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Female Sexual DysfunctionNCT05168371

Cognitive-Behavioural & Mindfulness-Based Online Programs for Female Sexual Dysfunction

A study testing Cognitive-Behavioural Therapy - Online (CBT-O) and Mindfulness-Based Therapy - Online (MBT-O) in people with Female Sexual Dysfunction, run by University of British Columbia at 1 site in Canada.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Female sexual dysfunction (FSD) affects approximately one-third of women worldwide and is linked to negative physical, psychological, and interpersonal outcomes. Although both cognitive-behavioral therapy and mindfulness-based therapy are effective treatments for FSD, face-to-face treatments can be costly and are… Read more about this study

Who is it for?
Ages 19 years and older
Conditions the study is for
Female Sexual Dysfunction
What is being tested?
Cognitive-Behavioural Therapy - Online (CBT-O) and Mindfulness-Based Therapy - Online (MBT-O)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
129 participants
Where
1 siteCanada
Study dates
12 Nov 2021to 1 Dec 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 19 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Cis and trans women of any sexual orientation.
  • Must be fluent in English (online materials delivered in English).
  • Must have consistent access to the internet, basic competency in using online platforms (self-report).
  • Must be in a committed, stable romantic relationship of at least 6 months (because aspects of the interventions require partner participation). Partners may be of any gender.
  • Must meet telephone screening diagnostic criteria for sexual interest/arousal disorder.
  • Must be sexually active with a partner over the preceding 4 weeks (due to the sexual function outcome measure), and willing to engage in sexual activity with their partner during the study.
  • Must be able to participate in an 8-12-week online treatment.

Who cannot join

  • Have sexual dysfunction that is, in their estimation, fully attributable to another psychiatric diagnosis, the effect of a substance, a general medical condition (e.g., Multiple Sclerosis), or non-sexual conflict in the relationship, none of which are meant to be addressed by the proposed interventions.
  • Poorly managed Anxiety or Mood Disorder (as per degree of life interference assessed at screening).
  • Report visual impairments that would make it difficult to read online materials.
  • Are regularly using prescription narcotics illegal recreational drug (not including cannabis).
  • Plan to change their medications known to impact sexual function over the course of the study.
  • On assessment report plans to end their romantic relationship in the next 6 months.
  • Engage in any other treatment for their sexual difficulties during the study.

Trial locations and contacts

1 site in 1 country.

Canada1 site
  • UBC Sexual Health Research Lab; Gordon & Leslie Diamond Health Care Centre

    Vancouver, British Columbia, V5Z 1M9

Other trials in Canada

About this study

Official title: Pilot RCT for Cognitive-Behavioural & Mindfulness-Based Online Programs for Female Sexual Dysfunction

Female sexual dysfunction (FSD) affects approximately one-third of women worldwide and is linked to negative physical, psychological, and interpersonal outcomes. Although both cognitive-behavioral therapy and mindfulness-based therapy are effective treatments for FSD, face-to-face treatments can be costly and are inaccessible to many people in remote areas. The goal of the current study is to pilot a randomized controlled trial to examine the effectiveness of and satisfaction with two online interventions for FSD. Women will be randomized to an online cognitive-behavioral program, an online mindfulness-based program, or a wait-list control group. Treatment will be administered entirely online and last 8-12 weeks. Women will meet weekly via Zoom with a navigator who will provide individualized support.

Read the detailed description

HYPOTHESES:

  1. Compared to women in the wait-list control arm, women in the CBT and MBT arms will have significant post-treatment and follow-up improvements in self-report measures of the primary outcomes: (a) sexual distress and (b) sexual desire.
  2. Compared to women in the wait-list control arm, women in the CBT and MBT arms will have significant post-treatment and follow-up improvements in self-report measures of the secondary outcomes: (a) overall sexual function, (b) sexual satisfaction, (c) relational sexual concern, (d) satisfaction with life, and (e) relationship satisfaction.
  3. Improvements in depression, sexual avoidance, and sexual consequences will significantly mediate improvements in primary outcomes at all post-treatment assessment points.
  4. Higher levels of baseline relationship satisfaction, higher levels of partner involvement, more positive baseline expectations about treatment efficacy, higher levels of treatment compliance, and perceiving higher levels of empathy and effectiveness from navigators will predict greater improvements in primary outcomes at post-treatment and follow-up.
  5. Baseline personality will moderate intervention effects at post-treatment and follow-up.
  6. Women in both the CBT and MBT arms will report being satisfied with treatment.
Being tested
Cognitive-Behavioural Therapy - Online (CBT-O), Mindfulness-Based Therapy - Online (MBT-O)
Keywords
Sexual Desire, Mindfulness, Cognitive Behavioral Therapy, Cognitive Behavioural Therapy, Mindfulness Based Therapy, Digital Health, Sexual Interest/Arousal Disorder, Female Sexual Dysfunction

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Cognitive-Behavioural Therapy - Online (CBT-O)Behavioural

    Face-to-face CBT was adapted for web-based self-directed therapy. CBT-O was found to be feasible and usable (Stephenson et al., 2021; Zippan et al., 2020).

    Each of the eight modules has between-module activities to complete. The eight modules are: 1) Psychoeducation, introduction to CBT; 2) The cognitive model and thought records; 3) Unhelpful thinking patterns; 4) Cognitive restructuring; 5) Behavioral experiments; 6) Self-touch and sensate focus; 7) Sensate focus with your partner; and 8) Maintaining (and extending) your gains.

  • Mindfulness-Based Therapy - Online (MBT-O)Behavioural

    The content of MBT-O was adapted from an efficacious face-to-face mindfulness intervention for women with Sexual Interest/Arousal Disorder (Brotto et al., 2021; Paterson et al., 2017). MBT-O was found to be feasible and usable (Brotto et al., under review).

    Each of the eight modules has between-module activities to complete. The eight modules are: 1) Psychoeducation, introduction to mindfulness; 2) Increasing awareness of physical sensations in the body; 3) Exploring movement and body image; 4) Awareness of sexual thoughts and beliefs; 5) Working with aversion, self-touch; 6) Exploring sexual sensations, knowing limits; 7) Integrating the partner into mindful touching; and 8) Maintaining (and extending) your gains.

Study groups in NCT05168371
Study groupRoleWhat they receive
CBT-OExperimentalWomen randomized to this arm will receive access to the eight modules of Cognitive-Behavioural Therapy-Online (CBT-O). Participants will meet weekly via Zoom with treatment navigators during the 8-12 weeks that it takes to complete the program.
Receives: Behavioral: Cognitive-Behavioural Therapy - Online (CBT-O)
MBT-OExperimentalWomen randomized to this arm will receive access to the eight modules of Mindfulness-Based Therapy-Online (MBT-O). Participants will meet weekly via Zoom with treatment navigators during the 8-12 weeks that it takes to complete the program.
Receives: Behavioral: Mindfulness-Based Therapy - Online (MBT-O)
Wait-List ControlNo interventionParticipants who are randomized to the wait-list group will complete two baseline online questionnaire/assessment batteries before being randomized to one of the active treatment groups. Participants will be randomized into one of the active treatment groups after a 10 week waiting period.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in sexual distress

    Revised version of the Female Sexual Distress Scale-R (Derogatis et al., 2008). Scores on the scale range from 0-52, where higher scores represent higher levels of distress.

    Measured: baseline; mid-treatment (an average of 5 weeks after starting the 8-module program); post-treatment (within 2 weeks of completing the 8-module program); and 6-month follow-up

  2. Change in sexual desire

    The Sexual Interest and Desire Inventory (SIDI; Clayton et al. 2006) total score will be used to measure sexual desire. Possible total scores range from 0-51, with higher scores indicating higher levels of sexual functioning.

    Measured: baseline; mid-treatment (an average of 5 weeks after starting the 8-module program); post-treatment (within 2 weeks of completing the 8-module program); and 6-month follow-up

Secondary outcomes (15)
  1. Change in sexual function

    Female Sexual Function Index total score (FSFI; Rosen et al., 2000). Scores range from 2 - 36 where increase in sexual dysfunction is represented by lower scores.

    Measured: baseline; mid-treatment (an average of 5 weeks after starting the 8-module program); post-treatment (within 2 weeks of completing the 8-module program); and 6-month follow-up

  2. Change in sexual satisfaction

    Quality of Sex Inventory (QSI; Shaw \& Rogge, 2016). For all items, responses are given values on a 0 to 5 point scale with 0 = Not at all TRUE and 5 = Completely TRUE. The items of the sexual satisfaction subscale are summed to create a total where higher scores indicate higher levels of sexual satisfaction (0-60). The items of the sexual dissatisfaction subscale are summed separately to create a total where higher scores reflect higher levels of sexual dissatisfaction (0-60).

    Measured: baseline; post-treatment (within 2 weeks of completing the 8-module program); and 6-month follow-up

  3. Change in relational sexual concern

    Relational concern subscale of the Sexual Satisfaction Scale-Women (SSS-W; Meston \& Trapnell, 2005). Scores range from 6-30, with higher scores reflecting lower levels of sexual relational concern.

    Measured: baseline; post-treatment (within 2 weeks of completing the 8-module program); and 6-month follow-up

  4. Change in relationship satisfaction

    Couples satisfaction index (CSI-16; Funk \& Rogge, 2007). CSI-16 scores can range from 0 to 81. Higher scores indicate higher levels of relationship satisfaction.

    Measured: baseline; post-treatment (within 2 weeks of completing the 8-module program); and 6-month follow-up

  5. Treatment satisfaction for module 1

    Face-valid single item measures, asking participants to rate helpfulness of content covered each week, and ease of reading the content (0-10 scale). Research suggests a cut-off of 6.5/10 on these measures to indicate acceptable utility and clarity of content. Asked after completing module 1.

    Measured: An average of 1 week after starting the 8-module program

  6. Treatment satisfaction for module 2

    Face-valid single item measures, asking participants to rate helpfulness of content covered each week, and ease of reading the content (0-10 scale). Research suggests a cut-off of 6.5/10 on these measures to indicate acceptable utility and clarity of content. Asked after completing module 2.

    Measured: An average of 2 weeks after starting the 8-module program

  7. Treatment satisfaction for module 3

    Face-valid single item measures, asking participants to rate helpfulness of content covered each week, and ease of reading the content (0-10 scale). Research suggests a cut-off of 6.5/10 on these measures to indicate acceptable utility and clarity of content. Asked after completing module 3.

    Measured: An average of 3 weeks after starting the 8-module program

  8. Treatment satisfaction for module 4

    Face-valid single item measures, asking participants to rate helpfulness of content covered each week, and ease of reading the content (0-10 scale). Research suggests a cut-off of 6.5/10 on these measures to indicate acceptable utility and clarity of content. Asked after completing module 4.

    Measured: An average of 5 weeks after starting the 8-module program

  9. Treatment satisfaction for module 5

    Face-valid single item measures, asking participants to rate helpfulness of content covered each week, and ease of reading the content (0-10 scale). Research suggests a cut-off of 6.5/10 on these measures to indicate acceptable utility and clarity of content. Asked after completing module 5.

    Measured: An average of 6 weeks after starting the 8-module program

  10. Treatment satisfaction for module 6

    Face-valid single item measures, asking participants to rate helpfulness of content covered each week, and ease of reading the content (0-10 scale). Research suggests a cut-off of 6.5/10 on these measures to indicate acceptable utility and clarity of content. Asked after completing module 6.

    Measured: An average of 7 weeks after starting the 8-module program

  11. Treatment satisfaction for module 7

    Face-valid single item measures, asking participants to rate helpfulness of content covered each week, and ease of reading the content (0-10 scale). Research suggests a cut-off of 6.5/10 on these measures to indicate acceptable utility and clarity of content. Asked after completing module 7.

    Measured: An average of 9 weeks after starting the 8-module program

  12. Treatment satisfaction for module 8

    Face-valid single item measures, asking participants to rate helpfulness of content covered each week, and ease of reading the content (0-10 scale). Research suggests a cut-off of 6.5/10 on these measures to indicate acceptable utility and clarity of content. Asked after completing module 8.

    Measured: An average of 10 weeks after starting the 8-module program

  13. Quantitative program treatment satisfaction as assessed by the adapted Erectile Dysfunction Inventory of Treatment Satisfaction

    Adapted Erectile Dysfunction Inventory of Treatment Satisfaction (Althof et al., 1999; items 1-10). Scores range from 0-40, with higher scores reflecting higher treatment satisfaction.

    Measured: post-treatment (within 2 weeks of completing the 8-module program)

  14. Qualitative program treatment satisfaction

    Qualitative feedback about eSense and between-module activities collected by treatment navigators.

    Measured: through completion of the 8-module program, an average of 10 weeks

  15. Change in satisfaction with life

    Satisfaction with Life Scale (Diener et al., 1985). Scores range from 5-35, with higher scores reflecting higher levels of life satisfaction.

    Measured: baseline; post-treatment (within 2 weeks of completing the 8-module program); and 6-month follow-up

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted23 Dec 2021
  2. Study start12 Nov 2021
  3. Primary completion1 Nov 2023
  4. Study completion1 Dec 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
129 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05168371
Sponsor's protocol ID
H20-03914
Status last verified
Mar 2025
First submitted
23 Nov 2021
Last updated
26 Mar 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Brotto LA, Stephenson KR, Marshall N, Balvan M, Okara Y, Mahar EA. Evaluating a Digital Health Tool Designed to Improve Low Sexual Desire in Women: Mixed-Methods Implementation Science Study. J Med Internet Res. 2025 Mar 25;27:e69828. doi: 10.2196/69828.

    PubMed 40132194

Questions about this trial

What is this clinical trial studying?

A study testing Cognitive-Behavioural Therapy - Online (CBT-O) and Mindfulness-Based Therapy - Online (MBT-O) in people with Female Sexual Dysfunction, run by University of British Columbia at 1 site in Canada.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 Mar 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in sexual distress (time frame: baseline; mid-treatment (an average of 5 weeks after starting the 8-module program); post-treatment (within 2 weeks of completing the 8-module program); and 6-month follow-up). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05168371, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Mar 2025.

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