Online Compared to Face-to-Face Sexual Intimacy Enhancement Training Program Counseling with Cognitive-Behavioral Approach on Sexual Intimacy in Pregnant Women

Studies have shown sexual intimacy enhancement-training with cognitive-behavioral can affect women's sexual intimacy. Interventional study to compare online and face-to-face sexual enhancement-training with cognitive-behavioral approach on sexual intimacy was conducted on 48 pregnant women with sexual intimacy scores < 75 who were randomly divided online (n = 25) and face-to-face (n = 23). Six 90-minute session sexual intimacy enhancement-training were conducted. Data were collected Botlani's sexual intimacy questionnaire (primary outcome) and counseling satisfaction scale (secondary outcome) measured baseline and after 6 and 10 weeks. In each group sexual intimacy in 10(th) week increased significantly compared to baseline (65.88 +/- 5.51 vs 87.36 +/- 8.39, p < 0.001) and (67.39 +/- 5.26 vs 83.70 +/- 5.61, p < 0.001) respectively. There was no significant difference between two groups in sexual intimacy scores in 6(th) (82.32 +/- 9.25 vs 79.87 +/- 6.35, p = 0.29) and 10(th) weeks (87.36 +/- 8.39 vs 83.70 +/- 5.61, p = 0.08) but totally intervention caused significant increase in sexual intimacy in 10(th) week compared to baseline (p = 0.04). Satisfaction from intervention was significantly different in 6(th) (65.72 +/- 2.57 vs 61.21 +/- 7.17, p = 0.021) and 10(th) weeks (68.92 +/- 2.79 vs 64.26 +/- 5.15, p = 0.001). Intervention improved sexual intimacy in pregnant women via both online and face-to-face counseling, with more sexual intimacy and satisfaction in online group, could be useful in COVID-19 pandemic.