Mixed-methods study explores barriers and enablers for integrating sexuality into spinal cord injury rehabilitation.
Key Points
The study aims to identify barriers and facilitators for integrating sexual health into spinal cord injury rehabilitation and to assess healthcare professionals' experiences.
Sequential explanatory mixed-methods design was used, prioritizing qualitative data.
Healthcare professionals from three Swiss SCI/D rehabilitation centers completed a questionnaire and participated in focus groups.
Qualitative data were thematically analyzed and mapped to the Theoretical Domains Framework.
136 respondents indicated that one-third had training in sexuality post-SCI/D.
Almost half felt competent to educate on sexual health, but fewer than 40% initiated conversations about it.
Key themes included building confidence through knowledge, shared responsibility for sexuality, and navigating social dynamics.