Comparison between the effect of the information–motivation–behavioral (IMB) model and psychoeducational counseling on sexual satisfaction and contraception method used under the coercion of the spouse in Iranian women: A Randomized, Clinical Trial

Background: Women play an essential role in maintaining the family's health, and family planning is part of women's and families' health. The couple's mutual understanding of family planning methods is essential in selecting a contraception method. Acceptance of and satisfaction with different contraception methods can impact sexual satisfaction. The present study aimed to compare the effect of the information-motivation-behavioral (IMB) model and psychoeducational counseling on sexual satisfaction and contraception methods of women referring to healthcenters in Kerman. Methods: : This trial was conducted on 81 women aged 18–45 who came to Kerman health centers from 2021 to 2022. Participants were randomly divided into three groups of 27 people (control, psychoeducational counseling, IMB method). Due to the COVID-19 outbreak, three online counseling sessions were held for the psychoeducational counseling intervention group, and four online counseling sessions were held for the IMB group. The control group received routine care from a midwife. SPSS software was used for data analysis using nonparametric Friedman and Kruskal-Wallis tests. Results: : The mean age of participants was 32.59 ± 7.04, and the majority had university degrees and were homemakers. The mean sexual satisfaction score significantly increased immediately after the intervention and one month later in the two interventional groups ( P <0.001). Changes in contraception methods after intervention were significant in the psychoeducational group ( P = 0.028) Conclusion: The results indicate the positive impact of psychological counseling on women's sexual satisfaction and changing the contraception method. The results also showed that the IMB method positively impacted women's sexual satisfaction but had no impact on changing the contraceptive method.