effect of couple counseling intervention based on the better model on the sexual health of diabetic women

Background and objective: currently, the substantial number of women of reproductive age living with diabetes is viewed as a critical issue faced by policymakers. therefore, the present study aimed to assess the effect of a couple counseling intervention based on the better model on the sexual health of women with type 1 diabetes.materials and methods: the present study was conducted based on a quasi-experimental pre-test-post-test design with a control group and a three-month follow-up. the statistical population of the study consisted of all married women with type 1 diabetes in hamedan who had a medical record at the diabetes association. of these, 40 cases were randomly assigned to two experimental and control groups using convenience sampling. they answered the halbert women's sexual performance index, fatigue severity, sexual desire, and sexual fulfillment questionnaire as a pre-test-post-test and three months after the intervention. the intervention group received four training sessions for 45-90 minutes according to the better model, while the control group did not receive any training during this period. the analyses were performed using spss software (version 25) at a significance level of p<0.05.results: the results revealed that couple counseling based on the better model was effective in sexual health, sexual fatigue, sexual desire, sexual fulfillment, and failure in sexual relationships, and this effect persisted for three months after the intervention.conclusion: as evidenced by the findings of this study, the couple counseling model based on the better model proved to be successful in notably enhancing the sexual function of diabetic. considering the low quality of life of these individuals, it is also suggested that this training be used in diabetes support groups. moreover, regarding the interventions of the present study, psychosocial and multidisciplinary interventions should be given more attention in a larger sample size.