Sexual Quality of Life of Seniors Living in Long-Term Care Facilities: A Scoping Review.

Objective: Sexuality is a significant aspect of well-being throughout life. Unfortunately, numerous barriers hinder sexual quality of life (SQOL) of elderly residents in long-term care facilities. The goal of this review was to explore current knowledge on seniors' SQOL (issues and interventions), as well as existing practices aimed at supporting the intimacy and sexuality of elderly residents. Our first objective was to scope and synthesize current knowledge on barriers to SQOL, existing supporting interventions or strategies, and clinical practices pertaining to SQOL in long-term care facilities. Our second objective was to identify the most promising interventions that could be applied in a Québec context. Methods: Four databases were explored to gather scientific literature on the topic over the last 20 years, along with grey literature, and a consultation with relevant stakeholders was conducted during a forum involving 26 participants (seniors, caregivers, clinicians, managers, researchers, and ethics counselors) held in June 2022. Results: Sixty studies were identified, indicating limited evidence supporting best practices to improve the sexuality of elderly individuals. The forum highlighted promising interventions. Identified barriers include sociocultural stereotypes, lack of clear guidelines, and organizational constraints. Recommended interventions include promoting a culture open to residents' sexuality, community education, and creating suitable private spaces. Conclusions: Continued research would help to better support teams working in residential facilities who must assist elderly individuals with reduced autonomy, with the aim of enhancing intimacy and sexuality among this vulnerable population.