BARRIERS AND FACILITATORS TO THE IMPLEMENTATION OF LIFESTYLE MANAGEMENT IN POLYCYSTIC OVARY SYNDROME: ENDOCRINOLOGISTS’ AND OBSTETRICIANS AND GYNAECOLOGISTS’ PERSPECTIVES

2021 ◽  
Author(s):  
Irene Chhour ◽  
Lucinda Blackshaw ◽  
Lisa J Moran ◽  
Jacqueline A Boyle ◽  
Tracy Robinson ◽  
...  
Keyword(s):  
Polycystic Ovary Syndrome ◽  
Polycystic Ovary ◽  
Barriers And Facilitators ◽  
Ovary Syndrome ◽  
Lifestyle Management

scholarly journals Barriers and Facilitators to Weight and Lifestyle Management in Women with Polycystic Ovary Syndrome: General Practitioners’ Perspectives

Nutrients ◽  
2019 ◽  
Vol 11 (5) ◽  
pp. 1024 ◽  
Author(s):  
Alexis Arasu ◽  
Lisa J Moran ◽  
Tracy Robinson ◽  
Jacqueline Boyle ◽  
Siew Lim
Keyword(s):  
Polycystic Ovary Syndrome ◽  
General Practitioners ◽  
Health Professionals ◽  
Allied Health ◽  
Polycystic Ovary ◽  
Barriers And Facilitators ◽  
Structured Interviews ◽  
Ovary Syndrome ◽  
Allied Health Professionals ◽  
Lifestyle Management

Background: Weight and lifestyle management is advocated as the first-line treatment for polycystic ovary syndrome (PCOS) by evidence-based guidelines. Current literature describes both systems- and individual-related challenges that general practitioners (GPs) face when attempting to implement guideline recommendations for lifestyle management into clinical practice for the general population. The GPs’ perspective in relation to weight and lifestyle advice for PCOS has not been captured. Methods: Fifteen GPs were recruited to take part in semi-structured interviews. NVIVO software was used for qualitative analysis. Results: We report that GPs unanimously acknowledge the importance of weight and lifestyle management in PCOS. Practice was influenced by both systems-related and individual-related facilitators and barriers. Individual-related barriers include perceived lack of patient motivation for weight loss, time pressures, lack of financial reimbursement, and weight management being professionally unrewarding. System-related barriers include costs of accessing allied health professionals and unavailability of allied health professionals in certain locations. Individual-related facilitators include motivated patient subgroups such as those trying to get pregnant and specific communication techniques such as motivational interviewing. System-related facilitators include the GP’s role in chronic disease management. Conclusions: This study contributes to the understanding of barriers and facilitators that could be addressed to optimize weight and lifestyle management in women with PCOS in primary care.

scholarly journals Barriers and Facilitators to the Implementation of Evidence-Based Lifestyle Management in Polycystic Ovary Syndrome: A Narrative Review

2019 ◽  
Vol 7 (7) ◽  
pp. 76 ◽  
Author(s):  
Blackshaw ◽  
Chhour ◽  
Stepto ◽  
Lim
Keyword(s):  
Polycystic Ovary Syndrome ◽  
Polycystic Ovary ◽  
Healthcare Providers ◽  
Implementation Strategies ◽  
Barriers And Facilitators ◽  
Evidence Based ◽  
Ovary Syndrome ◽  
Lifestyle Management ◽  
Increased Risk ◽  
Evidence Based Guideline

Polycystic ovary syndrome (PCOS) is a complex condition that involves metabolic, psychological and reproductive complications. Insulin resistance underlies much of the pathophysiology and symptomatology of the condition and contributes to long term complications including cardiovascular disease and diabetes. Women with PCOS are at increased risk of obesity which further compounds metabolic, reproductive and psychological risks. Lifestyle interventions including diet, exercise and behavioural management have been shown to improve PCOS presentations across the reproductive, metabolic and psychological spectrum and are recommended as first line treatment for any presentation of PCOS in women with excess weight by the International Evidence-based Guideline for the Assessment and Management of Polycystic Ovary Syndrome 2018. However, there is a paucity of research on the implementation lifestyle management in women with PCOS by healthcare providers. Limited existing evidence indicates lifestyle management is not consistently provided and not meeting the needs of the patients. In this review, barriers and facilitators to the implementation of evidence-based lifestyle management in reference to PCOS are discussed in the context of a federally-funded health system. This review highlights the need for targeted research on the knowledge and practice of PCOS healthcare providers to best inform implementation strategies for the translation of the PCOS guidelines on lifestyle management in PCOS.

scholarly journals Lifestyle management improves quality of life and depression in overweight and obese women with polycystic ovary syndrome

2010 ◽  
Vol 94 (5) ◽  
pp. 1812-1816 ◽  
Author(s):  
Rebecca L. Thomson ◽  
Jonathan D. Buckley ◽  
Siew S. Lim ◽  
Manny Noakes ◽  
Peter M. Clifton ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Polycystic Ovary Syndrome ◽  
Polycystic Ovary ◽  
Obese Women ◽  
Ovary Syndrome ◽  
Lifestyle Management

Knowledge and Practices Regarding Polycystic Ovary Syndrome among Physicians in Europe, North America, and Internationally: An Online Questionnaire-Based Study

2018 ◽  
Vol 36 (01) ◽  
pp. 019-027 ◽  
Author(s):  
Melanie Gibson-Helm ◽  
Anuja Dokras ◽  
Helle Karro ◽  
Terhi Piltonen ◽  
Helena Teede
Keyword(s):  
North America ◽  
Polycystic Ovary Syndrome ◽  
Diagnostic Criteria ◽  
Polycystic Ovary ◽  
Online Questionnaire ◽  
Ovary Syndrome ◽  
Lifestyle Management ◽  
World Region ◽  
Physician Awareness ◽  
Practice Gaps

Background To inform knowledge translation by identifying evidence–practice gaps in polycystic ovary syndrome (PCOS) care and variations between disciplines and across world regions via an online, anonymous, devised questionnaire distributed via professional societies and completed by 1,495 physicians (2015–2016). Methods Multivariable logistic regression analyses generated adjusted odds ratios (OR) and 95% confidence intervals (CI) for associations between outcome measures and world region, specialty, annual patients with PCOS, age, and sex. Results Features corresponding to Rotterdam diagnostic criteria were well recognized (e.g., irregular menstrual cycles by 99% of physicians), but psychological implications were recognized only by 29 to 64%. Reproductive endocrinologists were more likely to use Rotterdam diagnostic criteria (OR: 3.1; 95% CI: 2.3–4.3; p < 0.007) than obstetrician-gynecologists. Reproductive (OR: 2.0; 95% CI: 1.5–2.8; p < 0.007) and medical endocrinologists (OR: 3.1; 95% CI: 1.7–5.7; p < 0.007) were more likely to recommend lifestyle management than obstetrician-gynecologists. Physicians in Europe (OR: 4.7; 95% CI: 3.5–6.1; p < 0.007) and other regions (OR: 4.0; 95% CI: 2.8–5.9; p < 0.007) were more likely to use Rotterdam diagnostic criteria than physicians in North America. Conclusion Knowledge gaps in PCOS care to be addressed internationally include physician awareness of the breadth of PCOS features, application of diagnostic criteria, and recommending lifestyle management effectively.

scholarly journals Lifestyle management of polycystic ovary syndrome: a single-center study in Bosnia and Herzegovina

2020 ◽  
Vol 7 (3) ◽  
pp. 504-520
Author(s):  
Jasmina Djedjibegovic ◽  
◽  
Aleksandra Marjanovic ◽  
Ilhana Kobilica ◽  
Amila Turalic ◽  
...  
Keyword(s):  
Polycystic Ovary Syndrome ◽  
Bosnia And Herzegovina ◽  
Polycystic Ovary ◽  
Single Center ◽  
Ovary Syndrome ◽  
Lifestyle Management ◽  
Single Center Study ◽  
Center Study

Application of WeChat Public Account in Lifestyle Management of Polycystic Ovary Syndrome: a Cross-sectional Study

2020 ◽  
Author(s):  
Fang-Fang Zhang ◽  
Fan Qu
Keyword(s):  
Polycystic Ovary Syndrome ◽  
Polycystic Ovary ◽  
Cross Sectional Study ◽  
Small Sample ◽  
Control Group ◽  
Sectional Study ◽  
Ovary Syndrome ◽  
Cross Sectional ◽  
Lifestyle Management ◽  
Public Account

Abstract BackgroundLifestyle management has been proved to improve both metabolic and reproductive outcomes for women with polycystic ovary syndrome (PCOS). In China, WeChat has become the most popular social media platform. Previous studies have confirmed the effectiveness of WeChat in health intervention and its potential to improve health behaviours. Therefore the present study tried to investigate the efficacy of online education through WeChat public account on the lifestyle interventions of women with PCOS.MethodsWe set up a cross-sectional study between January 2020 and July 2020. Data were collected through online questionnaires. All participants completed a questionnaire, including age, educational level, WeChat activeness, physical exercise, dietary habits, self-reported symptoms and medical history.ResultsA total of 258 women were included in this study, including 96 women with PCOS (PCOS group) and 162 women without PCOS (control group). Among them, 130 women followed our WeChat public account (follower group) and 128 women did not follow the WeChat public account (non-follower group). There were no significant differences in terms of physical activity assessment and dietary assessment between the PCOS and control groups (P>0.05), neither between the followers and non-follower groups (P>0.05). ConclusionsApplication of WeChat public account seems useless in lifestyle management for women with PCOS, however, the conclusion might be limited by the small sample size.

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