, and patients and health professionals can find it difficult to raise the topic. This intervention description paper details the aims, design and therapeutic rationale underpinning an interactive website which provides stand-alone, tailored advice and self-help for sexual difficulties. Sextherapylondon (STL) is an interactive digital intervention (IDI) offering evidence-based sex therapy including psychoeducation, cognitive-behavioural and systemic therapy techniques within a social constructionist framework. An online triage module identifies those who need clinical assessment before proceeding with online sex therapy, generating a referral letter. STL offers online self-help for getting or keeping erections, early ejaculation, sexual pain, difficulties with orgasm, and lack or loss of sexual desire. In this paper we describe the content and design of the STL web-based sex therapy programs, including the theoretical and therapeutic rationale which underpins the website structure and content. Sextherapylondon replicates key aspects of therapist-delivered sex therapy from a range of theoretical approaches, to provide tailored, personalised feedback. By offering private, convenient online access, interactive digital interventions can address the needs of people with sexual difficulties who may not otherwise receive help.

摘要

性方面的困难很普遍，但获得专科服务的机会有限。关注其性功能的人们可能不会寻求帮助，患者和卫生专业人员会发现很难提出这个话题。这份干预措施描述文件详细介绍了旨在为性困难提供独立，量身定制的建议和自助服务的交互式网站的目的，设计和治疗原理。Sextherapylondon（STL）是一种交互式数字干预（IDI），在社会建构主义框架内提供基于证据的性治疗，包括心理教育，认知行为和系统性治疗技术。在线分类系统可识别需要进行临床评估的患者，然后再进行在线性治疗，并生成推荐信。STL提供在线自助服务，以获取或保持勃起，早泄，性疼痛，性高潮困难以及性欲缺乏或丧失。在本文中，我们描述了基于STL网络的性治疗程序的内容和设计，包括支撑网站结构和内容的理论和治疗原理。Sextherapylondon从一系列理论方法中复制了治疗师提供的性疗法的关键方面，以提供量身定制的个性化反馈。通过提供私有的，方便的在线访问，交互式数字干预措施可以解决可能无法获得帮助的性障碍患者的需求。在本文中，我们描述了基于STL网络的性治疗程序的内容和设计，包括支撑网站结构和内容的理论和治疗原理。Sextherapylondon从一系列理论方法中复制了治疗师提供的性疗法的关键方面，以提供量身定制的个性化反馈。通过提供私有的，方便的在线访问，交互式数字干预措施可以解决可能无法获得帮助的性障碍患者的需求。在本文中，我们描述了基于STL网络的性治疗程序的内容和设计，包括支撑网站结构和内容的理论和治疗原理。Sextherapylondon从一系列理论方法中复制了治疗师提供的性疗法的关键方面，以提供量身定制的个性化反馈。通过提供私有的，方便的在线访问，交互式数字干预措施可以解决可能无法获得帮助的性障碍患者的需求。