{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T18:27:07Z","timestamp":1792520827787,"version":"4.5.0"},"reference-count":56,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2011,9,26]],"date-time":"2011-09-26T00:00:00Z","timestamp":1316995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2012,1,15]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>BACKGROUND:<\/jats:title><jats:p>After treatment for prostate cancer, multidisciplinary sexual rehabilitation involving couples appears more promising than traditional urologic treatment for erectile dysfunction (ED). The authors of this report conducted a randomized trial comparing traditional or internet\u2010based sexual counseling with waitlist (WL) control.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS:<\/jats:title><jats:p>Couples were randomized adaptively to a 3\u2010month WL, a 3\u2010session face\u2010to\u2010face format (FF), or an internet\u2010based format (WEB1). A second internet\u2010based group (WEB2) was added to examine the relation between web site use and outcomes. At baseline, post\u2010WL, post\u2010treatment, and 6\u2010month, and 12\u2010month follow\u2010up assessments, participants completed the International Index of Erectile Function (IIEF), the Female Sexual Function Index (FSFI), the Brief Symptom Inventory\u201018 to measure emotional distress, and the abbreviated Dyadic Adjustment Scale.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS:<\/jats:title><jats:p>Outcomes did not change during the WL period. Of 115 couples that were randomized to FF or WEB1 and 71 couples in the WEB2 group, 34% dropped out. Neither drop\u2010outs nor improvements in outcomes differed significantly between the 3 treatment groups. In a linear mixed\u2010model analysis that included all participants, mean \u00b1 standard deviation IIEF scores improved significantly across time (baseline, 29.7 \u00b1 17.9; 12 months, 36.2 \u00b1 22.4; <jats:italic>P<\/jats:italic> &lt; .001). FSFI scores also improved significantly (baseline, 15.4 \u00b1 8.5; 12 months, 18.2 \u00b1 10.7; <jats:italic>P<\/jats:italic> = .034). Better IIEF scores were associated with finding an effective medical treatment for ED and normal female sexual function at baseline. In the WEB2 group, IIEF scores improved significantly more in men who completed &gt;75% of the intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS:<\/jats:title><jats:p>An internet\u2010based sexual counseling program for couples was as effective as a brief, traditional sex therapy format in producing enduring improvements in sexual outcomes after prostate cancer. Cancer 2011;. \u00a9 2011 American Cancer Society.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncr.26308","type":"journal-article","created":{"date-parts":[[2011,9,27]],"date-time":"2011-09-27T21:13:40Z","timestamp":1317158020000},"page":"500-509","source":"Crossref","is-referenced-by-count":172,"title":["A randomized trial of internet\u2010based versus traditional sexual counseling for couples after localized prostate cancer treatment"],"prefix":"10.1002","volume":"118","author":[{"given":"Leslie R.","family":"Schover","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea 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