eISSN: 1732-2707
ISSN: 1730-1270
HIV & AIDS Review. International Journal of HIV-Related Problems
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4/2020
vol. 19
 
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abstract:
Original paper

The effect of practical intimate relationship skills training (PAIRS) on marital satisfaction, adjustment, and sexual function in women living with HIV and AIDS: a randomized controlled trial

Akram Kia
1
,
Zahra Bayat Jozani
2
,
Kourosh Kabir
3
,
Leili Salehi
4, 5
,
Zohreh Mahmoodi
6

1.
Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran
2.
Iranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran
3.
Department of Community Medicine, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
4.
Research Center for Health, Safety and Environment, Alborz University of Medical Sciences, Karaj, Iran
5.
Department of Health Education and Promotion, School of Health, Alborz University of Medical Sciences, Karaj, Iran
6.
Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
HIV AIDS Rev 2020; 19, 4: 252-259
Online publish date: 2020/12/12
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Introduction
Considering the role of marital satisfaction and adjustment in family functioning, which can be influenced by specific disease, such as acquired immune deficiency syndrome (AIDS), this study was conducted to determine the effect of practical intimate relationship skills training (PAIRS) on marital satisfaction, adjustment, and sexual function in women living with human immunodeficiency virus (HIV) and AIDS (WLHA).

Material and methods
In a randomized controlled trial, 44 WLHA referred to the Behavioral Disease Counseling Clinic of Imam Khomeini Hospital, Tehran, Iran in 2019, were randomly divided into intervention and control groups based on four randomized blocks. Eight sessions of educational counseling were provided once a week for both group. At the beginning, at the end, and at four weeks following the training, Enrich marital satisfaction questionnaire, Spinner marital adjustment, and Rosen sexual function questionnaires were completed by patients and analyzed with a SPSS-21 software.

Results
This study showed no significant difference between total score of marital satisfaction, marital adjustment, and sexual function before the intervention. Rate of marital satisfaction (p = 0.003), marital adjustment (p = 0.03), and female sexual function (p < 0.001) were significantly increased in the intervention group immediately and one month after the intervention. The results also indicated that 77.9% of the changes in post-test scores of marital satisfaction, 76% of marital adjustment, and 94.9% of sexual function were related to the intervention effect, demonstrating a sustainable impact of educational intervention (p < 0.001).

Conclusions
PAIRS can improve marital satisfaction and adjustment and sexual function in WLHA, and influence quality of family functioning.

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PAIRS can improve marital satisfaction and adjustment and sexual function in WLHA, and influence quality of family functioning

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