Development of a Communication Instrument to Address Sexuality in COPD: COSY.

Area of Science:

• Pulmonary Medicine
• Sexual Health
• Health Communication

Background:

• Sexuality is a crucial component of quality of life, yet it is frequently unaddressed in individuals with chronic obstructive pulmonary disease (COPD).
• Effective communication and counseling regarding sexual health are vital for a holistic approach to patient care in COPD management.

Purpose of the Study:

• To develop a novel communication instrument designed to facilitate discussions about sexuality between patients with COPD and healthcare professionals (HCPs).
• To create a tool that supports counseling and addresses barriers to sexual health conversations in the context of COPD.

Main Methods:

• A comprehensive literature search was conducted on sexuality in COPD, focusing on communication strategies and supportive tools.
• A survey of 25 patients and 36 HCPs explored attitudes, experiences, and barriers related to discussing sexuality.
• An expert team, including HCPs and individuals with COPD, refined the communication instrument through iterative feedback.

Main Results:

• Survey data revealed that despite a mutual desire to discuss sexuality, communication rarely occurred due to barriers like lack of confidence and misconceptions.
• The expert team developed the COmmunication about SexualitY in COPD (COSY) instrument.
• COSY comprises four components: a communication leaflet, an application guide, a visual aid for HCPs on intimacy, and a patient-friendly information booklet.

Conclusions:

• It is essential to address sexuality in individuals with COPD to ensure comprehensive care.
• The COSY instrument offers a structured approach to initiating and guiding conversations about sexual health.
• Implementing COSY can contribute to a more holistic consideration of quality of life for patients with COPD.