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Implementation of the polycystic ovary syndrome guidelines : a mixed method study to inform the design and delivery of a lifestyle management program for women with polycystic ovary syndrome
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Pirotta, Stephanie, Joham, Anju E., Moran, Lisa J., Skouteris, Helen and Lim, Siew S. (2021) Implementation of the polycystic ovary syndrome guidelines : a mixed method study to inform the design and delivery of a lifestyle management program for women with polycystic ovary syndrome. Nutrition and Dietetics, 78 (5). pp. 476-486. doi:10.1111/1747-0080.12670 ISSN 1446-6368.
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Official URL: http://dx.doi.org/10.1111/1747-0080.12670
Abstract
Aim:
The 2018 evidence-based polycystic ovary syndrome (PCOS) guidelines recommend lifestyle management as first-line treatment. This study aims to understand the preferred intervention characteristics of a PCOS lifestyle program from the perspectives of women with PCOS to inform the translation of the guidelines into practice.
Methods:
Women with self-reported PCOS residing in Australia took part in semi-structured interviews (n = 20) and an online survey (n = 286). The survey and interview schedule were developed using the template for intervention description and replication checklist.
Results:
Women want to take part in a lifestyle program (94.6%) and use government-subsidised sessions to attend (83%). Sessions of 45 to 60 minutes (75%) costing less than AUD$50 are preferred (60%). Topics of most interest related to sustainable daily physical activity (58%), overcoming non-hungry eating (54%), PCOS-specific diets (51%) and how to overcome barriers to behaviour change (45%). A delivery mode that combines online and in-person support is preferred (53%). Women are in need of long-term professional lifestyle support (6-12 months) that provides evidence-based, PCOS-specific, personalised prescription. Multidisciplinary support from a range of PCOS-trained professions is also preferred to address women's physical, psychological and emotional needs.
Conclusion:
Women with PCOS are willing to take part in lifestyle programs that are low cost, long term, evidence based, PCOS-specific and provide practical strategies for nutrition and physical activity changes. Future online and in-person PCOS programs are strongly recommended to incorporate these findings to improve program engagement and patient satisfaction.
| Item Type: | Journal Article | ||||||
|---|---|---|---|---|---|---|---|
| Divisions: | Faculty of Social Sciences > Warwick Business School | ||||||
| SWORD Depositor: | Library Publications Router | ||||||
| Journal or Publication Title: | Nutrition and Dietetics | ||||||
| Publisher: | Wiley-Blackwell Publishing Asia | ||||||
| ISSN: | 1446-6368 | ||||||
| Official Date: | November 2021 | ||||||
| Dates: |
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| Volume: | 78 | ||||||
| Number: | 5 | ||||||
| Page Range: | pp. 476-486 | ||||||
| DOI: | 10.1111/1747-0080.12670 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Restricted or Subscription Access |
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