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Implementation of evidence-based PCOS lifestyle management guidelines : Perceived barriers and facilitators by consumers using the Theoretical Domains Framework and COM-B Model

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Pirotta, Stephanie, Joham, Anju J., Moran, Lisa J., Skouteris, Helen and Lim, Siew S. (2021) Implementation of evidence-based PCOS lifestyle management guidelines : Perceived barriers and facilitators by consumers using the Theoretical Domains Framework and COM-B Model. Patient Education and Counseling, 104 (8). pp. 2080-2088. doi:10.1016/j.pec.2021.01.036 ISSN 0738-3991.

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Official URL: http://dx.doi.org/10.1016/j.pec.2021.01.036

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Abstract

Background:
The 2018 Evidence-Based Polycystic Ovary Syndrome (PCOS) Clinical Guidelines recommend lifestyle management as first-line treatment for PCOS, yet implementation of PCOS lifestyle programs into practice is not well understood.

Objective:
To complete systematic intervention mapping by identifying the facilitators and barriers to lifestyle management in women with PCOS using the theoretical domains framework (TDF) and the Capacity, Opportunity, Motivation and Behaviour model (COM-B).

Patient involvement:
Women (N = 20) in Australian with PCOS were interviewed.

Methods:
Telephone semi-structured interviews.

Results:
Nine themes mapped onto seven TDF domains and the COM-B. Capability: psychological co-morbidities, knowledge and awareness of lifestyle change and ability to identify and resolve barriers. Opportunity: presence of other medical conditions, access to practical resources and availability of social support. Motivation: outcomes expectancies of lifestyle behaviour, personal values, enjoyment and readiness to change and the impact of stress on lifestyle choices.

Discussion:
This is the first study to explore barriers and facilitators to lifestyle change from the perspectives of women with PCOS using the TDF and COM-B. Addressing these themes will facilitate patient-centred care and long-term behaviour change.

Practical implications:
May increase the efficacy and effectiveness of PCOS lifestyle programs and reduce the risk of PCOS-associated disease in this population.

Item Type: Journal Article
Divisions: Faculty of Social Sciences > Warwick Business School
SWORD Depositor: Library Publications Router
Journal or Publication Title: Patient Education and Counseling
Publisher: Elsevier Ireland Ltd.
ISSN: 0738-3991
Official Date: August 2021
Dates:
DateEvent
August 2021Published
2 February 2021Available
30 January 2021Accepted
Volume: 104
Number: 8
Page Range: pp. 2080-2088
DOI: 10.1016/j.pec.2021.01.036
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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