Baqiyatallah University of Medical Sciences International Journal of Behavioral Sciences 2322-1194 16 4 2023 02 01 The Use of an Online Culturally Oriented Marital Enrichment Package on the Sexual Behaviors of Sexually Distressed Women: A Randomized Clinical Trial 255 260 165841 10.30491/ijbs.2023.367949.1869 EN Maryam Sazgar Department of Psychology, Islamic Azad University, Bushehr Branch, Bushehr, Iran Effat Merghati-Khoei Department of Sexology, National Center for Addiction Studies of Iran, Tehran University of Medical Sciences, Tehran, Iran Moloud Keykhosravani Department of Psychology, Islamic Azad University, Bushehr Branch, Bushehr, Iran Hamidreza Tohidinik Department of Biostatistics and Epidemiology, Faculty of Health, Kerman University of Medical Sciences, Kerman, Iran Journal Article 2022 11 02 <strong>Introduction: </strong>This study was carried out in order to investigate the online "marital enrichment package with a cultural approach" on the sexual behaviors of women suffering from sexual distress. <strong>Method:</strong> In this randomized clinical trial, 79 women were recruited. Forty were assigned to the experimental group and attended the four-week program (6 hours), and 39 were assigned to the control group. Sexual behaviours, sexual scripts, and sexual distress were determined by a questionnaire that was completed before and after, eight and 12 weeks post intervention. The control group received the intervention based on the sexual health model post experiment. Independent samples t-test were used for statistical analysis. <strong>Results:</strong> According to the findings of the present study, significant differences were observed between the groups for the scores of sexual behavior in the follow-ups (P=.001; F=26.582). <strong>Conclusion:</strong> The utilization of the four-session culture-oriented marital enrichment packa significantly improved sexual behaviors, altered sexual scripts, and decreased sexual distress. Our findings provide the basis for a larger Randomized-Controlled Trial (RCT) with a longer follow-up period among couples. https://www.behavsci.ir/article_165841_87fb64db8a74fa38e6778aea4d9e0f6c.pdf