PleasureABLE 2 : Co-designing an Updated Version of a Knowledge Translation Manual to Facilitate Participation in Sexual Activities for People with Spinal Cord Injuries

Purpose: Sexual health is a fundamental component of well-being and quality of life, yet sexuality is often disrupted for individuals with spinal cord injury (SCI). Despite recognized importance, there remains a lack of inclusive, accessible sexual education resources for clients and clinicians. The PleasureABLE 1.0 manual provided practical guidance on adaptive sexual devices for people with disabilities, but requires updating. Through feedback from people with SCI, their partners, and rehabilitation clinicians, this study aims to explore the utility and relevance of the PleasureABLE 2 manual. Method: Using a qualitative descriptive design, data were collected through two focus groups consisting of individuals with SCI and their partners (n=8) and rehabilitation clinicians (n=7). Participants reviewed the PleasureABLE 2 prototype and provided feedback. Results: Focus groups revealed similar and dissimilar feedback. Both groups indicated accessibility, inclusivity and representation, redefining sexuality and intimacy, and manual length as key elements. Groups had divergent viewpoints on representation, peer perspectives, communication, and implementation in practice. Conclusion: Shared and diverging feedback emerged between the validation groups, with areas of differences reflecting priorities associated with lived experience and clinical practice. Integrating both lived experience and clinician perspectives will support the development of a resource that is meaningful, engaging, and accessible for end users.