Original Research

A model to support radiation therapists in facilitating sexual health counselling for patients with prostate cancer

Nape M. Phahlamohlaka, Penelope Engel-Hills, Hesta Friedrich-Nel
Health SA Gesondheid | Vol 30 | a3047 | DOI: https://doi.org/10.4102/hsag.v30i0.3047 | © 2025 Nape M. Phahlamohlaka, Penelope Engel-Hills, Hesta Friedrich-Nel | This work is licensed under CC Attribution 4.0
Submitted: 19 March 2025 | Published: 17 October 2025

About the author(s)

Nape M. Phahlamohlaka, Department of Medical Imaging and Therapeutic Sciences, Faculty of Health and Wellness Sciences, Cape Peninsula University of Technology, Cape Town Department of Clinical Sciences, Faculty of Health and Environmental Sciences, Central University of Technology, Free State, Bloemfontein, South Africa
Penelope Engel-Hills, Department of Medical Imaging and Therapeutic Sciences, Faculty of Health and Wellness Sciences, Cape Peninsula University of Technology, Cape Town, South Africa
Hesta Friedrich-Nel, Department of Clinical Sciences, Faculty of Health and Environmental Sciences, Central University of Technology, Free State, Bloemfontein, South Africa

Abstract

Background: The involvement of radiation therapists (RTTs) in providing supportive care for patients facing sexual health challenges during radiotherapy for prostate cancer remains inconsistent in radiation therapy settings and under-researched in the South African context.
Aim: The aim was to develop a model framework to support the facilitation of men’s sexual health for patients with prostate cancer by leveraging the role of RTTs.
Setting: This study was conducted in the radiation therapy departments of two academic hospitals in Gauteng, South Africa.
Methods: A theory-generating design consisting of four steps was used to develop the model framework: (1) identifying, defining and classifying the central concepts, (2) constructing relationship statements, (3) describing the model and (4) evaluating the model.
Results: The central concept drawn from the empirical findings is the facilitation of supportive care for men’s sexual health. A model was developed, described and evaluated.
Conclusion: The model framework has the potential to improve the inclusion of conversations by RTTs on sexual health as part of routine care for patients receiving radiotherapy for prostate cancer.
Contribution: This article presents a model to promote patient counselling practices for RTTs that involve supportive care for men’s sexual health.


Keywords

supportive care; oncology health professional; radiotherapy; sexual health; counselling; radiation therapy; model framework

Sustainable Development Goal

Goal 3: Good health and well-being

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Crossref Citations

1. Sexual function and supportive care: Experiences of patients after prostate cancer treatment in a Gauteng oncology centre, South Africa
Nape Matheko Phahlamohlaka, Penelope Engel-Hills, Hesta Friedrich-Nel
Journal of Medical Imaging and Radiation Sciences  vol: 57  issue: 2  first page: 102171  year: 2026  
doi: 10.1016/j.jmir.2025.102171