(472) Developing a Web-Based Sexual Health Support Program for Urogenital Cancer Survivors

Abstract Introduction Introduction: Genitourinary (UG) tract cancers, commonly diagnosed in middle-aged individuals, are associated with pelvic pain, sexual dysfunction, and psychological distress, particularly in developing countries. Survivors of UG cancer often experience a significant decline in quality of life, exacerbated by treatment modalities including surgery, chemotherapy, and hormonal deprivation. The Limited availability of specialized psychosexual services for UG cancer survivors(UGCS) highlights the urgent need for alternative, accessible ways to address their mental and sexual health needs. Objective Using a participatory design approach, this project aims to develop a web-based sexual health support program (WBSHP) based on survivors’ unmet psychosexual needs and to determine its acceptability, feasibility, and preliminary efficacy in managing pelvic pain and sexual function difficulties, ultimately intended to promote pelvic, mental, and sexual health, and quality of life in UGCS and their partners. Methods The study uses a mixed-methods design and will integrate 3 studies: Part 1 is a systematic review that follows PRISMA guidelines and aims to summarize existing literature on online mental health programs and sexual health care services to promote their pelvic, psychological and sexual health and QOL. Study 2 is a qualitative thematic analysis conducted through in-depth interviews with a group of survivors of urogenital cancers and their partners with maximum diversity and establishing focus groups with specialists to examine the impact of these cancers on survivors ' mental health and sexual function, pelvic pain, and functional problems to design and develop an evidence-based sexual health support program (WBSHP), integrated with the results of the systematic literature review and tailored to survivors’ needs. Study 3 is a pilot study to assess the acceptability, feasibility, and preliminary efficacy of a WBSHP intervention among UGCS and their partners. Participants will be requited from 3 clinics. Following ethical approval, informed consent, and pre-test screening and evaluation interviews, eligible participants are randomly divided into the experimental group receiving the intervention (N = 30) or the waiting list group (N = 30). Mid-test, post-test and follow-up assessment; 3 months after the end of the intervention will be carried out. The waiting list group will receive access to the same support program and the same treatment protocol after 8 weeks of randomization. Results The program’s efficacy will be assessed through baseline (T1), mid-test (T2) after completing four treatment modules, post-test (T3), and 3month follow-up (T4). Statistical and qualitative analysis will be used to summarize findings, including descriptive analyses; MANOVA to measure differences among groups and to compare assessment moments using IBM SPSS; and thematic analysis to understand the user’s experience (post-RC). Conclusions The project has just been initiated, and by offering a new cost-effective option for specialized care using the advantage of anonymity and dedicated access to patients, this web-based sexual mental health program would be designed to improve sexual and mental health, reduce pelvic pain and functional problems, and improve the quality of life of UGCS and their partners.It is also expected to encourage greater treatment adherence and foster healthier sexual and psychological outcomes. Disclosure No