Abstract

Prior research suggests frequent, scheduled, non-interactive text support enhances psychological outcomes and increases adherence to psychological interventions (Agyapong et al., 2020; Shalaby et al., 2022; Shim et al., 2017). Using a hybrid III implementation model, we recruited individuals in romantic relationships to test whether weekly reminders improved engagement with a sexual mindfulness intervention. We found no evidence that additional support increased intervention implementation. Although we aimed to assess acceptability, adoption, appropriateness, and feasibility as separate implementation outcomes, factor analysis indicated these variables cluster into two broader constructs: Readiness and motivation and discomfort and uncertainty. These factors did not differ between conditions. Similarly, mixed design ANOVA revealed no significant differences in clinical outcomes, such as sexual satisfaction, between those who received text reminders and those who did not. Qualitative findings highlight the impact of discomfort discussing sex on participants' engagement and implementation of the intervention.

Degree

PhD

College and Department

Family, Home, and Social Sciences; Psychology

Rights

https://lib.byu.edu/about/copyright/

Date Submitted

2025-06-23

Document Type

Dissertation

Keywords

sexual mindfulness, implementation, sexual functioning

Language

english

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